Abstract
This study attempted to provide meaningful information on the prevention of obesity and obesity-related complications. Specifically, the study attempted to verify the effectiveness of a 12-week combined aerobic and resistance training exercise program by identifying its impact on the HOMA-IR, HOMA, β-cell and the atherogenic-index (AI) among sedentary obese university students. The subjects were randomly assigned to the exercise and control groups. During a 12-week intervention, the subjects in the combined exercise group were trained 3 days per week for 80 min per day. All variables were measured 2 day before the pre- and post- of the study. Blood variables measurements included for insulin, TC, HDL-C, TG, LDL-C and glucose. Also, HOMA-IR, HOMA β-cell, A1, A2 and A3 were assessed. Two-way repeated ANOVA was performed. Interaction effects (time × group) on body fat (p = 0.017), insulin (p = 0.001), HOMA-IR (p = 0.003), HOMA β-cell (p < 0.001) and TG (p = 0.036) were observed. We conclude that 12-week of supervised combined exercise positively-affected the body fat, insulin HOMA-IR and HOMA β-cell. However, there was no significant effect on the blood lipids, TG and atherosclerosis index in our sample of Korean obese female college students.
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References
World Health Organization (2011) Obesity and overweight. Global strategy on diet, physical activity and health. http://www.who.int/mediacentre/factsheets/fs311/en/
Fonseca VA (2007) Identification and treatment of prediabetes to prevent progression to type 2 diabetes. Clin Cornerstone 8:10–20
Ministry of Health and Welfare (2006) City department of health and human services and county public health policy focus on the task of 2006 unpublished manuscript
Kahn SE, Prigeon RL, Mcculloch DK, Boyko EJ, Bergman RN, Schwartz MW (1993) Quantification of the relationship between insulin sensitivity and beta-cell function in human subjects. Diabetes 42:1663–1672
Wallace TM, Levy JC, Matthews DR (2004) Use and abuse of HOMA modeling. Diabetes Care 27(6):1487–1495
Simon J, Cajzl L, Krizanovska M, Krizek M, Kraus J (1986) Occupation and education in relation to risk factors of ischemic heart disease in the male industrial population. Cor Vasa 28(3):167–176
Avolio A, Jones D, Tafazzoli-Shadpour M (1998) Quantification of alterations in structure and function of elastin in the arterial media. Hypertension 32:170–175
Scranton R, Sesso HD, Stampfer MJ, Levenson JW, Buring JE, Gaziano JM (2004) Predictors of 14-year changes in the total cholesterol to high-density lipoprotein cholesterol ratio in man. Am Heart J 147(6):1033–1038
Van Loon LJ, Goodpaster BH (2006) Increased intramuscular lipid storage in the insulin-resistant and endurance-trained state. Pfluger Arch 451(5):606–616
Reaven GM, Lithell H, Landsberg L (1996) Hypertension and associated metabolic abnormalities: the role of insulin resistance and the sympathoadrenal system. N Engl J Med 334:374–381
Ditz WT (1986) Prevention of childhood obesity. Pediatr Clin North Am 33(4):823–833
DeFronzo RA (2004) Pathogenesis of type 2 diabetes mellitus. Med Clin North Am 88(4):787–835
Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419
Berg JE, Hostmark AT (1994) Cadiovascular risk determination: discrepancy between total cholesterol evaluation and two compound laboratory indices in Norway. J Epidemiol Community Health 48:338–343
Dobiasova M (2004) Atherogenoc index of plasma [log(triglycerides/HDL-cholesterol)]: theoretical and practical implications. Clin Chem 50(7):1113–1115
Colquhoun D, Keech A, Hunt D, Marschner I, Simes J, Glasziou P, White H, Barter P, Tonkin A, Investigators LS (2004) Effect of pravastatin on coronary event in 2,073 patients with low levels of both low-density lipoprotein cholesterol and high-density lipoprotein cholesterol: results from the LIPID study. Eur Heart J 25(9):771–777
