El papel del entrenamiento combinado a largo plazo en la reducción y el mantenimiento de la grasa corporal en mujeres adultas jóvenes obesas (The role of long-term combination training in reducing and maintaining of body fat in obese young adult women)

Autores/as

  • Adi Pranoto Doctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga https://orcid.org/0000-0003-4080-9245
  • Roy Novri Ramadhan Medical Program, Faculty of Medicine, Universitas Airlangga https://orcid.org/0000-0001-6100-9015
  • Purwo Sri Rejeki Physiology Division, Department of Medical Physiology and Biochemistry, Universitas Airlangga
  • Muhammad Miftahussurur Gastroentero-Hepatology Division, Departement of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga
  • Ghana Firsta Yosika Study Program of Sports Coaching Education, Faculty of Teacher Training and Education, Universitas Tanjungpura
  • Triska Susila Nindya Department of Nutrition, Faculty of Public Health, Universitas Airlangga https://orcid.org/0000-0003-0870-5630
  • Bhekti Lestari Department of Sport Coaching Education, Faculty of Sport and Health Science, Universitas Negeri Surabaya https://orcid.org/0009-0006-3557-7629
  • Shariff Halim Faculty of Health Sciences, University Technology MARA (UiTM) Pulau Pinang

DOI:

https://doi.org/10.47197/retos.v53.102460

Palabras clave:

Body fat, combined training, obesity, sedentary, healthy lifestyle

Resumen

Reducir el peso corporal y la grasa corporal es el objetivo principal para superar la obesidad. Se recomiendan modificaciones del estilo de vida con un enfoque no farmacológico basado en ejercicio físico programado para aumentar el gasto energético y reducir el peso y la grasa corporal. Este estudio tiene como objetivo analizar diferentes tipos de ejercicios para reducir y mantener la grasa corporal en mujeres adultas jóvenes con obesidad. Este estudio fue un ensayo controlado aleatorio (ECA) con un diseño experimental validado científicamente. Se reclutó a un grupo de 28 mujeres sedentarias con sobrepeso y se les proporcionaron regímenes de ejercicio aeróbico, de fuerza y ​​mixto. Los programas de entrenamiento aeróbico, de resistencia y combinado se realizaron con una intensidad de 60-70% FCmáx para aeróbico y 60-70% de 1RM para resistencia. Estas sesiones se realizaron 3 veces por semana durante 4 semanas. Medición de la grasa corporal antes de la intervención y 24 horas después de la intervención durante 4 semanas utilizando Seca mBCA 554. Para el análisis estadístico se utilizó la prueba ANOVA unidireccional, con un nivel de significancia del 5%. Los hallazgos demostraron una reducción significativa de la grasa corporal mediante las tres formas de ejercicio, evidente en la disminución de los cambios en el índice de masa corporal, el peso corporal, la masa grasa y la masa grasa libre (p ≤ 0,05). Además, las tres modalidades de ejercicio condujeron a un aumento significativo en los cambios en la masa del músculo esquelético en comparación con el grupo de control (p ≤ 0,05). Los resultados de nuestro estudio concluyeron que el tipo combinado de ejercicio realizado 3 veces por semana durante 4 semanas fue más beneficioso para reducir la grasa corporal y aumentar la masa muscular en comparación con el ejercicio aeróbico y el ejercicio de resistencia en mujeres adultas jóvenes obesas.

Palabra clave: Grasa corporal, entrenamiento combinado, obesidad, sedentarismo, estilo de vida saludable

Abstract. Reducing body weight and body fat is the primary goal for overcoming obesity. Lifestyle modifications with a non-pharmacological approach based on programmed physical exercise are recommended for increasing energy expenditure and reducing body weight and body fat. This study aims to analyze different types of exercise in reducing and maintaining body fat in obese young adult women. This study was a randomized controlled trial (RCT) with a true experimental design. A group of 28 sedentary overweight women were enlisted and provided with aerobic, strength, and mixed exercise regimens. Aerobic, resistance, and combined training programs were conducted with an intensity of 60-70% HRmax for aerobic, and 60-70% 1-RM for resistance. These sessions were performed 3x/week for 4 weeks. Measurement of body fat before-intervention and 24 hours after-intervention for 4 weeks using Seca mBCA 554. The one-way ANOVA test was utilized for statistical analysis, with a significance level of 5%. The findings demonstrated a significant reduction in body fat through all three forms of exercise, evident in the decrease in changes in body mass index, body weight, fat mass, and free fat mass (p ≤ 0.05). Additionally, all three exercise modalities led to a significant increase in changes in skeletal muscle mass in comparison to the control group (p ≤ 0.05). Our study results concluded that the combination type of exercise performed 3x/week for 4 weeks was more beneficial in lowering body fat and increasing muscle mass compared to aerobic exercise and resistance type exercise in obese young adult women.

