Physical activity during childhood and adolescence may influence the development of
childhood obesity and cardiovascular disease later in life. Research focused prospectively
on the effects of training on lipid levels in nonobese subjects, and studies using
noninvasive measurements of subcutaneous and intraabdominal fat are lacking. It was
hypothesized in nonobese sedentary adolescent males that a brief endurance-type exercise
training intervention would reduce body fat and improve lipid profiles. Thirty-eight
healthy, nonobese sedentary adolescent males (mean age 16 ± 0.7 years old; 18 controls,
20 trained) completed a 5-week prospective, randomized, controlled study. Adiposity
was measured using magnetic resonance images of the thigh and abdomen (subcutaneous
abdominal adipose tissue [SAAT] and intraabdominal adipose tissue [IAAT]). Lipid measurements
included serum triglycerides (TG), total cholesterol (TC), HDL and LDL cholesterol.
There was no change in body weight in either control or training groups. Training
led to small but significant reductions in thigh fat (- 4.6 ± 1.5 %, p < 0.03) and
SAAT % ( 1.7 ± 0.8 %, p < 0.02). There was no change in IAAT %. Unexpectedly in the
control group there were significant increases in thigh fat (5.2 ± 1.7 %, p < 0.01),
SAAT % (1.8 ± 0.6, p < 0.007) and IAAT % (4.5 ± 1.1, p < 0.0007). Training-induced
changes in adiposity were not accompanied by changes in circulating lipids. In nonobese
adolescent males a brief period of endurance training led to reductions in body fat
depots without weight change while body fat increased rapidly in the control group.
Exercise training did not change lipid levels, the latter may require more sustained
alterations in patterns of physical activity.
Key words:
Fitness, cardiovascular risk, growth, development.
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Alon Eliakim,MD
Child Health and Sports Center Department of Pediatrics Meir General Hospital
Kfar-Saba Israel
Phone: Phone:+ 972 (9) 7472134
Fax: Fax.+ 972 (9) 7425967
Email: E-mail:eliakim@internet-zahav.net