EXERCISE TRAINING IN OBESITY-PRONE BLACK AND WHITE WOMEN
Project Number5R01DK049779-08
Contact PI/Project LeaderHUNTER, GARY R
Awardee OrganizationUNIVERSITY OF ALABAMA AT BIRMINGHAM
Description
Abstract Text
DESCRIPTION: Rationale: Identifying ways to increase physical activity (PA) is
paramount to controlling the epidemic of obesity and its co-morbidities,
including type 2 diabetes. For unknown reasons, post-obese women and black
women appear to be especially prone to weight gain. Data from our current RO1
study suggest that inherent variations in resting energy expenditure and fuel
utilization do not distinguish obesity-prone from obesity-resistant women or
predict weight gain. By contrast, being of black race and having reduced
strength, lower free-living PA, and lower total daily energy expenditure are
strongly predictive of future weight gain. Objective: To extend our current
studies in order to examine the effectiveness of exercise training to improve
free-living PA and, in turn, energy balance and weight control. Specifically,
we hypothesize that resistance exercise training will be more effective than
aerobic and no exercise training in 1) increasing the physiologic ease of, and
spontaneous engagement in physical activities of daily living, and 2)
increasing total daily energy expenditure and weight-loss maintenance of obese
black and white women. Design & Methods: Obese premenopausal black and white
women will be randomized to either diet-only, diet+aerobic or diet+resistance
exercise training groups. Diet/behavior intervention, with or without the
aerobic or resistance exercise training, will be provided throughout the 18
months of study. Testing will be done in the obese state, 6 months later in the
normal-weight post-obese state, and after 1 year of weight-loss maintenance.
All testing will be under tightly controlled General Clinical Research Center
conditions following 4 weeks of diet-controlled energy balance. Changes in body
composition will be assessed by the 4-compartment model, and insulin resistance
by the insulin modified, frequently-sampled intravenous glucose tolerance test.
Major outcomes will include measures of perceived and physiologic difficulty of
exercise (cardiac, ventilatory, electromyographic responses to standardized
exercise tasks); aerobic fitness; strength fitness (isometric tests); and
spontaneous free-living PA, activity-related energy expenditure, non-exercise
activity thermogenesis, and total daily free-living energy expenditure (all
derived from doubly labeled water). Significance: The results will provide
insight into the effectiveness of, and the mechanisms by which, different types
of exercise training can improve physical fitness, spontaneous engagement in
physical activities of daily living and, in turn, weight-loss maintenance,
especially in obesity-prone black women.
Public Health Relevance Statement
Data not available.
NIH Spending Category
No NIH Spending Category available.
Project Terms
African Americanbioenergeticsbody compositionbody physical activitycaucasian Americanclinical researchcognitive behavior therapydietary controlexercisefemalefunctional abilityglucose tolerance testhuman middle age (35-64)human subjectinsulin sensitivity /resistancelongitudinal human studymuscle strengthobesityphysical fitnessracial /ethnic differencespirometrythermogenesisweight controlwomen's healthyoung adult human (21-34)
National Institute of Diabetes and Digestive and Kidney Diseases
CFDA Code
848
DUNS Number
063690705
UEI
YND4PLMC9AN7
Project Start Date
01-May-1995
Project End Date
30-November-2005
Budget Start Date
01-December-2002
Budget End Date
30-November-2003
Project Funding Information for 2003
Total Funding
$503,770
Direct Costs
$356,808
Indirect Costs
$146,962
Year
Funding IC
FY Total Cost by IC
2003
National Institute of Diabetes and Digestive and Kidney Diseases
$503,770
Year
Funding IC
FY Total Cost by IC
Sub Projects
No Sub Projects information available for 5R01DK049779-08
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Outcomes
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