Keyword: Body fat, combined training, obesity, sedentary, healthy lifestyle

Citas

Alizadeh Pahlavani H. (2022). Exercise Therapy for People With Sarcopenic Obesity: Myokines and Adipokines as Effective Actors. Frontiers in endocrinology, 13, 811751. https://doi.org/10.3389/fendo.2022.811751.

Álvarez-Herrero, J. F., Martinez-Roig, R., & Urrea- Solano, M. (2022). Efficacy of food analysis applications in the redirection towards a healthy diet of university students. Retos, 45, 1087-1098. https://doi.org/10.47197/retos.v45i0.91376.

Bernárdez-Vázquez, R., Raya-González, J., Castillo, D., & Beato, M. (2022). Resistance Training Variables for Optimization of Muscle Hypertrophy: An Umbrella Review. Frontiers in sports and active living, 4, 949021. https://doi.org/10.3389/fspor.2022.949021.

Boström, P., Wu, J., Jedrychowski, M. P., Korde, A., Ye, L., Lo, J. C., Rasbach, K. A., Boström, E. A., Choi, J. H., Long, J. Z., Kajimura, S., Zingaretti, M. C., Vind, B. F., Tu, H., Cinti, S., Højlund, K., Gygi, S. P., & Spiegelman, B. M. (2012). A PGC1-α-dependent myokine that drives brown-fat-like development of white fat and thermogenesis. Nature, 481(7382), 463–468. https://doi.org/10.1038/nature10777.

Butryn, M. L., Crane, N. T., Lufburrow, E., Hagerman, C. J., Forman, E. M., & Zhang, F. (2023). The Role of Physical Activity in Long-term Weight Loss: 36-month Results From a Randomized Controlled Trial. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 57(2), 146–154. https://doi.org/10.1093/abm/kaac028.

Carvalho, L., Junior, R. M., Truffi, G., Serra, A., Sander, R., De Souza, E. O., & Barroso, R. (2021). Is stronger better? Influence of a strength phase followed by a hypertrophy phase on muscular adaptations in resistance-trained men. Research in sports medicine (Print), 29(6), 536–546. https://doi.org/10.1080/15438627.2020.1853546.

Cohen, J. N., Kuikman, M. A., Politis-Barber, V., Stairs, B. E., Coates, A. M., Millar, P. J., & Burr, J. F. (2022). Blood flow restriction and stimulated muscle contractions do not improve metabolic or vascular outcomes following glucose ingestion in young, active individuals. Journal of applied physiology (Bethesda, Md. : 1985), 133(1), 75–86. https://doi.org/10.1152/japplphysiol.00178.2022.

Dai, M., Yang, X., Yu, Y., & Pan, W. (2022). Helminth and Host Crosstalk: New Insight Into Treatment of Obesity and Its Associated Metabolic Syndromes. Frontiers in immunology, 13, 827486. https://doi.org/10.3389/fimmu.2022.827486.

Donate, F. I., Sánchez-Oliver, A. J., Benito, P. J., Elvar, J. R. H., Suarez-Carmona, W., & Butragueño, J. (2023). Guide for designing intervention programs for populations with obesity: Positioning Document by the Physical Exercise Group of the Spanish Society for the Study of Obesity (SEEDO). Retos, 50, 33-49. https://doi.org/10.47197/retos.v50.99282

Evans J. W. (2019). Periodized Resistance Training for Enhancing Skeletal Muscle Hypertrophy and Strength: A Mini-Review. Frontiers in physiology, 10, 13. https://doi.org/10.3389/fphys.2019.00013.

