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Effect of Exercise on Total and Intra-abdominal Body Fat in Postmenopausal Women: A Randomized Controlled Trial
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CONTEXT: The increasing prevalence of obesity is a major public health concern. Physical activity may promote weight and body fat loss. OBJECTIVE: To examine the effects of exercise on total and intra-abdominal body fat overall and by level of exercise. DESIGN: Randomized controlled trial conducted from 1997 to 2001. SETTING AND PARTICIPANTS: A total of 173 sedentary, overweight (body mass index > or =24.0 and >33% body fat), postmenopausal women aged 50 to 75 years who were living in the Seattle, Wash, area. INTERVENTION: Participants were randomly assigned to an intervention consisting of exercise facility and home-based moderate-intensity exercise (n = 87) or a stretching control group (n = 86). MAIN OUTCOME MEASURE: Changes in body weight and waist and hip circumferences at 3 and 12 months; total body, intra-abdominal, and subcutaneous abdominal fat at 12 months. RESULTS: Twelve-month data were available for 168 women. Women in the exercise group participated in moderate-intensity sports/recreational activity for a mean (SD) of 3.5 (1.2) d/wk for 176 (91) min/wk. Walking was the most frequently reported activity. Exercisers showed statistically significant differences from controls in baseline to 12-month changes in body weight (-1.4 kg; 95% confidence interval [CI], -2.5 to -0.3 kg), total body fat (-1.0%; 95% CI, -1.6% to -0.4%), intra-abdominal fat (-8.6 g/cm2; 95% CI, -17.8 to 0.9 g/cm2), and subcutaneous abdominal fat (-28.8 g/cm2); 95% CI, -47.5 to -10.0 g/cm2). A significant dose response for greater body fat loss was observed with increasing duration of exercise. CONCLUSIONS: Regular exercise such as brisk walking results in reduced body weight and body fat among overweight and obese postmenopausal women.
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“Likewise, a greater percentage loss in VAT percentage than in body weight occurred after 12 months in a moderate-intensity exercise intervention study of sedentary, overweight, postmenopausal women. VAT loss was exercise dose-dependent (253).”
From Lack of Exercise Is a Major Cause of Chronic Diseases (2012) · cites this paper as [253]
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BackgroundResultECSS position statement: Exercise and obesity
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“Furthermore, in postmenopausal women a 12-month training program ( /175 min/week of moderate intensity exercise) reduced abdominal subcutaneous (5%) as well as visceral (6%) fat significantly (Irwin et al., 2003).”
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Does IRISIN Have a BRITE Future as a Therapeutic Agent in Humans?
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“Prediabetes Reference Subjects Prescreened Supervised exercise No. of subjects exercised Study type Banzer et al. 2004 952 (250 DM, 702 no diabetes) Yes, medical history and physical evaluation Yes 250 Prospective intervention Lemaster et al. 2003 391 diabetic with a prior history of foot ulcer Yes NA 391 Prospective…”
BackgroundInfluentialInfluence of a walking program on the metabolic risk profile of obese postmenopausal women
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“The reduction in waist girth we reported also fits well with values noted in short-bout walkers after a 10-week program(12) and in women who exercised 3 days per week for 12 weeks.(14)”
ResultExercise program affects body composition but not weight in postmenopausal women
Velthuis, M. J., Schuit, A. J., Peeters, P. H. M., & Monninkhof, E. M. (2009) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e318197122a · Cited by 53
“Furthermore, two of these studies were conducted among overweight women, whereas we included women with a BMI between 22 and 40 kg/m(2) (mean, BMI 27 kg/m(2)).(17,18) One might hypothesize that in overweight women, a greater reduction in fat mass as a result of physical exercise might be expected, although we were not…”
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Metadata
- Authors
- Irwin, M. L., Yasui, Y., Ulrich, C. M., Bowen, D., Rudolph, R. E., Schwartz, R. S., Yukawa, M., Aiello, E., Potter, J. D., & McTiernan, A.
- Affiliations
- Yale University (US)
- University of Washington (US)
- Corresponding author
- McTiernan, Anne
- ORCID
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2003-01-15
- Volume
- 289
- Issue
- 3
- Pages
- 323
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2110141259
- Cited by
- 517
- References
- 35
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 7 · 2023: 12 · 2022: 12 · 2021: 16 · 2020: 17 · 2019: 8 · 2018: 16 · 2017: 15 · 2016: 26 · 2015: 19 · 2014: 24 · 2013: 29 · 2012: 28
- FWCI
- 20.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (R01-69334)
- National Institute on Aging (AG1094)
- National Cancer Institute (T32 CA09661, T32CA009661)
- National Center for Research Resources (M01-RR 00037, M01RR000037)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- physical activity, postmenopausal women, intra-abdominal fat, total body fat, subcutaneous abdominal fat, obesity, overweight, weight loss, moderate-intensity exercise, home-based exercise, walking, waist circumference, dose-response relationship, sedentary women
- MeSH terms
- Abdomen, Adipose Tissue, Aged, Body Composition, Female, Humans, Middle Aged, Obesity, Weight Loss, Exercise, Body Mass Index, Postmenopause
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