Purpose Sperm quality and function are reduced by environmental factors (e.g., obesity), leading to increased infertility worldwide. Therefore, the purpose of this review paper was to investigate the effects of obesity and exercise training on sperm quality and function in animal and human models. Methods In order to determine the effects of obesity and exercise on sperm quality, motility, morphology, testosterone, oxidative stress, inflammation, we reviewed previous literatures with MEDLINE, PubMed, and Scopus databases. Results The most important factor to control the sperm motility is calcium ion, which is performed by the protein of CatSper (Cation Channel of Sperm). Obese men showed the decrease of number, concentration, motility, and volume in sperm, resulting in delayed or failed fertility. However, regular exercise training increased sperm-mediated factors including number, motility, and morphology, and festicular function-mediated factors including sperm concentration and serum testosterone. Conclusions While obesity exacerbates sperm quality and function in men, regular exercise training with moderate intensity increases sperm number and motility and reduces oxidative stress and inflammation, leading to the improvement of men’s fertility.
PURPOSE This study sought to establish obesity diagnosis criteria by using the Body Volume Index (BVI) by body part extracted through 3D BodyScanner. METHODS The body fat percentage was measured using Dual Energy X-ray Absorptiometer (DEXA) for 225 participants (male = 119, female = 106), and BVI for eight body parts was measured using 3D BodyScanner. Independent t-test and Receiver Operating Characteristic (ROC) analysis were conducted. ROC analysis calculated the Area Under the Curve (AUC), and the optimal cut-point by Youden's J index. Sensitivity, Specificity, Accuracy, Balanced Classification Rate (BCR), and F1-score (harmonic mean of recall and precision) values were calculated to verify the validity of the optimal cut-point. RESULTS A statistically significant difference was observed in BVI by body part according to whether obesity was present for both men and women, and the obese group higher than the normal group. The optimal cut-point for each body part to diagnose obesity was 7.96 for shoulder, 9.79 for chest, 7.15 for upper abdominal, 7.71 for lower abdominal, 14.89 for total abdominal, 9.79 for thigh, 5.70 for calf, and 74.96 for total body volume in men. In case of women, this was 6.04 for shoulder, 9.82 for chest, 4.96 for upper abdominal, 6.23 for lower abdominal, 11.63 for total abdominal, 8.88 for thigh, 4.05 for calf, and 58.15 for total body volume, and the accuracy was 0.6~0.9. CONCLUSIONS BVI is a useful indicator for diagnosing obesity. However, this can be applicable only to Asian adults since there may be differences depending on race or age.
PURPOSE This study aimed to analyze the moderating effect of physical fitness on the relationship between abdominal obesity and metabolic syndrome (MetS) in older women. METHODS A total of 190 participants were categorized based on waisthip ratio (WHR) into high (50%) and low (50%) groups, as well as based on Z-score of fitness into high (25%; high fit), moderate (50%; moderate fit), and low (25%; low fit) groups. Logistic regression was used to assess the relative risk of MetS based on abdominal obesity and fitness levels, and moderation analysis using the Process macro was conducted to explore the moderating effect of fitness on the relationship between abdominal obesity and MetS risk factors. RESULTS After adjusting forcovariates, logistic regression showed that high WHR (odds ratio (OR)=2.721, p=0.004) led to a significantly higher risk of MetS compared with low WHR; the high fit group (OR=0.360, p=0.044) had a significantly lower risk of MetS compared wih the low fit group. Moderation analysis revealed that the impact of abdominal obesity on MetS risk factors varied depending on the level of fitness (β=-0.495, p=0.037), and the results remained significant after covariate adjustment (β=-0.458, p=0.049). CONCLUSIONS This study suggests that the risk of MetS from abdominal obesity can be mitigated by higher levels of physical fitness. These findings highlight the need for participation in regular physical activity to maintain a high level of fitness, along with proper nutritional intake, to prevent MetS in older women.
The purpose of this study was to examine the relationship of obesity index, fitness and cardiovascular risk index in middle and high school students. Obesity index, fitness score and cardiovascular risk index were measured from 1,044 middle and high school students. The results of relation between obesity index and fitness showed that the higher obesity index had significantly lower fitness score for both boys and girls (boys: p<0.001, girl: p<0.05) The results of relation between obesity index and cardiovascular risk index indicated that the higher obesity index had significantly higher cardiovascular risk index for both boys and girls (boys: p<0.001, girl: p<0.001). Moreover, The lower fitness index showed significantly higher cardiovascular risk index regardless of gender in middle school students (boys: p<0.001, girl: p<0.01). Therefore, the results of this study indicated that obese adolescents had the lower fitness level and high possibility of cardiovascular risk.
