The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial

Concurrent training (CT), characterised by combining both aerobic and resistance training modalities within the same session, is recognised to improve metabolic syndrome (MetS) markers, but little is known about the effects of different configurations (i.e., order) of these exercise modalities on Me...

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Main Authors: Pedro Delgado-Floody, Alberto Soriano-Maldonado, Manuel A. Rodríguez-Pérez, Pedro Ángel Latorre-Román, Cristian Martínez-Salazar, Claudia Andrea Vargas, Felipe Caamaño-Navarrete, Daniel Jerez-Mayorga, Cristian Álvarez
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.694798/full
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author Pedro Delgado-Floody
Alberto Soriano-Maldonado
Alberto Soriano-Maldonado
Manuel A. Rodríguez-Pérez
Manuel A. Rodríguez-Pérez
Pedro Ángel Latorre-Román
Cristian Martínez-Salazar
Claudia Andrea Vargas
Felipe Caamaño-Navarrete
Daniel Jerez-Mayorga
Cristian Álvarez
author_facet Pedro Delgado-Floody
Alberto Soriano-Maldonado
Alberto Soriano-Maldonado
Manuel A. Rodríguez-Pérez
Manuel A. Rodríguez-Pérez
Pedro Ángel Latorre-Román
Cristian Martínez-Salazar
Claudia Andrea Vargas
Felipe Caamaño-Navarrete
Daniel Jerez-Mayorga
Cristian Álvarez
author_sort Pedro Delgado-Floody
collection DOAJ
description Concurrent training (CT), characterised by combining both aerobic and resistance training modalities within the same session, is recognised to improve metabolic syndrome (MetS) markers, but little is known about the effects of different configurations (i.e., order) of these exercise modalities on MetS markers and the interindividual responses. The purpose of the present study was to describe the effects, and the interindividual variability, of 20weeks of two CT configurations (i.e., high intensity interval training (HIIT) plus resistance training (RT), compared with RT plus HIIT) in women with severe/morbid obesity. Overall, 26 women with severe/morbid obesity were assigned either to HIIT+RT [n=14, mean and 95%CI, 45.79 (40.74; 50.83) or RT+HIIT (n=12), 33.6 (25.30; 41.79) years]. MetS-related outcomes were waist circumference (WC, cm), systolic (SBP, mmHg) and diastolic (DBP, mmHg) blood pressure, high-density lipoprotein cholesterol (HDL-c), triglycerides (Tg), and fasting plasma glucose (FPG). Secondary outcomes were other anthropometrics, body composition, lipids, muscle strength, and the six-minute walk test (6Mwt). There were significant differences in the prevalence of nonresponders (NRs) only for WC comparing HIIT+RT 2 (18.1%) vs. RT+HIIT group 5 (50.0%), p<0.0001, but not for SBP 4 (27.2%) vs. 4 (40.0%), DBP 8 (72.7%) vs. 7 (70.0%), FPG 8 (72.7%) vs. 9 (90.0%), HDL-c 7 (63.6%) vs. 8 (80.0%), and Tg 7 (63.6%) vs. 8 (80.0%), all p>0.05. Additionally, the RT+HIIT group showed significant reductions in WC (∆ –3.84cm, p=0.015), SBP (∆ –8.46mmHg, p=0.040), whereas the HIIT+RT group elicited significant reductions only in SBP (∆ –8.43mmHg, p=0.022). The HIIT+RT promoted a lower prevalence of NRs than the RT+HIIT configuration on WC, and overall, there were slightly more beneficial training-induced effects on markers of MetS in the RT+HIIT group compared to the HIIT+RT group.
