Obesity Clinical Trial
Official title:
Preventing Metabolic Syndrome in Patients With Morbid Obesity by Resistance Training: Reporting Non-responder Prevalence
The researchers will conduct a study for avoiding the metabolic syndrome in morbid obese patients. Thus, the aim of the present will be determine the effects of a resistance training programme (RT) in preventing or attenuating metabolic syndrome (MetS) in patients with morbid obesity. A second aim will be report the prevalence of non-responders in terms of improvements in MetS markers and other co-variables considered.
The prevalence of metabolic syndrome (MetS) and cardiovascular disease is expected to rise
along with the global obesity epidemic. MetS is a cluster of clinical risk factors, including
abdominal (visceral) obesity, hypertension, elevated serum triglycerides, low serum
high-density lipoprotein (HDL) and hyperglycaemia.The MetS for example, significantly
decreases the life expectancy of individuals with morbid obesity and increases the disease
burden and economic costs associated with healthcare. In this sense, more recently, there was
reported that body mass index (BMI) and fat distribution showed higher associations with
inflammation, fat indices, and more prevalence of MetS in morbidly obese subjects, claiming
for an early prevention of the MetS in the morbid obese state.
Exercise training has proven to be effective in inducing a clinically significant weight loss
and reducing cardiovascular risk. Exercise have reported to be associated with increased
muscle mass, decreased body fat, and improved metabolic profile (i.e., improved glucose
control and lipid levels). In addition, supervised RT improved muscle strength and functional
capacity in patients with obesity undergoing bariatric surgery. However, although RT has been
widely studied in obesity, there is little information in the morbid obesity. On the other
hand, there is poor knowledge similarly, about the interindividual variability to exercise
training in terms of responders and non-responders (NR). Thus, considering the poor knowledge
about the MetS prevention in morbid obese patients, as well as the little information about
Responders and Non-Responders for improving MetS outcomes, the aim of this study will be
determine the effects of a RT program on cardio-metabolic outcomes of MetS in patients with
morbid obesity. A second aim will be report the prevalence of non-responders in terms of the
effects of resistance training on MetS markers and other health-related variables.
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