Obesity
Conditions
Keywords
Obesity, Exercise, Diet, Lifestyle, Vascular reactivity, Body composition, Lipids, Glucose, Insulin resistance
Brief summary
This study tests the hypothesis that exercise training can confer additional benefit to patients in weight-loss programs in the form of improvements in either metabolic or vascular parameters or both. Patients will be randomized to either diet plus conventional physical activity or diet plus a planned exercise training. The interventions will be carried out until the patients lose between 5% and 7.5% of their initial weight. At entry and at the end, all subjects will be evaluated for outcomes such as blood glucose, lipid profile, insulin, c-reactive protein, fibrinogen, vascular reactivity (doppler ultrasound) and total and abdominal visceral fat (CT-scan). Both groups will be compared.
Interventions
Low-calorie, balanced diet and a general advice on the importance of regular physical activity
Subject will receive dietary counselling (low-calorie, balanced diet) and will be enrolled in a supervised, 3 times a week, exercise training program
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI\> 30 and \<40
Exclusion criteria
* Diabetes mellitus * Active endocrine disease * Active heart disease * Active smoking * Medical contra-indications for exercise * Using anti-obesity drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in vascular reactivity | 6 months |
| Reduction in homeostasis model assessment of insulin resistance (HOMA-IR) | 6 months |
| Change in lipid profile | 6 months |
| Reduction in abdominal (visceral) fat | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| C-reactive protein | 6 months |
| Fibrinogen | 6 months |
| vonWillebrand factor | 6 months |
| Waist circumference | 6 months |
Countries
Brazil