Abdominal Obesity Clinical Trial
Official title:
Monocentric, Randomized, Controlled Study for Reduction on Visceral Fat Dynamic and Resting Energy Expenditure in Obese Patients Via Strength Versus Endurance Training (STEN Study - STrength Versus ENdurance Training)
In this project, the investigators will test the hypothesis that predominant (two to three times a week 60 min) strength training is more effective in reducing visceral fat mass than endurance training in obese patients.
Strength training (ST) was shown to be more effective than endurance training (ET) in
improving glycemic control in the treatment of type 2 diabetes. However, it is unknown,
whether different training strategies have different effects on the preferential visceral
adipose tissue reduction and changes in resting energy expenditure in a population with
abdominal obesity. We will therefore compare ST and ET (two to three times a week, 60
minutes per training session) in addition to a restricted energy intake of 1500kcal per day
for women and 1800kcal per day for men in a prospective study of 200 individuals with
abdominal obesity defined by a waist circumference > 102 cm for males and > 88 cm for
females and a BMI > 35 kg/m² with regard to:
1. Abdominal visceral adipose tissue area dynamic (MRI studies)
2. Abdominal subcutaneous adipose tissue area dynamic (MRI studies)
3. Total body fat mass changes (bioelectrical impedance analysis)
4. Changes in resting energy expenditure (indirect calorimetry)
5. Changes in parameters of glucose metabolism, insulin sensitivity and lipid profile
6. Changes in circulating adipokines and markers of inflammation In addition, we will
search for novel serum parameters, which predict the individual training response by a
serum metabolomics/ proteomics approach.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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