Int J Sports Med 2023; 44(14): 1075-1085
DOI: 10.1055/a-2156-7142
Training & Testing

Effects of Training on Running Cost and Aerobic Capacity in Individuals with Obesity

Eliane Aparecida Castro
1   Department of Physical Education, Faculty of Science (FC), São Paulo State University (UNESP) at Bauru, Brazil
2   LFE Research Group, Department of Health and Human Performance. Faculty of Physical Activity and Sport Science-INEF. Universidad Politécnica de Madrid (UPM), Madrid, Spain
,
Elisangela Silva
3   Federal Institute of Education, Science and Technology of South of Minas Gerais - IFSULDEMINAS at Muzambinho, Brazil
,
Pedro J Benito
2   LFE Research Group, Department of Health and Human Performance. Faculty of Physical Activity and Sport Science-INEF. Universidad Politécnica de Madrid (UPM), Madrid, Spain
,
1   Department of Physical Education, Faculty of Science (FC), São Paulo State University (UNESP) at Bauru, Brazil
4   Graduate Program in Human Developmental and Technologies, Biosciences Institute (IB), São Paulo State University (UNESP) at Rio Claro, Brazil
5   College of Medicine, Ribeirão Preto University, Ribeirão Preto, Brazil
,
Dalton Müller Pessôa Filho
1   Department of Physical Education, Faculty of Science (FC), São Paulo State University (UNESP) at Bauru, Brazil
4   Graduate Program in Human Developmental and Technologies, Biosciences Institute (IB), São Paulo State University (UNESP) at Rio Claro, Brazil
› Author Affiliations
Funding Information This study took place with the financial support of the Ministerio de Ciencia e Innovación of Spain (process n. DEP2008–06354-C04–01). The collaboration of E.A.C was possible thanks to the scholarships granted by CAPES, in the scope of the Program CAPES-PrInt, process number 88887.310463/2018–00, International Cooperation Project number 88887.310796/2018–00 (scholarship number: 88887.572557/2020–00). The authors D.M.P.F. and C.M.N. would like also to thank the Program CAPES-PrInt for the scholarship’s numbers 88887.695292/2022–00 and 88887.695289/2022–00. Authors also would like to thanks the “Federal Institute of Education, Science and Technology of South of Minas Gerais - IFSULDEMINAS” for funding this study partially.

Abstract

This study investigated running cost (CRun), peak oxygen consumption (V̇ O2peak), and ventilatory threshold (VT1) responses to exercise programs for individuals with obesity. Ninety-four individuals (38.2±7.7 years; 33.4±2.9 kg/m²) were assigned into strength (n=24), endurance (n=26), combined (n=22), and physical activity (control, n=22) groups for 22 weeks, plus diet recommendation. The V̇ O2peak, VT1, and CRun were assessed through a maximal incremental step test. The change of V̇ O2peak in combined (9.9%) differed from the other groups, with lower values in women than men (0.7% vs. 6.2%). The VT1 change in combined (16.4%) differed from the strength (4.9%) and physical activity (1.2%) groups, with the change in endurance (12.7%) also being higher than the physical activity group. Only men in the combined group increased absolute V̇ O2peak, while both sexes increased VT1 in the endurance and combined groups. No effects for groups and sex were significant for CRun in moderate (<VT1) or high-intensity (>VT1) running zones, despite CRun changes in <VT1 and >VT1 zones correlated with the alterations of V̇ O2peak and VT1 (r²=0.29–0.59). Therefore, moderate aerobic exercise stimulus is suitable for VT1 improvement in individuals with obesity, with the increase in CRun associated to the chances of increasing V̇ O2peak in men and when combining strength with aerobic exercises.



