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  • Original Article
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Fat distribution in men of different waist girth, fitness level and exercise habit

Abstract

Background:

The risk of chronic disease is lower in obese men who are fit and active than obese men who are unfit and inactive.

Methods/Objectives:

Magnetic resonance imaging and spectroscopy were used to assess total and regional adipose tissue in 13 men who were slim, fit and active (the slim-fit), in 12 men who were slim, unfit and inactive (the slim-unfit), in 13 men who were fat, fit and active (the fat-fit) and in 12 men who were fat, unfit and inactive (the fat-unfit), in order to investigate the hypothesis that visceral fat and liver fat are lower in the fat-fit than the fat-unfit. Waist girth was used to distinguish slim men (90 cm) and fat men (100 cm). Maximal oxygen consumption was used to identify fit men (above average for age) and unfit men (average or below for age). Fit men reported at least 60 min of vigorous aerobic activity per week and unfit men reported no regular moderate or vigorous activity in the last 2 years.

Results:

Total fat was not significantly different in the slim-fit and the slim unfit, but the proportion of internal fat was significantly lower (P<0.05) and the proportion of visceral fat was almost significantly lower (P=0.06) in the slim-fit than all other groups. Total fat was not significantly different in the fat-fit and the fat-unfit, but visceral fat and liver fat were significantly lower in the fat-fit than the fat-unfit (P<0.01). Waist girth and years of exercise explained 84% of the variance in total fat, waist girth and maximal oxygen consumption explained 70% of the variance in visceral fat, and waist girth alone explained 25% of the variance in liver fat.

Conclusion:

Chronic disease risk may be lower because visceral fat and liver fat are lower in men who are fat, fit and active.

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References

  1. Barlow CE, Kohl 3rd HW, Gibbons LW, Blair SN . Physical fitness, mortality and obesity. Int J Obes Relat Metab Disord 1995; 19 (Suppl 4): S41–S44.

    PubMed  Google Scholar 

  2. Blair SN, Church TS . The fitness, obesity, and health equation: is physical activity the common denominator? JAMA 2004; 292: 1232–1234.

    Article  CAS  PubMed  Google Scholar 

  3. Lee CD, Blair SN, Jackson AS . Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. Am J Clin Nutr 1999; 69: 373–380.

    Article  CAS  PubMed  Google Scholar 

  4. Blair SN, Cheng Y, Holder JS . Is physical activity or physical fitness more important in defining health benefits? Med Sci Sports Exerc 2001; 33: S379–S399.

    Article  CAS  PubMed  Google Scholar 

  5. Lee IM, Paffenbarger Jr RS . How much physical activiry is optimal for health? Methodological considerations. Res Q Exerc Sport 1996; 67: 206–208.

    Article  CAS  PubMed  Google Scholar 

  6. Despres JP, Lemieux I . Abdominal obesity and metabolic syndrome. Nature 2006; 444: 881–887.

    Article  CAS  PubMed  Google Scholar 

  7. Lee S, Kuk JL, Katzmarzyk PT, Blair SN, Church TS, Ross R . Cardiorespiratory fitness attenuates metabolic risk independent of abdominal subcutaneous and visceral fat in men. Diabetes Care 2005; 28: 895–901.

    Article  PubMed  Google Scholar 

  8. Wong SL, Katzmarzyk P, Nichaman MZ, Church TS, Blair SN, Ross R . Cardiorespiratory fitness is associated with lower abdominal fat independent of body mass index. Med Sci Sports Exerc 2004; 36: 286–291.

    Article  PubMed  Google Scholar 

  9. Arsenault BJ, Lachance D, Lemieux I, Almeras N, Tremblay A, Bouchard C et al. Visceral adipose tissue accumulation, cardiorespiratory fitness, and features of the metabolic syndrome. Arch Intern Med 2007; 167: 1518–1525.

    Article  CAS  PubMed  Google Scholar 

  10. Thomas EL, Bell JD . Intra-cellular fat accumulation, mechanisms and implications for health. Int J Body Compos Res 2006; 4: 39–43.

    Google Scholar 

  11. Callaway CW, Chumlea WC, Bouchard C, Himes JH, Lohman TG, Martin AD et al. Circumferences. In: Lohman TG, Roche AF, Martorell R (eds) Anthropometric Standardization Reference Manual. Human Kinetics: Champaign IL, 1988. pp 39–54.

    Google Scholar 

  12. Shvartz E, Reibold RC . Aerobic fitness norms for males and females aged 6-75 years: a review. Aviat Space Environ Med 1990; 61: 3–11.