Purpose The study was designed to compare physical fitness, indices of lifestyle disease, and biochemical property of muscle according to sarcopenia and obesity in elderly women. Methods One hundred elderly women were alloted to one of four groups, i.e., sarcopenia+obesity (SO: n=20) group, sarcopenia (S: n=20) group, obesity (O: n=29) group, and normal (N: n=31) group. Criterion for sarcopenia was 'appendicular skeletal muscle mass (ASM)/height2<5.4 kg/㎡', and criterion for obesity was 'percent body fat>35%'. Dependent variables regarding physical fitness, lifestyle disease, and biochemical property of muscle were measured and compared among four groups. Results 1) Regarding daily living fitness, grip strength, upper arm flexion, sit-and-reach, up and go, and VO2max in SO group and S group were significantly lower than N group. Regarding isokinetic function, peak torque and average power in SO group and S group were significantly lower, and relative values to body weight in SO group and O group were significantly lower than N group. 2) Regarding hypertension, resting HR and RPP in SO group and O group were significantly higher than S group and N group. Regarding diabetes mellitus, fasting plasma glucose and HOMA-IR in SO group and O group were significantly higher than S group and N group. Regarding hyperlipidemia, HDL-C in SO group and O group were significantly lower than S group and N group. Regarding atherosclerosis, TC/HDL-C ratio and LDL-C/HDL-C ratio in SO group and O group were significantly higher than S group and N group. 3) Regarding biochemical property of muscle, IL-6 in SO group and O group were significantly higher than S group and N group. Conclusion It was concluded that physical fitness was declined in sarcopenia elderly, and that relative value of isokinetic function, indices of lifestyle disease, and inflammation markers were deteriorated in obesity elderly. Especially, the decline and deterioration of physical fitness and indices of lifestyle disease were even more severe in the elderly who had the both status. Therefore, the efforts should be made to prevent and improve sarcopenia and/or obesity.
Purpose The purpose of this study were to assess physiological and biochemical characteristics in elderly women with osteosarcopenic obesity (OSO), and to analyze relationships among irisin, adipokines and bone metabolism markers. Methods 126 elderly women were selected and among them 10 women were classified into OSO group (76.9±5.2 yrs) and 14 women were classified as a NOSO group (72.9±5.6 yrs). Physique, body composition and bone mineral density were measured. Senior fitness tests were 30-s chair stand, 30-s arm curl, chair sit-and-reach, back scratch, 8-foot up-and-go, grip strength, and 2-min step test. Isokinetic muscle strength was measured by isokinetic dynamometer (Cybex 770, USA). Nutrition intake and physical activity were administered. Biochemical parameters including irisin, FNDC-5, leptin, adiponectin, CTx, 25(OH)D, osteocalcin, and PTH were measured. All data were analyzed by SAS 9.4. Independent t-test was applied to compare between OSO and NOSO groups. Multiple regression analysis was used. The level of significance was set at .05. Results The results of the study showed that there were significantly high for waist circumference, hip circumference, WHR, and BMI in OSO group compared to those of NOSO group. Higher results were also obtained for fat tissue and percent body fat but significantly low for lumbar bone mineral density. OSO group showed significant lower results for grip strength and 2-min step test compared to NOSO group. Peak torque, and relative peak torque at 60° were significantly lower for left and right knee flexion in OSO group. Protein intake was significantly low in OSO group, but no difference was obtained in level of physical activity between two groups. Irisin was significantly related to adiponectin, FNDC-5 and osteocalcin in explaining 35.2%, 81.5% and 92.1% of the variance, respectively. Conclusions This study shows that elderly women with OSO have higher results for physique and body composition parameters except body height. However, lower values were obtained for functional fitness, and isokinetic muscle strength. OSO may have more risks for metabolic syndrome, bone fractures, fall, lack of daily physical activity and limit of locomotion due to the imbalance of quadriceps and biceps femoris in non dominant leg. This study suggests that criteria and mechanism of OSO should be clarified by follow-up study.
