Abstract
Introduction: According to the definitions of the World Health Organization Overweight and obesity have been described as abnormal or excessive fat accumulation which may impair health. The excess accumulation of abdominal fat (abdominal adiposity) is more associated with complications of the obesity than the excess total body fat. The addition of an exercise training program is a helpful strategy for the management of obesity and related complications. Brisk walking and treadmill walking are the simlplest way of aerobic exercises. Although physical activity and exercise are commonly recommended to reduce overall obesity, the effect of exercise-induced weight loss on abdominal adiposity has been yet to be investigated.
Aim: To compare the effect of treadmill walking and brisk walking on abdominal fat.
Methodology: 40 obese and overweight otherwise healthy men with abdominal circumference >102 cm and BMI (kg/m2) 25-40, age group 18- 40 years were selected for the study. Group – A (20 people did treadmill walking) and group – B (other 20 people did brisk walking) at a speed of 6kmph, 20min/day, 5day/week for 12 weeks. BMI and abdominal circumference were measured and compared before and after the training of 12 weeks.
Results: BMI of both groups is decreased but there was very little difference in decrease in BMI of both groups. Group B (brisk walkers) have slightly more decrease in abdominal circumference as compared to the group A (treadmill walkers).
Conclusion: Brisk walking is more effective way of reducing abdominal fat as compared to treadmill walking.
Keywords: BMI, Treadmill, obesity , brisk.
References
- World Health Organization. Obesity and Overweight https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight (visited in january 2020)
- World Health Organization. Obesity and Overweight. Global Strategy on Diet. Physical Activity and Health. Fact Sheet; 2006, No 311.
- Oh S, Tanaka K, Noh JW, So R, Tsujimoto T, Sasai H, et al. Abdominal obesity: causal factor or simply a symptom of obesity-related health risk. Diabetes MetabSyndrObes2014;7:289-96.
- Haffner SM. Abdominal adiposity and cardiometabolic risk: do we have all the answers? Am J Med 2007;120(suppl):S10–6.
- Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature 2006; 444:881–7.
- Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc2007;39:1423-34.
- Ismail I, Keating SE, Baker MK, Johnson NA. A systematic review and meta-analysis of the effect of aerobic vs. resistance exercise training on visceral fat. Obes Rev 2012;13:68-91.
- S. Department of Health and Human Services. Physical Activity Guidelines for Americans. 2008, ODPHP Publication No. U0036. Available from: www.health.gov/ paguidelines.
- Vissers D, Hens W, Taeymans J, Baeyens JP, Poortmans J, Van Gaal L. The effect of exercise on visceral adipose tissue in overweight adults: a systematic review and meta-analysis. PLoS One 2013;8:e56415.
- Centre for Health Protection, Exercise and Health - Brisk Walking recommendation for general public, Department of Health, Hongkong ,2018
- Department of Health. Exercise Prescription Doctor’s Handbook; 2012. Available online: http://exerciserx.cheu.gov.hk/files/DoctorsHanbook_fullversion.pdf (accessed on 14 October 2013).
- United States: Department of Health. Physical Activity and Health: A Report of the Surgeon General; DIANE Publishing: Darby, PA, USA, 1996.
- Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S. Department of Health and Human Services,2008
- Ortega FB, Lavie CJ, Blair SN. Obesity and cardiovascular disease. Circ Res. 2016;118:1752–70.
- Lavie CJ, De Schutter A, Parto P, Jahangir E, Kokkinos P, Ortega FB, Arena R, Milani RV. Obesity and prevalence of cardiovascular diseases and prognosisthe obesity paradox updated. Prog Cardiovasc Dis. 2016;58:537–47.
- Lee CD, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. Am J Clin Nutr. 1999;69:373–80.
- Borodulin K, Laatikainen T, Lahti-Koski M, Lakka TA, Laukkanen R, Sarna S, Jousilahti P. Associations between estimated aerobic fitness and cardiovascular risk factors in adults with different levels of abdominal obesity. Eur J Cardiovasc PrevRehabil. 2005;12:126–31.
- Lee S, Kuk JL, Katzmarzyk PT, Blair SN, Church TS, Ross R. Cardiorespiratory fitness attenuates metabolic risk independent of abdominal subcutaneous and visceral fat in men. Diabetes Care. 2005;28:895–901
- World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009.
