Lupine Publishers| Effect of Different Methods of Training in Body Composition and Lipid Profile in Occupational Men
Lupine Publishers| Journal of Diabetes and Obesity
Abstract
Obesity is increasingly present in the population and raises the risk of death from cardiovascular diseases. The objective of this study was to investigate changes in body composition, total cholesterol, LDL, HDL and triglycerides of obese adults. The sample was costituida twelve male volunteers subjected to hold a bone densitometry analysis with body composition (DEXA) and examinations that Inca ram plasma concentrations of total cholesterol, LDL, HDL and triglycerides in the blood. The volunteers were inserted into three training models: Aerobic Training (AeT), Anaerobic Training (AnT) and Concurrent Training (CT). The training period was twelve weeks, with three sessions per week lasting 60 minutes. The AeT group took part in running sessions with cycling sessions. The AnT group performed bodybuilding exercises. The CT group combined the two previous models, with no gap between them. All variables were tested for normality of distribution by the Shapiro- Wilk test. For those who presented normality, the paired teste test was used for comparison before and after training (mean ± standard error). All analyzes were performed by the Statistical Package for the Social Sciences (SPSS) version 21.0. A significance level of α = 0.05 was used. When comparing the initial and final periods of intervention was observed reductions in variables: total weight, body fat weight and visceral fat weight in all groups. Total cholesterol decreased only in the CT group. Already, the LDL cholesterol decreased in the AnT and CT groups, being that in the CT with greater notoriety. HDL cholesterol increased in all groups, and in the AnT with greater notoriety. The plasma triglyceride concentration decreased only in the AeT and CT groups. The data suggest that the concurrent training is effective for the reduction of obesity when compared to the aerobic and anaerobic methods.marital status, height, habit of taking restaurant food and occupation as responsible factors for the variation in the levels of NCDs.
Keywords: Methods of training; body composition; lipid profile
Introduction
Obesity characterized by excess fat present in an individual may be accompanied by glucose intolerance, insulin resistance, dyslipidemias, hypertension, increased visceral adipose tissue and increased risk of coronary heart disease and cancer [1]. Obesity and overweight kill around 2.8 million people per day, mainly in developed countries [2]. In Brazil, about 40% of the population has an inadequate body fat index for the age group, and when adiposity is distributed in the waist region, they increase the chances of metabolic disorders associated with cardiovascular disease [3]. Currently the fight against obesity is carried out through dietary, drug and surgical manipulation, since the causes that have greater association with overweight and obesity are according to the metabolism. In this way multidisciplinary teams composed by doctors, psychologists and nutritionists were created, however these strategies seem not to be enough to reduce the obesity indices. Therefore, the objective of the present study was to verify the effect of different training methods on body composition and lipid profile of obese men.
Methodology
The research is pre-experimental in nature. This research
model consists of the application of experiments with nonrandomly
formed sample groups, which are performed with the
purpose of controlling the action of possible intervening factors
and investigating degrees of change resulting from specific
interventions in the dependent variables. All participants read and
signed the informed consent form (TCLE). The sample was selected
for non-random convenience.
The following inclusion criteria were established:
a) Not to perform regular physical activity in addition to the
training prescribed during the study;
b) Have no limitations or injuries that could interfere with
training; and
c) Do not control food or ingest substances that could
influence the interpretation of results. The study was conducted
in accordance with the Helsinki Declaration and the International
Committee of Medical Journal Editors [4].
Subjects
Table 1: Characteristics of the participants presented in mean±sd.
AnT: Anaerobic Training; CT: Concurrent Training; AeT: Aerobic Training; BMI: Body Mass Index
Twelve male volunteers (41.51 ± 10.98 years, 72.03 ± 12.94 kg, 171.94 ± 10.33 cm), active and overweight or obese were included in the analysis performed by the index of body mass (BMI) (Table 1). The sample was randomly divided into four groups: anaerobic training (N = 04), aerobic training (N = 04) and concurrent training (N = 04). These volunteers underwent a lipid profile analysis through laboratory tests, which identified the levels of total cholesterol (TC), HDL, LDL and triglycerides (TG). Besides the lean body mass, fat mass, muscle mass and visceral (Table 2).
Procedures
The lipid profile and body composition evaluations were performed pre-training program and after 90 days of training. In the evaluation, participants were submitted to the following blood tests: total cholesterol; HDL; triglyceride; Cholesterol test; LDL. The X-ray absorptiometry technique was used to evaluate the body composition using the Lunar iDXA device from GE Healthcare.
Physical training protocols
Participants were familiarized with the procedures for two sessions prior to initiating the intervention.
