Visceral fat mass dynamics in a 2‐year randomized STrength versus ENdurance training trial in people with obesity

• DOI: 10.1111/dom.15767
• Publication Date: 2024-07-17T03:50:06Z
• Authors: Stefanie Lehmann; Ulf Retschlag; Andreas Oberbach; Roland Morgenroth; Nicolas Linder; Alexander Schaudinn; Nikita Garnov; Harald Busse; Kilian Solty; Christiane Prettin; Nicole Köppe‐Baue...; Gesine Flehmig; Lars Selig; Evelyn Trips; Michael Stumvoll; David Petroff; Matthias Blüher
• Keywords: Endurance Training; Clinical endpoint; Strength Training

Abstract Aim To compare the effectiveness of strength versus endurance training on reducing visceral fat in individuals with obesity. Materials and Methods For STrength ENdurance (STEN) 24‐month randomized clinical trial, we assigned 239 participants abdominal obesity to either or (two three times a week, 60 min/training session) addition standard nutritional counselling promote healthy diet. Changes adipose tissue (VAT) area quantified by magnetic resonance imaging after 12 months were defined as primary endpoint. Results Participants (aged 44 years, 74% women, body mass index: 37 kg/m 2 , mean VAT volume: 4050 cm 3 ) had an approximately 50% retention rate 30% good programme adherence at months. There was no difference between volume dynamics 24 ( p = .13). Only group did find trend for reduced both regimens. Independently exercise programme, there continuous moderate loss subcutaneous AT volume, mass, index improved parameters insulin sensitivity. Although physical fitness upon interventions, resting energy expenditure, glucose lipid metabolism not different intervention groups significantly improve during 2‐year trial > .05). Conclusions Despite heterogeneous individual responses, neither affected nor key secondary endpoints differently.