- Roux L, Pratt M, Tengs TO, Yore MM, Yanagawa TL, Van Den Bos J, Rutt C, Brownson RC, Powell KE, Heath G, Kohl HW 3rd, Teutsch S, Cawley J, Lee IM, West L, Buchner DM. Cost effectiveness of community-based physical activity interventions. Am J Prev Med 2008; Dec;35(6):578-88.
- Lau DC, Douketis JD, Morrison KM, Hramiak IM, Sharma AM, Ur E. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary]. CMAJ 2007; 176(suppl):S1–13.
- Klein S, Burke LE, Bray GA, et al. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation 2004;110:2952–67.
- Jakicic JM, Clark K, Coleman E, et al. American College of Sports Medicine position stand: appropriate intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc2001;33:2145–56.
- Jia H, Lubetkin EI. The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health (Oxford, England). 2005;27(2):156–64.
- Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71–82.
- Donnelly J, Blair S, Jakicic J, Manore M, Rankin J, Smith B. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459.
- Haskell W, Lee I, Pate R, Powell K, Blair S, Franklin B, et al. Physical activity and public health: updated recommendations for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1081–93.
- World Health Organization. Global recommendations on physical activity forhealth. Geneva: World Health Organization; 2010.
- Donesky-Cuenco, D.; Janson, S.; Neuhaus, J.; Neilands, T.B.; Carrieri-Kohlman, V. Adherence to a home-walking prescription in patients with chronic obstructive pulmonary disease. Heart Lung 2007,36, 348–363. [CrossRef] [PubMed]
- Esposito K, Pontillo A, Di Palo C, et al.: Effect of weight loss and lifestyle changes on vascular inflammatory markers in obese women: a randomized trial. JAMA, 2003, 289: 1799–1804. [Medline] [CrossRef]
- Klem ML, Wing RR, McGuire MT, et al.: A descriptive study of individuals successful at long-term maintenance of substantial weight loss. Am J Clin Nutr, 1997, 66: 239–246. [Medline]
- Ali ZM, El-Refay BH, Ali RR: Aerobic exercise training in modulation of aerobic physical fitness and balance of burned patients. J Phys Ther Sci, 2015, 27: 585–589. [Medline] [CrossRef]
- Hong HR, Jeong JO, Kong JY, Lee SH, Yang SH, Ha CD,et al. Effect of walking exercise on abdominal fat, insulinresistance and serum cytokines in obese women. J Exerc Nutrition Biochem2014;18:277-85.
- Keating SE, Hackett DA, Parker HM, O’Connor HT,Gerofi JA, Sainsbury A, et al. Effect of aerobic exercise training dose on liver fat and visceral adiposity. J Hepatol2015;63:174-82.
- Gutin B, Barbeau P, Owens S, Lemmon CR, Bauman M, Allison J, et al. Effects of exercise intensity on cardiovascular fitness, total body composition, and visceral adiposity of obese adolescents. Am J Clin Nutr2002;75:818-26.
- Irving BA, Davis CK, Brock DW, Weltman JY, Swift D,Barrett EJ, et al. Effect of exercise training intensity on abdominal visceral fat and body composition. Med Sci Sports Exerc2008;40:1863-72.
- Kessler HS, Sisson SB, Short KR. The potential for high-intensity interval training to reduce cardiometabolic disease risk. Sports Med. 2012;42(6):489–509.
- Richardson CR, Newton TL, Abraham JJ, Sen A, Jimbo M, Swartz AM. A meta-analysis of pedometer-based walking interventions and weight loss. Annals Family Med. 2008;6(1):69–77.
- Murphy MH, Nevill AM, Murtagh EM, Holder RL. The effect of walking on fitness, fatness and resting blood pressure: a meta-analysis of randomised, controlled trials. Prev Med. 2007;44(5):377–85.
- Thorogood A, Mottillo S, Shimony A, Filion KB, Joseph L, Genest J, et al. Isolated aerobic exercise and weight loss: a systematic review and metaanalysis of randomized controlled trials. Am J Med. 2011;124(8):747–55.
- Maciejczyk M, Więcek M, Szymura J, et al.: The influence of increased body fat or lean body mass on aerobic performance. PLoS ONE, 2014, 9: e95797 [Medline] [CrossRef]
- Akdur H, Sozen AB, Yigit Z, et al.: The effect of walking and step aerobic exercise on physical fitness parameters in obese women. J Int faculty Med, 2007, 70: 64–69.
Corresponding Author
Tarun Kumar
Additional Professor, Department of Physiology, I.G.I.M.S., Patna, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i2.127