Fisher, J. P., Steele, J., Smith, D., & Gentil, P. (2018). Periodization for optimizing strength and hypertrophy; the forgotten variables. Journal of Trainology, 7(1), 10-15.

Ghiotto, L., Muollo, V., Tatangelo, T., Schena, F., & Rossi, A. P. (2022). Exercise and physical performance in older adults with sarcopenic obesity: A systematic review. Frontiers in endocrinology, 13, 913953. https://doi.org/10.3389/fendo.2022.913953.

Jayedi, A., Khan, T. A., Aune, D., Emadi, A., & Shab-Bidar, S. (2022). Body fat and risk of all-cause mortality: a systematic review and dose-response meta-analysis of prospective cohort studies. International journal of obesity (2005), 46(9), 1573–1581. https://doi.org/10.1038/s41366-022-01165-5.

Kassiano, W., Nunes, J. P., Costa, B., Ribeiro, A. S., Schoenfeld, B. J., & Cyrino, E. S. (2022). Does Varying Resistance Exercises Promote Superior Muscle Hypertrophy and Strength Gains? A Systematic Review. Journal of strength and conditioning research, 36(6), 1753–1762. https://doi.org/10.1519/JSC.0000000000004258.

Kolnes, K. J., Petersen, M. H., Lien-Iversen, T., Højlund, K., & Jensen, J. (2021). Effect of Exercise Training on Fat Loss-Energetic Perspectives and the Role of Improved Adipose Tissue Function and Body Fat Distribution. Frontiers in physiology, 12, 737709. https://doi.org/10.3389/fphys.2021.737709.

Kopelman P. G. (2000). Obesity as a medical problem. Nature, 404(6778), 635–643. https://doi.org/10.1038/35007508.

Lahav, Y., Goldstein, N., & Gepner, Y. (2021). Comparison of body composition assessment across body mass index categories by two multifrequency bioelectrical impedance analysis devices and dual-energy X-ray absorptiometry in clinical settings. European journal of clinical nutrition, 75(8), 1275–1282. https://doi.org/10.1038/s41430-020-00839-5

Lee, P., Linderman, J. D., Smith, S., Brychta, R. J., Wang, J., Idelson, C., Perron, R. M., Werner, C. D., Phan, G. Q., Kammula, U. S., Kebebew, E., Pacak, K., Chen, K. Y., & Celi, F. S. (2014). Irisin and FGF21 are cold-induced endocrine activators of brown fat function in humans. Cell metabolism, 19(2), 302–309. https://doi.org/10.1016/j.cmet.2013.12.017.

Li, F., Huang, Y., Luo, Y., & He, J. (2022). Comparative Study on the Effect of Various Aerobic Exercises on College Students' Weight Loss Based on Deep Learning Analysis. Computational intelligence and neuroscience, 2022, 6825919. https://doi.org/10.1155/2022/6825919.

Li, Z., Lin, L., Wu, H., Yan, L., Wang, H., Yang, H., & Li, H. (2021). Global, Regional, and National Death, and Disability-Adjusted Life-Years (DALYs) for Cardiovascular Disease in 2017 and Trends and Risk Analysis From 1990 to 2017 Using the Global Burden of Disease Study and Implications for Prevention. Frontiers in public health, 9, 559751. https://doi.org/10.3389/fpubh.2021.559751.

Lopez, P., Taaffe, D. R., Galvão, D. A., Newton, R. U., Nonemacher, E. R., Wendt, V. M., Bassanesi, R. N., Turella, D., & Rech, A. (2022). Resistance training effectiveness on body composition and body weight outcomes in individuals with overweight and obesity across the lifespan: A systematic review and meta-analysis. Obesity reviews : an official journal of the International Association for the Study of Obesity, 23(5), e13428. https://doi.org/10.1111/obr.13428.

McGuigan, M. R., Tatasciore, M., Newton, R. U., & Pettigrew, S. (2009). Eight weeks of resistance training can significantly alter body composition in children who are overweight or obese. Journal of strength and conditioning research, 23(1), 80–85. https://doi.org/10.1519/jsc.0b013e3181876a56.