ACSM (2010) ACSM’s guidelines for exercise testing and prescription, 8th edn. Lippinocott, Williams & Wilkins, Philadelphis
Ha CH, So WY (2013) Effect of combined exercise training on body composition and metabolic syndrome factors. Iranian J Public Health 41(8):20–26
Jang JH, Hur S (2007) Effect of step exercise on metabolic syndrome markers, insulin resistance and plasma metabolism-related hormones in obese middle-aged women. Korean J Phys Educ 46(2):337–346
Park SK, Kwon YC, Yoon MS (2004) The effect of aerobic exercise on blood pressure and VO2max in elderly women with previous hypertension. Korea Sport Res 15(2):1457–1464
Wilmore JH, Costill DL (2002) Physiology of sport and exercise. Human Kinetic Publishers, USA
Wolfe R (1987) Effect of exercise on glucose homeostasis in humans with insulin and glucagon clamped. J Appl Physiol 156
Choe CG, Lee YS (2004) The effects of aerobic and aerobic combined with resistance exercise on the charges of blood lipid profiles, serum leptin and insulin in obese middle-school students boys. Korean J Phys Educ 43(1):579–588
Han JY, Lee MG, Sung SC (2009) Effect of combined training of rope skipping and walking on body composition, physical fitness, blood lipids and insulin resistance in middle-aged women. Korean J Sport Sci 20(2):199–211
Kim JH (2006) Post-exercise insulin sensitivity in skeletal muscle. Korea Sport Res 17(1):301–309
Shojaee-Moradie F, Baynes KC, Pentecost C, Bell JD, Thomas EL, Jackson NC, Stolinski M, Whyte M, Lovell D, Bowes SB, Gibney J, Jones RH, Umpleby AM (2007) Exercise training reduces fatty acid availability and improves the insulin sensitivity of glucose metabolism. Diabetologia 50(2):404–413
Kodama S, Shu M, Saito K, Murakami H, Tanaka K, Kuno S, Ajisaka R, Sone Y, Onitake F, takahashi A, Shimano H, Kondo K, Yamada N, Sone H (2007) Even low-intensity and low-volume exercise training may improve insulin resistance in the elderly. Intern Med 46(14):1071–1077
Kahn SE (2003) The relative contributions telling us about diabetes. J Am Diet Assoc 108:12–18
Haffnet SM, Gonzalez C, Miettinen H, Kenedy E, Stern MP (1996) A prospective analysis of the HOMA model. Diabetes Care 19:1138–1141
Despres JP, Moorjani S, Tremblay A, Poehlman ET, Lupien PT, Nadeau A, Bouchard C (1998) Heredity and changes in plasma lipids and lipoproteins after short-term exercise training in men. Arteriosclerosis 8(4):402–409
Park TG, Choi WS (2005) Effects of aerobic combined with resistance training on body composition and blood lipids in obese middle-aged women. Korean J Phys Educ 44(6):1141–1149
Kullo I, Hensrud DD, Allison TG (2002) Relation of low cardiorespiratory fitness to the metabolic syndrome in middle-aged men. Am J Cardiol 90(7):795–797
Jung SL (2009) The effect of circuit training and aerobic exercise on the metabolic syndrome risk factors, the arteriosclerosis index of the middle-aged obesity women. Korea J Sports Sci 18(1):1019–1030
Sgouraki E, Tsopanakis A, Tsopanakis C (2001) Acute exercise: response of HDL-C subfractions level in selected sport disciplines. J Sports Med Phys Fitness 41:386–391
Williams PT, Krauss PD, Wood FT (1986) Lipoporotein subfractions of runners and sedentary men. Metabolism 35(1):45–52
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Ha, C.H., Swearingin, B., Jeon, Y.K. et al. Effects of combined exercise on HOMA-IR, HOMA β-cell and atherogenic index in Korean obese female. Sport Sci Health 11, 49–55 (2015). https://doi.org/10.1007/s11332-014-0208-7
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DOI: https://doi.org/10.1007/s11332-014-0208-7