ABDOMINAL AND TOTAL BODY FAT LOSS LINKED TO REGULAR EXERCISE
14 January 2003 - Yale University

"Previously sedentary postmenopausal women who exercised for more than 195 minutes per week lost 6.9 percent of intra-abdominal body fat and maintained their energy intake during the 12-month study, compared with less significant losses and even gains among women in the control group," said lead author Melinda Irwin, assistant professor in the Department of Epidemiology and Public Health at Yale School of Medicine.

Published in the January 15 issue of the Journal of the American Medical Association, the study looked at 173 physically inactive postmenopausal women between the ages of 50 and 75 living in Seattle, Washington from 1997 to 2001. Participants were randomized to a group that did exercise of moderate intensity five days a week or a group that only stretched one day a week. The researchers measured changes in body weight, total body fat, intra-abdominal body fat, and subcutaneous-abdominal body fat at the start of the study and after one year.

"While weight loss was modest (a loss of 1.3 kg or 1.6 percent over 12-months), intra-abdominal body fat loss, measured by computed tomography-a gold standard of assessing abdominal body fat, was considerable at 5.8 percent and dose-dependent," Irwin said. "Women randomized to the exercise group who increased their fitness level by more than 16 percent lost 10.8 percent of intra-abdominal body fat."

Irwin notes that unlike diet-induced weight loss, exercise-induced weight loss increases fitness levels. "In our study, 84 percent of the exercisers improved their cardiorespiratory fitness level," she said. "High levels of fitness reduce the rate of cardiovascular morbidity and mortality, independent of obesity."

Irwin said that the increasing prevalence of obesity is a major public health concern. Over half of the United States adult population is overweight. Obesity increases the risk of several chronic diseases. Intra-abdominal body fat, independent of total body fat, is associated with insulin resistance, type 2 diabetes, hypertension, cardiovascular disease and some cancers.

According to the study, which was conducted at the Fred Hutchinson Cancer Research Center in Seattle, Washington, with principal investigator Anne McTiernan, M.D., exercise may counteract the aberrant metabolic profile associated with intra-abdominal body fat both directly and as a consequence of body fat loss. "Numerous adaptive responses take place with exercise training including development of a more efficient system for transfer of oxygen to muscle," said Irwin. "With this more efficient system, muscles can increase their use of lipid stores rather than relying on carbohydrate reserves. Exercise helps to counteract the weight regain often observed after diet-induced weight loss."

"While it is important to focus on body weight or body mass index as a measure of fat, individuals should not be discouraged if they observe only modest changes in body weight," Irwin added. "Keep exercising. A regular exercise program pays off in more ways than one. Our findings support the important role of exercise in reducing body fat, especially intra-abdominal body fat. Overweight women should participate in moderate-intensity exercise, such as brisk walking, as a method for obesity reduction and chronic disease prevention."

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