Publication History

Received: 24 February 2023

Accepted: 03 August 2023

Article published online:
12 October 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Carbone S, Del Buono MG, Ozemek C. et al. Obesity, risk of diabetes and role of physical activity, exercise training and cardiorespiratory fitness. Prog Cardiovasc Dis 2019; 62: 327-333
  • 2 Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism 2022; 133: 155217
  • 3 Barry VW, Baruth M, Beets MW. et al. Fitness vs. fatness on all-cause mortality: a meta-analysis. Prog Cardiovasc Dis 2014; 56: 382-390
  • 4 Lavie CJ, Arena R, Swift DL. et al. Exercise and the cardiovascular system: clinical science and cardiovascular outcomes. Circ Res 2015; 117: 207-219
  • 5 Stiegler P, Cunliffe A. The role of diet and exercise for the maintenance of fat-free mass and resting metabolic rate during weight loss. Sports Med 2006; 36: 239-262
  • 6 Goran M, Fields DA, Hunter GR. et al. Total body fat does not influence maximal aerobic capacity. Int J Obes Relat Metab Disord 2000; 24: 841-848
  • 7 Weiss EP, Jordan RC, Frese EM. et al. Effects of weight loss on lean mass, strength, bone, and aerobic capacity. Med Sci Sports Exerc 2017; 49: 206-217
  • 8 Lafortuna CL, Maffiuletti NA, Agosti F. et al. Gender variations of body composition, muscle strength and power output in morbid obesity. Int J Obes (Lond) 2005; 29: 833-841
  • 9 Kern PA, Simsolo RB, Fournier M. Effect of weight loss on muscle fiber type, fiber size, capillarity, and succinate dehydrogenase activity in humans. J Clin Endocrinol Metab 1999; 84: 4185-4190
  • 10 Armstrong A, Jungbluth Rodriguez K, Sabag A. et al. Effect of aerobic exercise on waist circumference in adults with overweight or obesity: A systematic review and meta-analysis. Obes Rev 2022; 23: e13446
  • 11 Donnelly JE, Jacobsen DJ, Heelan KS. et al. The effects of 18 months of intermittent vs. continuous exercise on aerobic capacity, body weight and composition, and metabolic fitness in previously sedentary, moderately obese females. Int J Obes Relat Metab Disord 2000; 24: 566-572
  • 12 O'Donoghue G, Blake C, Cunningham C. et al. What exercise prescription is optimal to improve body composition and cardiorespiratory fitness in adults living with obesity? A network meta-analysis. Obes Rev 2021; 22: e13137
  • 13 Donnelly JE, Blair SN, Jakicic JM. et al. 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
  • 14 Hoff J, Gran A, Helgerud J. Maximal strength training improves aerobic endurance performance. Scand J Med Sci Sports 2002; 12: 288-295
  • 15 Osteras H, Helgerud J, Hoff J. Maximal strength-training effects on force-velocity and force-power relationships explain increases in aerobic performance in humans. Eur J Appl Physiol 2002; 88: 255-263
  • 16 Wilson JM, Marin PJ, Rhea MR. et al. Concurrent training: a meta-analysis examining interference of aerobic and resistance exercises. J Strength Cond Res 2012; 26: 2293-2307
  • 17 Melanson KJ, Dell'Olio J, Carpenter MR. et al. Changes in multiple health outcomes at 12 and 24 weeks resulting from 12 weeks of exercise counseling with or without dietary counseling in obese adults. Nutrition 2004; 20: 849-856
  • 18 Salvadori A, Fanari P, Marzullo P. et al. Short bouts of anaerobic exercise increase non-esterified fatty acids release in obesity. Eur J Nutr 2014; 53: 243-249
  • 19 Tuomainen P, Peuhkurinen K, Kettunen R. et al. Regular physical exercise, heart rate variability and turbulence in a 6-year randomized controlled trial in middle-aged men: the DNASCO study. Life Sci 2005; 77: 2723-2734
  • 20 Hunter GR, Bamman MM, Larson-Meyer DE. et al. Inverse relationship between exercise economy and oxidative capacity in muscle. Eur J Appl Physiol 2005; 94: 558-568
  • 21 Morales-Alamo D, Losa-Reyna J, Torres-Peralta R. et al. What limits performance during whole-body incremental exercise to exhaustion in humans?. J Physiol 2015; 593: 4631-4648
  • 22 Bassett DR, Howley ET. Limiting factors for maximum oxygen uptake and determinants of endurance performance. Med Sci Sports Exerc 2000; 32: 70-84
  • 23 Chin SH, Kahathuduwa CN, Binks M. Physical activity and obesity: what we know and what we need to know. Obes Rev 2016; 17: 1226-1244
  • 24 Salvadego D, Lazzer S, Busti C. et al. Gas exchange kinetics in obese adolescents. Inferences on exercise tolerance and prescription. Am J Physiol Regul Integr Comp Physiol 2010; 299: R1298-1305
  • 25 Emerenziani GP, Ferrari D, Migliaccio S. et al. Effects of body weight loss program on parameters of muscle performance in female obese adults. J Sports Med Phys Fitness 2019; 59: 624-631
  • 26 Smoliga JM. What is running economy? A clinician's guide to key concepts, applications and myths. Br J Sports Med 2017; 51: 831-832