    CAS  PubMed  Google Scholar 

  13. Pereira MA, FitzerGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR et al. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc 1997; 29: S89–S103.

    Article  Google Scholar 

  14. American College of Sports Medicine. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 1998; 30: 975–991.

    Google Scholar 

  15. Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN et al. Physical activity assessment methodology in the Five-City Project. Am J Epidemiol 1985; 121: 91–106.

    Article  CAS  PubMed  Google Scholar 

  16. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000; 32: S498–S504.

    Article  CAS  PubMed  Google Scholar 

  17. Thomas EL, Saeed N, Hajnal JV, Brynes A, Goldstone AP, Frost G et al. Magnetic resonance imaging of total body fat. J Appl Physiol 1998; 85: 1778–1785.

    Article  CAS  PubMed  Google Scholar 

  18. Thomas EL, Brynes AE, McCarthy J, Goldstone AP, Hajnal JV, Saeed N et al. Preferential loss of visceral fat following aerobic exercise, measured by magnetic resonance imaging. Lipids 2000; 35: 769–776.

    Article  CAS  PubMed  Google Scholar 

  19. Thomas EL, Hamilton G, Patel N, O’Dwyer R, Dore CJ, Goldin RD et al. Hepatic triglyceride content and its relation to body adiposity: a magnetic resonance imaging and proton magnetic resonance spectroscopy study. Gut 2005; 54: 122–127.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Rico-Sanz J, Hajnal JV, Thomas EL, Mierisova S, Ala-Korpela M, Bell JD . Intracellular and extracellular skeletal muscle triglyceride metabolism during alternating intensity exercise in humans. J Physiol 1998; 510 (Pt 2): 615–622.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Lee DC, Sui X, Blair SN . Does physical activity ameliorate the health hazards of obesity? Br J Sports Med 2009; 43: 49–51.

    Article  CAS  PubMed  Google Scholar 

  22. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK . American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc 2009; 41: 459–471.

    Article  PubMed  Google Scholar 

  23. Bouchard C, Lesage R, Lortie G, Simoneau JA, Hamel P, Boulay MR et al. Aerobic performance in brothers, dizygotic and monozygotic twins. Med Sci Sports Exerc 1986; 18: 639–646.

    Article  CAS  PubMed  Google Scholar 

  24. Hein HO, Suadicani P, Gyntelberg F . Physical fitness or physical activity as a predictor of ischaemic heart disease? A 17-year follow-up in the Copenhagen Male Study. J Intern Med 1992; 232: 471–479.

    Article  CAS  PubMed  Google Scholar 

  25. Kujala UM, Kaprio J, Sarna S, Koskenvuo M . Relationship of leisure-time physical activity and mortality: the Finnish twin cohort. JAMA 1998; 279: 440–444.

    Article  CAS  PubMed  Google Scholar 

  26. Janssen I, Katzmarzyk PT, Ross R . Waist circumference and not body mass index explains obesity-related health risk. Am J Clin Nutr 2004; 79: 379–384.

    Article  CAS  PubMed  Google Scholar 

  27. Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB . Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr 2005; 81: 555–563.

    Article  CAS  PubMed  Google Scholar 

  28. Ross R, Berentzen T, Bradshaw AJ, Janssen I, Kahn HS, Katzmarzyk PT et al. Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference? Obes Rev 2008; 9: 312–325.

    Article  CAS  PubMed  Google Scholar 

  29. Lemieux S, Prud’homme D, Bouchard C, Tremblay A, Després JP . A single threshold value of waist girth identifies normal-weight and overweight subjects with excess visceral adipose tissue. Am J Clin Nutr 1996; 64: 685–693.

    Article  CAS  PubMed  Google Scholar 

  30. Pereira MA, FitzerGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR et al. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc 1997; 29: S1–S205.

    Article  CAS  PubMed  Google Scholar 

  31. Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A et al. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol 1994; 73: 460–468.

    Article  CAS  PubMed  Google Scholar 

  32. Christou DD, Gentile CL, DeSouza CA, Seals DR, Gates PE . Fatness is a better predictor of cardiovascular disease risk factor profile than aerobic fitness in healthy men. Circulation 2005; 111: 1904–1914.

    Article  PubMed  Google Scholar 

  33. Rector RS, Thyfault JP, Morris RT, Laye MJ, Borengasser SJ, Booth FW et al. Daily exercise increases hepatic fatty acid oxidation and prevents steatosis in Otsuka Long-Evans Tokushima fatty rats. Am J Physiol Gastrointest Liver Physiol 2008; 294: G619–G626.