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spelling doaj.art-95ad55a2c3c94bf4bf58d1d4f9714a652022-12-21T21:26:09ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-09-011210.3389/fphys.2021.694798694798The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled TrialPedro Delgado-Floody0Alberto Soriano-Maldonado1Alberto Soriano-Maldonado2Manuel A. Rodríguez-Pérez3Manuel A. Rodríguez-Pérez4Pedro Ángel Latorre-Román5Cristian Martínez-Salazar6Claudia Andrea Vargas7Felipe Caamaño-Navarrete8Daniel Jerez-Mayorga9Cristian Álvarez10Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco, ChileDepartment of Education, Faculty of Education Sciences, University of Almería, Almería, SpainSPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, SpainDepartment of Education, Faculty of Education Sciences, University of Almería, Almería, SpainSPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, SpainDepartment of Didactics of Corporal Expression, University of Jaen, Jaen, SpainDepartment of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco, ChileDepartment of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco, ChileFaculty of Education, Universidad Católica de Temuco, Temuco, ChileFaculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, ChileDepartment of Health, Universidad de LosLagos, Osorno, ChileConcurrent training (CT), characterised by combining both aerobic and resistance training modalities within the same session, is recognised to improve metabolic syndrome (MetS) markers, but little is known about the effects of different configurations (i.e., order) of these exercise modalities on MetS markers and the interindividual responses. The purpose of the present study was to describe the effects, and the interindividual variability, of 20weeks of two CT configurations (i.e., high intensity interval training (HIIT) plus resistance training (RT), compared with RT plus HIIT) in women with severe/morbid obesity. Overall, 26 women with severe/morbid obesity were assigned either to HIIT+RT [n=14, mean and 95%CI, 45.79 (40.74; 50.83) or RT+HIIT (n=12), 33.6 (25.30; 41.79) years]. MetS-related outcomes were waist circumference (WC, cm), systolic (SBP, mmHg) and diastolic (DBP, mmHg) blood pressure, high-density lipoprotein cholesterol (HDL-c), triglycerides (Tg), and fasting plasma glucose (FPG). Secondary outcomes were other anthropometrics, body composition, lipids, muscle strength, and the six-minute walk test (6Mwt). There were significant differences in the prevalence of nonresponders (NRs) only for WC comparing HIIT+RT 2 (18.1%) vs. RT+HIIT group 5 (50.0%), p<0.0001, but not for SBP 4 (27.2%) vs. 4 (40.0%), DBP 8 (72.7%) vs. 7 (70.0%), FPG 8 (72.7%) vs. 9 (90.0%), HDL-c 7 (63.6%) vs. 8 (80.0%), and Tg 7 (63.6%) vs. 8 (80.0%), all p>0.05. Additionally, the RT+HIIT group showed significant reductions in WC (∆ –3.84cm, p=0.015), SBP (∆ –8.46mmHg, p=0.040), whereas the HIIT+RT group elicited significant reductions only in SBP (∆ –8.43mmHg, p=0.022). The HIIT+RT promoted a lower prevalence of NRs than the RT+HIIT configuration on WC, and overall, there were slightly more beneficial training-induced effects on markers of MetS in the RT+HIIT group compared to the HIIT+RT group.https://www.frontiersin.org/articles/10.3389/fphys.2021.694798/fullconcurrent trainingmorbid obesityexercise trainingmetabolic syndromeexercise orderinterindividual variability
spellingShingle Pedro Delgado-Floody
Alberto Soriano-Maldonado
Alberto Soriano-Maldonado
Manuel A. Rodríguez-Pérez
Manuel A. Rodríguez-Pérez
Pedro Ángel Latorre-Román
Cristian Martínez-Salazar
Claudia Andrea Vargas
Felipe Caamaño-Navarrete
Daniel Jerez-Mayorga
Cristian Álvarez
The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial
Frontiers in Physiology
concurrent training
morbid obesity
exercise training
metabolic syndrome
exercise order
interindividual variability
title The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial
title_full The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial
title_fullStr The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial
title_full_unstemmed The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial
title_short The Effects of Two Different Concurrent Training Configurations on Markers of Metabolic Syndrome and Fitness in Women With Severe/Morbid Obesity: A Randomised Controlled Trial
title_sort effects of two different concurrent training configurations on markers of metabolic syndrome and fitness in women with severe morbid obesity a randomised controlled trial
topic concurrent training
morbid obesity
exercise training
metabolic syndrome
exercise order
interindividual variability
url https://www.frontiersin.org/articles/10.3389/fphys.2021.694798/full
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