  • 27 Alemayehu M, Wubshet M, Mesfin N. et al. Effect of health care on quality of life among human immunodeficiency virus infected adults with and without visceral Leishmaniasis in northwest Ethiopia: a longitudinal follow-up study. Am J Trop Med Hyg 2018; 98: 747-752
  • 28 Castro EA, Peinado AB, Benito PJ. et al. What is the most effective exercise protocol to improve cardiovascular fitness in overweight and obese subjects?. J Sport Health Sci 2017; 6: 454-461
  • 29 Muollo V, Rossi AP, Milanese C. et al. Prolonged unsupervised Nordic walking and walking exercise following six months of supervision in adults with overweight and obesity: A randomised clinical trial. Nutr Metab Cardiovasc Dis 2021; 31: 1247-1256
  • 30 Zapico AG, Benito PJ, Gonzalez-Gross M. et al. Nutrition and physical activity programs for obesity treatment (PRONAF study): methodological approach of the project. BMC Public Health 2012; 12: 1100
  • 31 Gargallo Fernandez MM, Breton Lesmes I, Basulto Marset J. et al. Evidence-based nutritional recommendations for the prevention and treatment of overweight and obesity in adults (FESNAD-SEEDO consensus document). The role of diet in obesity treatment (III/III). Nutr Hosp 2012; 27: 833-864
  • 32 Ortega R, Requejo A, Lopez-Sobaler A. Questionnaires for dietetic studies and the assessment of nutritional status. In: Requejo A, Ortega, R, editor. Nutriguía manual of clinical nutrition in primary care. Madrid: Editoria Complutense;; 2003
  • 33 Benito PJ, Bermejo LM, Peinado AB. et al. Change in weight and body composition in obese subjects following a hypocaloric diet plus different training programs or physical activity recommendations. J Appl Physiol 2015; 118: 1006-1013
  • 34 Trowell D, Vicenzino B, Saunders N. et al. Effect of strength training on biomechanical and neuromuscular variables in distance runners: a systematic review and meta-analysis. Sports Med 2020; 50: 133-150
  • 35 Mikkola J, Rusko H, Izquierdo M. et al. Neuromuscular and cardiovascular adaptations during concurrent strength and endurance training in untrained men. Int J Sports Med 2012; 33: 702-710
  • 36 Villareal DT, Aguirre L, Gurney AB. et al. Aerobic or resistance exercise, or both, in dieting obese older adults. N Engl J Med 2017; 376: 1943-1955
  • 37 Bateman LA, Slentz CA, Willis LH. et al. Comparison of aerobic versus resistance exercise training effects on metabolic syndrome (from the Studies of a Targeted Risk Reduction Intervention Through Defined Exercise - STRRIDE-AT/RT). Am J Cardiol 2011; 108: 838-844
  • 38 Corres P, Fryer SM, Aguirre-Betolaza AM. et al. A metabolically healthy profile is a transient stage when exercise and diet are not supervised: long-term effects in the EXERDIET-HTA Study. Int J Environ Res Public Health 2020; 17: 2830
  • 39 Dai H, Xiang J, Hou Y. et al. Fat mass to fat-free mass ratio and the risk of non-alcoholic fatty liver disease and fibrosis in non-obese and obese individuals. Nutr Metab (Lond) 2021; 18: 21
  • 40 Vella CA, Ontiveros D, Zubia RY. Cardiac function and arteriovenous oxygen difference during exercise in obese adults. Eur J Appl Physiol 2011; 111: 915-923
  • 41 Haizlip KM, Harrison BC, Leinwand LA. Sex-based differences in skeletal muscle kinetics and fiber-type composition. Physiology (Bethesda) 2015; 30: 30-39
  • 42 Joyner MJ. Physiological limits to endurance exercise performance: influence of sex. J Physiol 2017; 595: 2949-2954
  • 43 Wheatley CM, Snyder EM, Johnson BD. et al. Sex differences in cardiovascular function during submaximal exercise in humans. Springerplus 2014; 3: 445
  • 44 Putman CT, Xu X, Gillies E. et al. Effects of strength, endurance and combined training on myosin heavy chain content and fibre-type distribution in humans. Eur J Appl Physiol 2004; 92: 376-384
  • 45 Nishijima H, Kondo K, Yonezawa K. et al. Quantification and physiological significance of the rightward shift of the V-slope during incremental cardiopulmonary exercise testing. BMC Sports Sci Med Rehabil 2017; 9: 9
  • 46 Borges JH, Carter SJ, Singh H. et al. Inverse relationship between changes of maximal aerobic capacity and changes in walking economy after weight loss. Eur J Appl Physiol 2018; 118: 1573-1578
  • 47 Creasy SA, Rogers RJ, Davis KK. et al. Effects of supervised and unsupervised physical activity programmes for weight loss. Obes Sci Pract 2017; 3: 143-152
  • 48 Carpenter R, Gilleland D. Impact of an exercise program on adherence and fitness indicators. Appl Nurs Res 2016; 30: 184-186
  • 49 Castro EA, Carraca EV, Cupeiro R. et al. The effects of the type of exercise and physical activity on eating behavior and body composition in overweight and obese subjects. Nutrients 2020; 12: 557