AeT group: Comprised of a running session or a session of cilcism, three times a week with a load corresponding to 7 on the BORG Scale, with a 2:1 ratio (2 minutes of running and 1 minute of recovery), recovery corresponded to a load 3 in the BORG Scale.
AnT group: Compound by squatting on the bar; horizontal supine; armrest; leg press; pulled high; seated paddling; I sink with free weight; cross over; pullover; triceps forehead; threading biceps and development, all of them divided into 3 weekly sessions. The volunteer performed 3 sets of 8 to 12 maximal repetitions per exercise, with a load corresponding to 7 of the BORG Scale and a recovery of 1 minute.
CT group: Composed by the combination of the two physical training models previously mentioned. In this training model different energy sources are requested, being one predominantly aerobic (running) and one with neuromuscular anaerobic predominance (resistance exercise). In the three training sessions, resisted exercises and walking / running were performed, both in the same training session, with no interval from one to the other.
Statistical analysis
All variables were tested for normality of distribution by the Shapiro-Wilk test. For those who presented normality, the paired teste test was used for comparison before and after training (mean ± standard error). All analyzes were performed by the Statistical Package for the Social Sciences (SPSS) version 21.0. A significance level of α = 0.05 was used.
Results
This study verified the effect of different training methods on overweight or obese men. There was a reduction in the variables total weight, body fat weight and visceral fat weight in all groups. There was a reduction in total cholesterol only in the CT group. There was a decrease in LDL cholesterol in the AnT and CT groups. Increased HDL cholesterol in all groups. The plasma triglyceride concentration decreased only in the AeT and CT groups. In relation to adipose tissue, it is observed that the trained groups had lower percentage values for this variable. The AnT and CT groups reduced adipose tissue, however, the AeT showed a lower percentage among the trained groups. Differences were observed between the groups in the analysis of Total Cholesterol (TC), High Density Lipoproteins (HDL), Low Density Lipoproteins (LDL) and Triglycerides (TG) when comparing pre and post training program data (Table 3). When we observed the lean body mass, the AnT group was superior to the mean values of the CT. Still in this case, CT was shown to be slightly higher than the AeT group.
Table 3: Pre and Post-program training results in the TC, HDL, LDL and TG of the study participants in mean±sd.
TC: Total Cholesterol; TG: Triglyceride; HDL: High Density Lipoproteins; LDL: Low Density Lipoproteins; mg/dl: milligrams/ deciliter.
Discussion
This study investigated the effect of different training methods
on body composition and lipid profile with overweight and obesity
men. There is an increase in HDL and CT in the AnT group and
reduction of LDL. Corroborating with the researches of [5]; The
high levels of HDL exhibit a relation of lower risk of heart disease
even compared to subjects with CT below the borderline, leaving
it to be understood that the effect of the applied AnT may have
positively influenced the participant’s lipid profile. However, TG
levels increased considerably, but it should be noted that no diet
was applied during the twelve weeks of intervention in any of the
groups and this may have a direct influence on this increase. In
the CT group there was a reduction in CT, HDL, LDL and TG after
intervention. In the AT group there was a reduction in TG and an
increase in HDL, corroborating with the literature that indicates
greater emphasis on aerobic exercise to reduce plasma triglyceride
levels and increase HDL levels [6]. Other differences were observed
between the groups in the comparative analysis regarding MC, MM
and MG before and after the training program. The CT and AeT
groups reduced MC and MG, but a larger reduction was observed in
the CT group when compared to the TA group.
The problem of obesity and overweight is related to the
evolution, or regression, of current lifestyles in modern societies.
In fact, there was a technological evolution, which made our daily
tasks easier. But there was also a drastic reduction in the amount
and quality of daily physical activity. The causes that lead or
predispose to overweight and obesity are according to behavioral
influences the quality and quantity of physical activity, quality and
quantity of nutrition, being smoker and socioeconomic conditions.
According to the metabolism namely the genetic, metabolic and
endocrine factors, besides race, gender, age, and gestational state.
Namely, the components of daily energy expenditure, the
resting metabolic rate which is the energy needed to maintain our
vital functions, and accounts for about 50 to 70% of daily energy
expenditure. The digestion of food that corresponds to 10% of
the daily energy expenditure. And the physical activity that is
the component that we can change effectively and can change
the other two in a favorable or unfavorable way. Regarding the
resting metabolic rate, the amount of muscle mass is an aspect
that influences it by increasing it. Particularly if muscle mass
predominantly has type II muscle fibers. In fact, it is not muscle
mass that has an energy expenditure / kg of mass higher. Organs
like brain, heart, liver and kidneys possess more, yet the muscle
mass of the human body is larger than these organs. Thus, in a
woman weighing 55 kg and 21-25% fat and a man weighing 75 kg
and 15-19% fat, it is possible to observe that the contribution to
the value of the metabolic rate of daily rest by the organs is at most
about 709 kcal / day. In turn, fat contributes about 64.1 kcal / day
and muscle with about 226.2 kcal / day in women and 331.5 kcal /
day in man.
