Relationship between the metabolic syndrome and physical activity energy expenditure: a MONET study

2008 ◽  
Vol 33 (2) ◽  
pp. 309-314 ◽  
Author(s):  
Antony D. Karelis ◽  
Marie-Ève Lavoie ◽  
Virginie Messier ◽  
Diane Mignault ◽  
Dominique Garrel ◽  
...  

The purpose of this cross-sectional study was to examine the association between the metabolic syndrome (MetS) and physical activity energy expenditure (PAEE) in overweight and obese sedentary postmenopausal women. The study population consisted of 137 overweight and obese sedentary postmenopausal women (age, 57.7 ± 4.8 years; BMI, 32.4 ± 4.6 kg·m–2). Subjects had the MetS if 3 out of the following 5 criteria were met: visceral fat > 130 cm2, high-density lipoprotein (HDL) cholesterol < 1.29 mmol·L–1, fasting triglycerides ≥ 1.7 mmol·L–1, blood pressure ≥ 130/85 mmHg, and fasting glucose ≥5.6 mmol·L–1. We measured (i) body composition (by dual-energy X-ray absorptiometry); (ii) visceral fat (by computed tomography); (iii) insulin sensitivity (using the hyperinsulinemic-euglycemic clamp); (iv) plasma lipids, fasting glucose, and insulin, as well as 2 h glucose during an oral glucose tolerance test; (v) resting blood pressure; (vi) peak oxygen consumption (VO2 peak); (vii) PAEE (using doubly labeled water); and (viii) lower-body muscle strength (using weight-training equipment). Forty-two women (30.7%) had the MetS in our cohort. Individuals without the MetS had significantly higher levels of PAEE (962 ± 296 vs. 837 ± 271 kcal·d–1; p < 0.05), VO2 peak (18.2 ± 3.0 vs. 16.7 ± 3.2 mL·min–1·kg–1; p < 0.05), and insulin sensitivity, as well as significantly lower levels of 2 h glucose and central lean body mass. No differences in total energy expenditure, resting metabolic rate, and muscle strength between groups were observed. Logistic regression analysis showed that 2 h glucose (odds ratio (OR): 1.50 (95% CI 1.17–1.92)), central lean body mass (OR: 1.17 (95% CI 1.05–1.31)), and PAEE (OR: 0.998 (95% CI 0.997–1.000)), but not VO2 peak and (or) muscle strength, were independent predictors of the MetS. Lower levels of PAEE and higher levels of 2 h glucose, as well as central lean body mass, are independent determinants of the MetS in our cohort of overweight and obese postmenopausal women.

Author(s):  
René Maréchal ◽  
Ahmed Ghachem ◽  
Denis Prud'Homme ◽  
Rémi Rabasa-Lhoret ◽  
Isabelle J. Dionne ◽  
...  

Menopause transition is associated with detrimental changes in physical activity, body composition and metabolic profile. Although physical activity energy expenditure (PAEE) is inversely associated with metabolic syndrome (MetS) in individuals at higher risk of CVD, the association is unknown in low-risk individuals. The aim of the study was to investigate the association between PAEE and MetS (prevalence and severity) in inactive overweight or obese postmenopausal women with a low Framingham Risk Score (FRS:< 10%). Cross-sectional data of 126 participants were divided into quartiles based on PAEE (Q1= lowest PAEE) while fat-free mass (FFM) and fat mass (FM) were measured by DXA. MetS prevalence was significantly different between Q1 and Q4 (37.9% vs 13.3%, p= 0.03). After controlling for potential confounders, MetS severity was negatively associated with PAEE (B= -0.057, p< 0.01) and positively with FFM (B= 0.038, p< 0.001). Moderation analyses indicated that a greater FFM exacerbated the association between PAEE and MetS severity in Q1 and Q2 (PAEE*FFM; B= -0.004; p= 0.1). Our results suggest that displaying a low FRS and lower PAEE increase MetS prevalence and severity. In addition, greater FFM interacts with lower PAEE to worsens MetS severity, while higher PAEE lessened this effect. Novelty - Inactive individuals displaying higher daily PAEE also have a lower MetS prevalence - Greater fat-free mass is associated with a worse MetS severity where a higher PAEE mitigates this deleterious effect in our cohort


2006 ◽  
Vol 38 (Supplement) ◽  
pp. S14
Author(s):  
Xuewen Wang ◽  
Tongjian You ◽  
Justin Johnson ◽  
Eulonda Parraway ◽  
Michael J. Berry ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Xuewen Wang ◽  
Barbara J. Nicklas

This study determined whether performing a single moderate- or vigorous-intensity exercise bout impacts daily physical activity energy expenditure (PAEE, by accelerometer). Overweight/obese postmenopausal women underwent a 5-month caloric restriction and moderate- (n=18) or vigorous-intensity (n=18) center-based aerobic exercise intervention. During the last month of intervention, in women performing moderate-intensity exercise, PAEE on days with exercise (577.7±219.7kcal⋅d−1) was higher (P=.011) than on days without exercise (450.7±140.5kcal⋅d−1); however, the difference (127.0±188.1kcal⋅d−1) was much lower than the energy expended during exercise. In women performing vigorous-intensity exercise, PAEE on days with exercise (450.6±153.6kcal⋅d−1) was lower (P=.047) than on days without exercise (519.2±127.4kcal⋅d−1). Thus, women expended more energy on physical activities outside of prescribed exercise on days they did NOT perform center-based exercise, especially if the prescribed exercise was of a higher intensity.


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