title: Daily walking reduces visceral adipose tissue areas and improves insulin resistance in Japanese obese subjects.
abstract: OBJECTIVE
  It is known that the accumulation of abdominal fat is one of the risk factors for atherosclerosis. Although exercise is commonly prescribed to reduce body weight, the efficacy of low intensity exercise for the reduction of abdominal visceral adipose tissue remains to be investigated.
  
  
  METHODS
  Thirty one obese Japanese males (body mass index (BMI) > or = 25) ranging in age from 32 to 59, participated in a 1-year follow up study and they were instructed to have a modest increase in daily activity and record their daily walking. Before and after exercise prescription, body composition, blood pressure, physical fitness i.e. aerobic exercise level, muscle strength and flexibility were recorded. Insulin resistance was evaluated using a homeostasis model assessment, the HOMA index.
  
  
  RESULTS
  HOMA index, parameters of body composition, blood pressure, triglyceride and HDL cholesterol were significantly improved. The aerobic exercise level, leg strength, weight-bearing index (leg strength/body weight) and the steps taken per day were significantly increased. By stepwise multiple regression analysis, Delta visceral adipose tissue area was the major determinant for Delta HOMA index. (Delta HOMA index=-0.386+0.016 Delta visceral adipose tissue area, r2=0.267, P<0.01). Exercise capacity and calorie intake were not significantly related to Delta visceral adipose tissue area, while Delta steps per day was significantly correlated with Delta visceral adipose tissue area (Delta visceral adipose tissue area=-21.363-0.004 Delta steps per day, r2=0.184, P=0.0326).
  
  
  CONCLUSIONS
  Taken together, intra-abdominal visceral adipose tissue is critically involved in insulin resistance and daily walking rather than improvement of exercise capacity correlated with the reduction of visceral adipose tissue in obese Japanese males.
authors.affiliation: Okayama Southern Institute of Health, 408-1 Hirata, 700-0952 Okayama, Japan. center@okakenko.jp
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Miyatake
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Nishikawa
authors.forename: Akie
authors.initials: A
authors.lastname: Morishita
authors.forename: Mie
authors.initials: M
authors.lastname: Kunitomi
authors.forename: Jun
authors.initials: J
authors.lastname: Wada
authors.forename: Hisao
authors.initials: H
authors.lastname: Suzuki
authors.forename: Kayo
authors.initials: K
authors.lastname: Takahashi
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Makino
authors.forename: Shohei
authors.initials: S
authors.lastname: Kira
authors.forename: Masafumi
authors.initials: M
authors.lastname: Fujii
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D001835:Body Weight; D015444:Exercise / Q000502:physiology*; D005215:Fasting; D005500:Follow-Up Studies; D018737:Hand Strength; D006706:Homeostasis; D006801:Humans; D007328:Insulin / Q000097:blood; D007333:Insulin Resistance / Q000502:physiology*; D007564:Japan; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D009765:Obesity / Q000503:physiopathology* / Q000628:therapy*; D016138:Walking / Q000502:physiology*; D015431:Weight Loss
chemical_list: D001786:Blood Glucose; D007328:Insulin