    Article  CAS  PubMed  Google Scholar 

  34. Perseghin G, Lattuada G, De Cobelli F, Ragogna F, Ntali G, Esposito A et al. Habitual physical activity is associated with intrahepatic fat content in humans. Diabetes Care 2007; 30: 683–688.

    Article  CAS  PubMed  Google Scholar 

  35. Stefan N, Kantartzis K, Machann J, Schick F, Thamer C, Rittig K et al. Identification and characterization of metabolically benign obesity in humans. Arch Intern Med 2008; 168: 1609–1616.

    Article  PubMed  Google Scholar 

  36. Schrauwen-Hinderling VB, Hesselink MK, Schrauwen P, Kooi ME . Intramyocellular lipid content in human skeletal muscle. Obesity (Silver Spring) 2006; 14: 357–367.

    Article  CAS  Google Scholar 

  37. Fox CS, Massaro JM, Hoffmann U, Pou KM, Maurovich-Horvat P, Liu CY et al. Abdominal visceral and subcutaneous adipose tissue compartments: association with metabolic risk factors in the Framingham Heart Study. Circulation 2007; 116: 39–48.

    Article  PubMed  Google Scholar 

  38. Porter SA, Massaro JM, Hoffmann U, Vasan RS, O’Donnel CJ, Fox CS . Abdominal subcutaneous adipose tissue: a protective fat depot? Diabetes Care 2009; 32: 1068–1075.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Molenaar EA, Massaro JM, Jacques PF, Pou KM, Ellison RC, Hoffmann U et al. Association of lifestyle factors with abdominal subcutaneous and visceral adiposity: the Framingham Heart Study. Diabetes Care 2009; 32: 505–510.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Nicklas BJ, Wang X, You T, Lyles MF, Demons J, Easter L et al. Effect of exercise intensity on abdominal fat loss during calorie restriction in overweight and obese postmenopausal women: a randomized, controlled trial. Am J Clin Nutr 2009; 89: 1043–1052.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Westerbacka J, Lammi K, Hakkinen AM, Rissanen A, Salminen I, Aro A et al. Dietary fat content modifies liver fat in overweight nondiabetic subjects. J Clin Endocrinol Metab 2005; 90: 2804–2809.

    Article  CAS  PubMed  Google Scholar 

  42. McMillan KP, Kuk JL, Church TS, Blair SN, Ross R . Independent associations between liver fat, visceral adipose tissue, and metabolic risk factors in men. Appl Physiol Nutr Metab 2007; 32: 265–272.

    Article  CAS  PubMed  Google Scholar 

  43. O’Donovan G, Owen A, Kearney EM, Jones DW, Nevill AM, Woolf-May K et al. Cardiovascular disease risk factors in habitual exercisers, lean sedentary men and abdominally obese sedentary men. Int J Obes Relat Metab Disord 2005; 29: 1063–1069.

    Article  Google Scholar 

  44. Kohl 3rd HW, Gordon NF, Scott CB, Vaandrager H, Blair SN . Musculoskeletal strength and serum lipid levels in men and women. Med Sci Sports Exerc 1992; 24: 1080–1087.

    Article  PubMed  Google Scholar 

  45. Williams PT, Krauss RM, Wood PD, Lindgren FT, Giotas C, Vranizan KM . Lipoprotein subfractions of runners and sedentary men. Metabolism 1986; 35: 45–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Williams PT, Hoffman KM . Optimal body weight for the prevention of coronary heart disease in normal-weight physically active men. Obesity (Silver Spring) 2009; 17: 1428–1434.

    Google Scholar 

  47. Freedman DM, Ron E, Ballard-Barbash R, Doody MM, Linet MS . Body mass index and all-cause mortality in a nationwide US cohort. Int J Obes (Lond) 2006; 30: 822–829.

    Article  CAS  Google Scholar 

  48. Ross R, Janiszewski PM . Is weight loss the optimal target for obesity-related cardiovascular disease risk reduction? Can J Cardiol 2008; 24 (Suppl D): 25D–31D.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Blair SN . Physical inactivity: the biggest public health problem of the 21st century. Br J Sports Med 2009; 43: 1–2.

    PubMed  Google Scholar 

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Acknowledgements

We thank the Medical Research Council for funding support. All authors are grateful to the NIHR Biomedical Facility for infrastructure funding support. Dr Mehta is currently supported by a fellowship from the Novo Nordisk UK Research Foundation.

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Correspondence to G O'Donovan.

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O'Donovan, G., Thomas, E., McCarthy, J. et al. Fat distribution in men of different waist girth, fitness level and exercise habit. Int J Obes 33, 1356–1362 (2009). https://doi.org/10.1038/ijo.2009.189

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