Visceral fat mass dynamics in a 2‐year randomized STrength versus ENdurance training trial in people with obesity
Authors' conclusion
Despite heterogeneous individual training responses, strength and endurance training neither affected VAT volume nor key secondary endpoints differently.
Study context
- Population
- Adults with abdominal obesity (aged 44 years, 74% women, BMI 37 kg/m², mean visceral adipose tissue (VAT) volume 4050 cm³)≈50% retention at 12 months
- Participants
- 239 adults
- Comparison
- Strength vs endurance training
- Primary endpoint
- Change in abdominal visceral adipose tissue (VAT) area quantified by MRI
- Follow-up
- 12 months
Methodological details24-month, Good training adherence 30% at 12 months
- 24-month
- Good training adherence 30% at 12 months
Primary result
As reported in the abstract
VAT volume dynamics · 12 and 24 months
- No difference between strength and endurance training in VAT volume dynamics
- Strength vs Endurance: P = 0.13
Secondary outcomes
| Outcome | P value |
|---|---|
| Resting energy expenditure, glucose and lipid metabolism, physical fitness · 2 yearsNot different between groups | P > 0.05 |
VAT volume in good adherence subgroup
- Trend for reduced VAT volume in both training regimens in the good adherence group only
Abdominal subcutaneous AT volume, body fat mass, BMI, insulin sensitivity
- Continuous trend for moderate loss of abdominal subcutaneous AT volume, body fat mass, BMI and improved insulin sensitivity parameters, independently of exercise programme
Resting energy expenditure, glucose and lipid metabolism, physical fitness · 2 years
- Physical fitness improved with both interventions; REE, glucose and lipid parameters not different between groups and did not significantly improve
Original publication
Visceral fat mass dynamics in a 2‐year randomized STrength versus ENdurance training trial in people with obesity. Diabetes Obes Metab. Published 16 July 2024. doi:10.
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