Couch potatoes may quickly accumulate
a type of deep abdominal fat that contributes to diabetes
and other metabolic problems -- but regular exercise can prevent
or even reverse the process, according to researchers.
Their study of overweight, sedentary adults found that those
who started working out on treadmills and stationary bikes
tended to lose, or at least not add to, their stores of visceral
fat -- fat that accumulates around the abdominal organs.
In contrast, their peers who remained sedentary showed a
substantial gain in visceral fat over just 6 months, according
to findings published in the October issue of the Journal
of Applied Physiology.
While this deep abdominal fat may not make itself apparent
in the form of a spare tire, it is linked to a number of ill
health effects, including a higher risk of type 2 diabetes,
high cholesterol and heart disease.
The new findings show that even moderate exercise, such as
brisk walking, may put the brakes on visceral fat accumulation,
according to Dr. Cris Slentz, an exercise physiologist at
Duke University Medical Center in Durham, North Carolina,
and the lead author of the study.
What's more, study participants who got the most exercise
-- the equivalent of jogging 20 miles per week -- shed both
visceral fat and the superficial layers of abdominal fat that
make for love handles.
The intensity of the exercise did not seem to matter as much
as the amount, Slentz stated. Study participants who exercised
moderately -- the equivalent of brisk walking -- for about
3 hours each week did just as well as those who worked out
more vigorously for 2 hours a week. Overall, both groups showed
no significant gain in abdominal fat.
The study group that exercised the hardest -- at the intensity
level of jogging, for 3 hours each week -- saw an average
decline of 7 percent in both visceral fat and more superficial
abdominal fat. In contrast, participants in the fourth study
group, who maintained their sedentary ways, saw a gain in
visceral fat of nearly 9 percent over 6 months.
For the most part, the exercisers worked out on gym equipment
like treadmills and exercise bikes.
The bottom line, according to Slentz, is that inactivity
comes at the "high cost" of rapid fat accumulation, while
regular exercise can at least prevent such an increase. In
a culture that values quick results, he said, the idea of
maintaining what you have is a "hard sell."
But long-term weight maintenance, as opposed to repeated
yo-yo dieting, is a worthy goal, according to Slentz. Exercise
now, he said, and you might not be "20 pounds heavier in five
years."
However, he pointed out, "The million-dollar question with
exercise is how to get people to do it long-term."
Moderate exercise in this study -- walking for about 3 hours
a week -- was enough to prevent fat gain, and it is in line
with health officials' advice for all adults to fit in 30
minutes of moderate activity on most, if not all, days. That's
a level of exercise most people can achieve, Slentz noted.
"We eat everyday," he said. "So we should we walk everyday."
SOURCE: Journal of Applied Physiology, October 2005.
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