Vera P. Simovska
St. Kliment Ohridski†University, Macedonia
Title: Effects of high-inensity lifestyle intervention on increased cardiometabolic risk in truncal obese adults
Biography
Biography: Vera P. Simovska
Abstract
Obesity is a chronic disease that increases the risk for coronary heart disease (CHD) and type II diabetes (T2DM) and it’s a growing public health problem worldwide. The purpose of our study was to develop a model of therapeutic efficiency high-intensity lifestyle intervention intended for truncal obese adults with increased cardiometabolic risk. Within the randomised controlled trial at a group of truncal obese adults with risk factors for CHD and T2DM, we suggest the following two types of high-intensity lifestyle interventions: 1st-low fat, hyperprotein, restriction diet (RD) of 1200-kcal/d (female) and 1500-kcal/d (male) with low glycemic (GI) and atherogenic index, and a specific proportion among SFA, MUFA and PUFA. The 2nd-RD and the individually dosed physical activty (PA) with gradually, from low to moderate and peaks of high intensity (50%-60%-75% VO2 max) in accordance to the initial level of the individual aerobic capacity (VO2 max), expressed into METs. After 30 days there was increase energetic value of RD for 200-kcal/d in accordance with increased PA. The changes in anthropometric measures, metabolic profiles, VO2 max and BMR are evaluated after 30 and 50 days. The efficiency of the progammed PA in combination with RD represents a significant higher reduction of BMI (kg/m2), WHR, fat mass index, risk factors for CHD and metabolic complication (hyperglycemia, dyslipidemia, arterial hypertension and atherogenic indexes) associated with truncal obesity and significant improvement in cardiorespiratory fitness for 17.16% VO2 max from initial level.