Regarding the type of exercise and the energy cost, predominantly
aerobic exercises seem to have a higher cost compared to strength
exercises. In fact, predominantly aerobic exercises require a greater
amount of muscle mass in general, while strength exercises are
more localized. However, the intensity of the exercise is that it plays
a key role. Strength exercises involving large muscle masses and with a high intensity around 70% of 1RM can present high energy
cost per minute values and are equivalent to aerobic training. The
problem is in the methodologies used to calculate the energy cost
in the physical exercise. The most widely used and viable method
is the quantification of VO2 and the production of CO2 (carbon
dioxide), although this method is valid to quantify the energy cost
in predominantly continuous aerobic exercises where there is a
stabilization of O2 consumption, it does not have this capacity in
high intensity and intermittent efforts, such as strength, where
the predominant energy is lactic anaerobic. In this way, we cannot
establish a direct relationship between O2 consumption and energy
cost. In fact, there is no valid method to measure the energy cost
via the lactic anaerobic route, perhaps because of this lower energy
cost values are presented in the strength exercises.
Fernandez et al. [7] conducted a study to evaluate the effect of
anaerobic physical exercise on body fat mass with obese adolescents
compared with aerobic exercise. The finding did not present
significant differences between the groups, but a decrease in the
body mass index, when compared to the initial and final values of
the training in each individual. This finding corroborates the fact
that even without a restrictive diet, physical exercise is capable of
promoting a significant mass loss in biological terms. The process
of choosing the most appropriate training protocol is extremely
important for the goal to be achieved. The proposed training
programs activate different metabolisms of energy generation, the
aerobic metabolism of moderate intensity, is the one used to reduce
the coporal grading. In fact, the biochemical adaptations induced
by continuous exercise have been studied since the late 1960’s and
it has been definitively proven that this type of activity induces an
increase in the oxidative capacity of the muscle, by the increase in
the activity of key enzymes of beta-oxidation, a specific metabolic
pathway for the oxidation of fatty acids, and also to signal and
increase the speed of other metabolic pathways of the oxidative
metabolism of ATP (Adenosine Triphosphate) resynthesize,
such as the Krebs cycle and the mitochondrial respiratory chain
[8]. However, the effects of high intensity anaerobic exercises,
especially those using resisted exercise, are still poorly understood.
Therefore, [2] recommends the maintenance of lean mass as an
integral part of a physical exercise program, which reduces the risk
of developing diseases, such as disturbances in lipid metabolism,
fat levels found in the blood circulation, and in the concentrations
of its components such as total cholesterol, HDL cholesterol,
LDL cholesterol and triglycerides are directly associated with
the evolution of atherosclerosis. Guttierres and Marins et al.
[9] reinforce that the anaerobic training can contribute in an
effective way in the reduction of the corporal weight and bring
improvements in the lipid profile. The acute modifications are those
of the own energy cost for the accomplishment of activity and in
the recovery phase. Chronic effects are provided by changes in the
resting metabolic rate. The factor most responsible for modifying
the resting metabolic rate is lean mass gain. In order to measure
total energy expenditure during strength training, the greatest
difficulty is found in the standardization of studies in relation to the
intensity and volume used, besides, the post-exercise moment is
not taken into account, making it difficult to compare the data [10-
14]. It can be verified through the high-intensity anaerobic method
that post-exercise oxygen consumption (COPD) can remain high for
up to twelve hours [14-17], so concurrent training seems to be the
best strategy for weight loss , where the aerobic component will
promote VO2 increase and the anaerobic component maintenance
of lean mass. Therefore, a training program without dietary control
may be effective in reducing obesity and lipid profile in obese
men. When checking the changes in body composition caused by
different models of physical training, the use of different training
methods contribute to the reduction of adipose tissue, since there
is a need to increase the basal metabolic rate, these protocols may
be part of a physical exercise program for this population [18-20].
New studies should be conducted considering a control group and
the influence of diesta on the analyzed parameters.
Conclusion
Based on the objectives and results presented, it is verified that the concurrent training is effective for the reduction of obesity when compared to the aerobic and anaerobic methods.
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