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Effect of diet and exercise treatment for obese Japanese children on abdominal fat distribution
Kenji Togashi1, Hidenari Masuda, Kousei Iguchi
1Department of Physical Education, Faculty of Education, Mie University, 1577 Kurimamachiya-cho, Tsu, Mie, 514-8507, Japan. togashi@edu.mie-u.ac.jp
Insights
Combined diet and exercise significantly reduced abdominal fat and chronic disease risk factors in obese Japanese children. This intervention improved body composition and metabolic health.
Area of Science:
- Pediatric Endocrinology
- Obesity Research
- Metabolic Syndrome
Background:
- Childhood obesity is a growing concern, particularly in Japan.
- Obesity is linked to increased risk factors for chronic diseases.
- Abdominal fat distribution is a key indicator of metabolic risk.
Purpose of the Study:
- To evaluate the combined impact of dietary and exercise interventions on abdominal fat.
- To assess the effects on chronic disease risk factors in obese Japanese children.
Main Methods:
- 33 obese Japanese children participated in a 3-month supervised program.
- Interventions included supervised exercise (5-7 days/week) and calorie-controlled diets (1400-1900 kcal/day).
- Abdominal fat (subcutaneous and visceral) was measured via CT scans; blood markers (lipids, glucose, liver enzymes, uric acid) were analyzed.
Main Results:
- Significant reductions in both subcutaneous and visceral abdominal fat areas were observed.
- Key risk factors, including triglycerides, total cholesterol, insulin, AST, ALT, and uric acid, were markedly decreased.
- The combined intervention demonstrated a positive effect on body composition and metabolic health markers.
Conclusions:
- Dietary treatment combined with exercise is effective in managing abdominal obesity in children.
- This integrated approach successfully reduces multiple risk factors for chronic diseases.
- The findings support lifestyle interventions for improving health outcomes in pediatric obesity.
Abstract:
The purpose of this study was to investigate the combined effect of dietary treatment and exercise treatment on abdominal fat distribution and the risk factors for chronic disease in obese Japanese children. The subjects were 33 obese children. The areas of subcutaneous and visceral fat were measured using CT images at the level of the umbilicus. Blood samples were taken to measure risk factors for chronic disease such as triglycerides (TG), total cholesterol (T-Cho), high-density lipoprotein cholesterol (HDL-C), insulin, asparate amino-transferase (AST), alanine aminotransferase (ALT) and uric acid (UA). Supervised exercise treatment at 50% Vo(2)max for about 60 min/day was performed 5 or 7 days/week for 3 months. The dietary treatment was varied with daily calorie intake between 1400 and 1900 kcal depending on the degree of obesity. After dietary treatment combined with exercise treatment, the areas of subcutaneous and visceral fat decreased significantly, and such risk factors as TG, T-Cho, insulin, AST, ALT, and UA were noticeably reduced. These data suggest that dietary treatment combined with exercise treatment in obese children normalizes the distribution of abdominal fat and reduces the risk factors for chronic disease.
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