Exercise training-induced visceral fat loss in obese women: The role of training intensity and modality

Scand J Med Sci Sports. 2021 Jan;31(1):30-43. doi: 10.1111/sms.13803. Epub 2020 Sep 4.

Abstract

Visceral fat loss in response to four-cycle ergometer training regimens with explicit differences in exercise intensity and modality was compared. Fifty-nine obese young women (body fat percentage ≥ 30%) were randomized to a 12-week intervention consisting of either all-out sprint interval training (SITall-out , n = 11); supramaximal SIT (SIT120 , 120% V ˙ O2peak , n = 12); high-intensity interval training (HIIT90 , 90% V ˙ O2peak , n = 12), moderate-intensity continuous training (MICT, 60% V ˙ O2peak , n = 11), or no training (CON, n = 13). The total work done per training session in SIT120 , HIIT90 , and MICT was confined to 200 kJ, while it was deliberately lower in SITall-out . The abdominal visceral fat area (AVFA) was measured through computed tomography scans. The whole-body and regional fat mass were assessed through dual-energy X-ray absorptiometry. Pre-, post-, and 3-hour post-exercise serum growth hormone (GH), and epinephrine (EPI) were measured during selected training sessions. Following the intervention, similar reductions in whole-body and regional fat mass were found in all intervention groups, while the reductions in AVFA resulting from SITall-out , SIT120 , and HIIT90 (>15 cm2 ) were greater in comparison with MICT (<3.5 cm2 , P < .05). The AVFA reductions among the SITs and HIIT groups were similar, and it was concomitant with the similar exercise-induced releases of serum GH and EPI. CON variables were unchanged. These findings suggest that visceral fat loss induced by interval training at or above 90% V ˙ O2peak appeared unresponsive to the change in training intensity. Nonetheless, SITall-out is still the most time-efficient strategy among the four exercise-training regimes for controlling visceral obesity.

Keywords: abdominal fat; continuous training; interval training; lipolytic hormones; obesity.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Absorptiometry, Photon
  • Adolescent
  • Body Fat Distribution
  • Diet Records
  • Energy Metabolism
  • Epinephrine / blood
  • Exercise Therapy / methods*
  • Female
  • High-Intensity Interval Training / methods
  • Human Growth Hormone / blood
  • Humans
  • Intra-Abdominal Fat / anatomy & histology*
  • Intra-Abdominal Fat / diagnostic imaging
  • Lactic Acid / blood
  • Obesity / blood
  • Obesity / diagnostic imaging
  • Obesity / pathology*
  • Obesity / therapy*
  • Tomography, X-Ray Computed
  • Young Adult

Substances

  • Human Growth Hormone
  • Lactic Acid
  • Epinephrine