Merawati, D., Sugiharto, Susanto, H., Taufiq, A., Pranoto, A., Amelia, D., & Rejeki, P. S. (2023). Dynamic of irisin secretion change after moderate-intensity chronic physical exercise on obese female. Journal of basic and clinical physiology and pharmacology, 34(4), 539–547. https://doi.org/10.1515/jbcpp-2023-0041.

Mihaylova, M. M., & Shaw, R. J. (2011). The AMPK signalling pathway coordinates cell growth, autophagy and metabolism. Nature cell biology, 13(9), 1016–1023. https://doi.org/10.1038/ncb2329.

Okati-Aliabad, H., Ansari-Moghaddam, A., Kargar, S., & Jabbari, N. (2022). Prevalence of Obesity and Overweight among Adults in the Middle East Countries from 2000 to 2020: A Systematic Review and Meta-Analysis. Journal of obesity, 2022, 8074837. https://doi.org/10.1155/2022/8074837.

Olvera Lopez, E., Ballard, B. D., & Jan, A. (2021). Cardiovascular Disease. In StatPearls. Tampa, Florida: StatPearls Publishing.

Pojednic, R., D'Arpino, E., Halliday, I., & Bantham, A. (2022). The Benefits of Physical Activity for People with Obesity, Independent of Weight Loss: A Systematic Review. International journal of environmental research and public health, 19(9), 4981. https://doi.org/10.3390/ijerph19094981.

Pranoto, A., Rejeki, P. S., Miftahussurur, M., Yosika, G. F., Ihsan, M., Herawati, L., Rahmanto, I., & Halim, S. (2024). Aerobic Exercise Increases Release of Growth Hormone in the Blood Circulation in Obese Women. Retos, 51, 726–731. https://doi.org/10.47197/retos.v51.99944.

Rejeki, P. S., Pranoto, A., Rahmanto, I., Izzatunnisa, N., Yosika, G. F., Hernaningsih, Y., Wungu, C. D. K., & Halim, S. (2023). The Positive Effect of Four-Week Combined Aerobic-Resistance Training on Body Composition and Adipokine Levels in Obese Females. Sports (Basel, Switzerland), 11(4), 90. https://doi.org/10.3390/sports11040090.

Said, M. A., Abdelmoneem, M., Almaqhawi, A., Hamid Kotob, A. A., Alibrahim, M. C., & Bougmiza, I. (2018). Multidisciplinary approach to obesity: Aerobic or resistance physical exercise?. Journal of exercise science and fitness, 16(3), 118–123. https://doi.org/10.1016/j.jesf.2018.11.001.

Shaibi, G. Q., Cruz, M. L., Ball, G. D., Weigensberg, M. J., Salem, G. J., Crespo, N. C., & Goran, M. I. (2006). Effects of resistance training on insulin sensitivity in overweight Latino adolescent males. Medicine and science in sports and exercise, 38(7), 1208–1215. https://doi.org/10.1249/01.mss.0000227304.88406.0f.

Sharma, P., & Agarwal, M. (2022). Diurnal variation of fat oxidation rate and energy expenditure in an acute bout of endurance exercise by young healthy males. Journal of family medicine and primary care, 11(1), 240–244. https://doi.org/10.4103/jfmpc.jfmpc_1209_21.

Soujanya, K. V., & Jayadeep, A. P. (2022). Obesity-associated biochemical markers of inflammation and the role of grain phytochemicals. Journal of food biochemistry, 46(9), e14257. https://doi.org/10.1111/jfbc.14257.

Spaulding, H. R., & Yan, Z. (2022). AMPK and the Adaptation to Exercise. Annual review of physiology, 84, 209–227. https://doi.org/10.1146/annurev-physiol-060721-095517.

Stefan, N., Birkenfeld, A. L., & Schulze, M. B. (2021). Global pandemics interconnected - obesity, impaired metabolic health and COVID-19. Nature reviews. Endocrinology, 17(3), 135–149. https://doi.org/10.1038/s41574-020-00462-1.

Stone, M. H., Potteiger, J. A., Pierce, K. C., Proulx, C. M., O'bryant, H. S., Johnson, R. L., & Stone, M. E. (2000). Comparison of the effects of three different weight-training programs on the one repetition maximum squat. The Journal of Strength & Conditioning Research, 14(3), 332-337.

