Journal of Obesity & Weight Loss Therapy
Open Access

Abstract

Truncal obesity is a chronic disease that increases the risk for both coronary heart disease (CHD) and type II diabetes (T2DM) and it�s a growing public health problem worldwide. The purpose of our study was to develop a model of therapeutic efficiency high-intensity lifestyle intervention intended for truncal obese adults with increased cardio-metabolic risk. Within the randomized controlled trial at a group of truncal obese adults with presence risk factors for athero-sclerotic CHD and T2DM, we suggest the following two types of high-intensity lifestyle interventions: 1st type-low fat, hyper-protein, restriction diet (RD) of 1200-kcal/d (women) and 1500-kcal/d (men) with low atherogenic and glycaemic index (GI), and a specific relation among SFA, MUFA and PUFA. The 2nd type of intervention is composed of RD and the individually dosed physical activity (PA) with gradually, from low to moderate and picks of high intensity (50%-60%-75%VO2max) in accordance to the initial level of the individual aerobic capacity (VO2max) expressed into METs. After 30 days was the increased energetic value of RD for 200-kcal/d related to increase PA. The changes in anthropometric measures, metabolic profiles, VO2max and BMR are evaluated after 30 and 50 days. The efficiency of the programmed PA in combination with RD represents a significant higher reduction of BMI (kg/m2), WHR, fat mass index, risk factors for CHD and metabolic complication (hyperglucaemia, dislipidemia, arterial hypertension and atherogenic index) associated with truncal obesity and improvement in cardiovascular fitness for 17.16% VO2max from initial level in comparison with applied RD as single treatment in truncal obese adults.

Biography

Vera P Simovska is Doctor of Medical Sciences (PhD), spec. of Sports Medicine, Subspec. of Nutrition and Director of Master Study of Nutrition at the University of Bitola. She is an Editor of Special Issue: Diet and Metabolic Disorders, OMICS Journal of Nutritional Disorders & Therapy from 2013. Also, she was an expert for three different programs in various countries. This work included a position of the National Expert in the Macedonian Ministry of Health (2009-2011), an Expert-Consultant in the European Commission: RTD/FP7, HORIZON2020,EuropeAid (2008-2014) and the United Nation’s International Platform on Sports for Development and Peace (2005). She was a National coordinator in several projects covered by the WHO from 2001 to 2015 (CINDI, Move for Health, HEPA Europe) and she is familiar with the European Health Strategy (2008-2013) and Millennium Development Goals. She is the author of over 100 scientific articles.

Email: vera.simovska@uklo.edu.mk