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Body fat responses to a 1-year combined exercise training program in male coronary artery disease patients
Nuno M Pimenta1, Helena Santa-Clara, Luís B Sardinha
1Exercise and Health Laboratory, Interdisciplinary Centre for the Study of Human Performance, Faculty of Human Kinetics, Technical University of Lisbon, Cruz-Quebrada, Portugal.
Insights
Combined exercise training significantly reduced body fat in coronary artery disease patients, demonstrating improvements in body composition. This highlights the limitations of BMI for tracking changes in fat mass.
Area of Science:
- Cardiology
- Exercise Physiology
- Body Composition Analysis
Background:
- Coronary artery disease (CAD) management often involves lifestyle interventions.
- Understanding the impact of exercise on body fat in CAD patients is crucial for optimizing treatment strategies.
Purpose of the Study:
- To analyze changes in body fat (BF) content and distribution in CAD patients following a 1-year combined aerobic and resistance exercise training (CET) program.
Main Methods:
- A 12-month study involving two groups of male CAD patients: a CET group (n=17) and a control group (n=10).
- Body fat content and distribution were assessed using dual-energy X-ray absorptiometry (DXA) at baseline and follow-up.
Main Results:
- The CET group showed significant reductions in total BF, % total BF, trunk fat, % trunk fat, appendicular fat, % appendicular fat, and abdominal fat.
- No significant changes in body mass or BMI were observed in the CET group.
- The control group exhibited a significant increase in appendicular fat.
Conclusions:
- Combined exercise training (CET) positively impacts body composition in CAD patients, reducing various fat depots.
- No significant alterations in BF distribution were observed, indicating uniform fat loss across depots.
- Body Mass Index (BMI) is insufficient for monitoring body composition changes in this population.
Objective:
To analyze the body fat (BF) content and distribution modifications in coronary artery disease (CAD) patients in response to a 1-year combined aerobic and resistance exercise training (CET) program.
Design And Methods:
We followed two groups of CAD male patients for 12 months. One group consisted of 17 subjects (57 ± 12 years) who engaged in a CET program (CET group) and the other was a age-matched control group of 10 subjects (58 ± 11 years). BF content and distribution were measured through dual energy X-ray absorptiometry (DXA) at baseline and follow-up.
Results:
We found no differences on body mass and BMI between baseline and end of follow-up in both groups but, in CET group, we found significant reductions in all analyzed BF depots, including total BF (21.60 ± 6.00 vs. 20.32 ± 5.89 kg, P < 0.01), % total BF (27.8 ± 5.5 vs. 26.4 ± 5.4%, P < 0.05), trunk fat (12.54 ± 3.99 vs. 11.77 ± 4.01 kg, P < 0.05), % trunk fat (31.1 ± 6.9 and 29.2 ± 7.1%, P < 0.05), appendicular fat (8.22 ± 2.08 vs. 7.72 ± 2.037 kg, P < 0.01), % appendicular fat (25.7 ± 4.9 and 24.5 ± 4.9%, P < 0.05), and abdominal fat (2.95 ± 1.06 vs. 2.75 ± 1.10 kg, P < 0.05). Control group showed significant increase in appendicular fat (7.63 ± 1.92 vs. 8.10 ± 2.12 kg, P < 0.05).
Conclusions:
These results confirm the positive effect of CET on body composition of CAD patients, despite no changes in body mass or BMI. In this study, we observed no alterations on BF distribution meaning similar rate of fat loss in all analyzed BF depots. These results also alert for the limitations of BMI for tracking body composition changes.
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