Vera P. Simovska
State University of Bitola
Macedonia
Title: Effects of high-intensity lifestyle intervention on increased cardiometabolic risk in truncal obese adults
Biography
Biography: Vera P. Simovska
Abstract
Truncal obesity is a chronic disease that increases the risk for both coronary heart disease (CHD) and type II diabetes (T2DM) and it’s a growing public health problem worldwide. The purpose of our study was to develop a model of therapeutic efficiency high-intensity lifestyle intervention intended for truncal obese adults with increased cardiometabolic risk. Within the randomized controlled trial at a group of truncal obese adults with presence risk factors for atherosclerotic CHD and T2DM, we suggest the following two types of high-intensity lifestyle interventions: Ist type-low fat, hyper protein, restriction diet (RD) of 1200-kcal/d (women) and 1500-kcal/d (men) with low atherogenic and glycemic index (GI), and a specific relation among SFA, MUFA and PUFA. The IInd type of intervention is composed of RD and the individually dosed physical activity (PA) with gradually, from low to moderate and picks of high intensity (50%-60%-75%VO2max) in accordance to the initial level of the individual aerobic capacity (VO2max) expressed into METs. After 30 days was the increased energetic value of RD for 200-kcal/d related to increase PA. The changes in anthropometric measures, metabolic profiles, VO2max and BMR are evaluated after 30 and 50days. The efficiency of the programmed PA in combination with RD represents a significant higher reduction of BMI (kg/m2), WHR, fat mass index, risk factors for CHD and metabolic complication (hyperglycemia, dyslipidemia, arterial hypertension and atherogenic index) associated with truncal obesity and improvement in cardiovascular fitness for 17.16% VO2max from initial level in comparison with applied RD as single treatment in truncal obese adults.