Sugiharto, Merawati, D., Pranoto, A., & Susanto, H. (2023). Physiological response of endurance exercise as a growth hormone mediator in adolescent women's. Journal of basic and clinical physiology and pharmacology, 34(1), 61–67. https://doi.org/10.1515/jbcpp-2022-0060.

Sugiharto, Merawati, D., Pranoto, A., Winarno, M.E., Susanto, H., & Taufiq, A. (2023). Moderate-intensity exercise on total energy expenditure in adolescent obese women. AIP Conference Proceedings 2634, 020052 (2023); https://doi.org/10.1063/5.0111767.

Susanto, H., Sugiharto, Taufiq, A., Pranoto, A., & Dwi Trijoyo Purnomo, J. (2023). Dynamic alteration of plasma levels of betatrophin in younger female onset obesity post acute moderate-intensity exercise training. Saudi journal of biological sciences, 30(2), 103546. https://doi.org/10.1016/j.sjbs.2022.103546.

Villareal, D. T., Aguirre, L., Gurney, A. B., Waters, D. L., Sinacore, D. R., Colombo, E., Armamento-Villareal, R., & Qualls, C. (2017). Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults. The New England journal of medicine, 376(20), 1943–1955. https://doi.org/10.1056/NEJMoa1616338.

Wang, S., Zhou, H., Zhao, C., & He, H. (2022). Effect of Exercise Training on Body Composition and Inflammatory Cytokine Levels in Overweight and Obese Individuals: A Systematic Review and Network Meta-Analysis. Frontiers in immunology, 13, 921085. https://doi.org/10.3389/fimmu.2022.921085.

Waters, D. L., Aguirre, L., Gurney, B., Sinacore, D. R., Fowler, K., Gregori, G., Armamento-Villareal, R., Qualls, C., & Villareal, D. T. (2022). Effect of Aerobic or Resistance Exercise, or Both, on Intermuscular and Visceral Fat and Physical and Metabolic Function in Older Adults With Obesity While Dieting. The journals of gerontology. Series A, Biological sciences and medical sciences, 77(1), 131–139. https://doi.org/10.1093/gerona/glab111.

Yudin, R., Aman, A., Rasyid, H., Bakri, S., Sanusi, H., Daud, N., & Zainuddin, A. (2022). Risk of Dyslipidemia in Obese Young Adult Subjects as Measured by Various Obesity Indices. Journal Of Endocrinology And Metabolism, 12(3), 102-106. https://doi.org/10.14740/jem819.

Zhang, Y., Xie, C., Wang, H., Foss, R. M., Clare, M., George, E. V., Li, S., Katz, A., Cheng, H., Ding, Y., Tang, D., Reeves, W. H., & Yang, L. J. (2016). Irisin exerts dual effects on browning and adipogenesis of human white adipocytes. American journal of physiology. Endocrinology and metabolism, 311(2), E530–E541. https://doi.org/10.1152/ajpendo.00094.2016.

Zhu, X., Zhang, F., Chen, J., Zhao, Y., Ba, T., Lin, C., Lu, Y., Yu, T., Cai, X., Zhang, L., & Ji, L. (2022). The Effects of Supervised Exercise Training on Weight Control and Other Metabolic Outcomes in Patients With Type 2 Diabetes: A Meta-Analysis. International journal of sport nutrition and exercise metabolism, 32(3), 186–194. https://doi.org/10.1123/ijsnem.2021-0168.

Descargas

Publicado

2024-04-01

Cómo citar

Pranoto, A., Ramadhan, R. N., Rejeki, P. S., Miftahussurur, M., Yosika, G. F., Nindya, T. S., Lestari, B., & Halim, S. (2024). El papel del entrenamiento combinado a largo plazo en la reducción y el mantenimiento de la grasa corporal en mujeres adultas jóvenes obesas (The role of long-term combination training in reducing and maintaining of body fat in obese young adult women). Retos, 53, 139–146. https://doi.org/10.47197/retos.v53.102460

Número

Sección

Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas

Artículos más leídos del mismo autor/a

1 2 > >>