The purpose of the study was to determine relationship of abdominal fat, adipocytokine, bone mineral density, and bone turnover markers in obese male adolescents. Twenty four male adolescents (obese: 12, normal: 12) volunteered to participate in the study. Anthropometry and skeletal maturity were measured. Body composition and bone mineral density were estimated by DXA (Hologic, QDR-4500, USA). Abdominal fat with total adipose tissue (TAT), visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), and visceral adipose tissue to subcutaneous adipose tissue ratio (VSR) were estimated by computed tomography (ECLOS, HITACH, Japan). Blood samples were obtained for and analysis of adipocytokines including leptin and adiponectin. Bone turnover markers, osteocalcin (OC), bone-specific alkaline phosphatase (BALP) for bone formation markers and N-terminal telopeptide (NTx), C-terminal telopeptide (CTx) for bone resorption markers were analysed. All data were analyzed utilizing SAS 9.3 (SAS Institute, NC, USA). Independent t-test was used to evaluate the differences between obese adolescents and normal adolescents. Pearson correlation analysis was applied to figure out the relationship between abdominal fat, adipocytokines, bone mineral density, and bone turnover markers. Multiple regression analysis was used to find out the factors of abdominal fat which influence on bone mineral density. A level of significance was set at p<.05. The results of the study indicated that fat tissue (p<.001), percent body fat (p<0.001), TAT (p<.001), VAT (p<.001), and SAT (p<0.001) were significantly higher in obese adolescents than normal adolescents. However bone mineral contents were significantly higher in normal adolescents. Normal adolescents have significantly higher whole body BMD and lumber BMD than obese adolescents. Abdominal fat including VAT and SAT related negatively with whole body BMD and lumbar BMD. Leptin related negatively with BMD whereas adiponectin related positively with BMD. NTx for bone resorption marker related positively with abdominal fat. Visceral adipose tissue was a predictor for whole body BMD and lumbar BMD in explaining 46% and 32% in adolescents. In conclusion, obese male adolescents have lower whole body BMD and lumbar BMD than normal adolescents. Abdominal fat including VAT and SAT related negatively with whole body BMD and Lumbar BMD. And leptin and adiponectin were closely related with BMD. Finally, visceral adipose tissue was a predictor for whole body and lumbar BMD in adolescents.
Purpose The aim of this study is to find how the pyruvate intake and aerobic exercise effect on the body composition, exercise performance ability, blood factor and obesity related hormone, and to verify the effect of pyruvate intake and aerobic exercise as an effective substance for obesity improvement. Methods This study selected 20 obese men in their twenties who has more BMI than 25kg/m2, and are applicable in 25% of the body fat, and randomly sampled group of 10 people for pyruvate intake and aerobic exercise (PYA), and 10 people for placebo intake and aerobic exercise (PLA). Intake of pyruvate and placebo was implemented for 10 weeks, 6 g a day, and aerobic exercise, treadmill exercise in the intensity of 50 ~ 60%’s target heart rate, was conducted for 10 weeks, 3 times a week, 60 minutes a day. To demonstrate the effect of pyruvate intake and aerobic exercise, all of the body composition, exercise performance ability, Lactate, and blood factor and hormone related to obesity were measured before and after the test in the same manner. Results The main results from this study are as follow; 1) In the case of body composition, in PYA, weight(p < .01), BMI(p < .05), body fat percentage(p < .01), and body weight without fat(p < .001) are reduced meaningfully. 2) In the exercise performance ability increased significantly in both PYA(p < .01) and PLA(p < .001) for V˙O2max, Also, in the case of distance during the exercise, PYA(p < .01) and PLA(p < .05) increased significantly in 15 minutes and PYA(p < .01) and PLA(p < .05) 30 minutes, but only in PYA from 45 minutes(p < .01) to 60 minutes(p < .05) 3) In case of Lactate, the significant decrease in PYA during stabilization and the significant increase in PYA after 30 minutes of exercise was not seen after 45 minutes 4) In the case of blood factor, HDL-C showed a meaningful decrease in PLA(p < .05) and Leptin showed a meaningful decrease in PYA(p < .001). Conclusions To sum up these results, it was more effective for the group of PYA which ingested pyruvate in improving obesity, even when the same aerobic exercise is conducted.
This study was to performed to the effect of 8-week endurance exercise influences on body weight, glucose tolerance and ER-stress in soleus of 16weeks Rats fed High-Fat diet. Rats were randomly assigned to 3 group; (1)Sprague-Dawley Control diet (SD-Con/n=4), (2)High-Fat diet Control (HF-Con/n=4), (3)High-Fat diet Exercise (HF-Exe/n=4). Exercise group ran on the treadmill for 30min/day at the level of 21m/min for 5days/week during 8weeks. Results showed that body weight and glucose tolerance of the HF-Con group was remarkably increased(p<.05) compared to other groups. However, HF-Exe group significantly decreased body weight and glucose tolerance compared to HF-Con group. Moreover, level of GRP78, ATF6, PERK and IER1⍺, which are main proteins of ER-stress were significantly increased in HF-Con group higher than other group, whereas HF-Exe group significantly decreased the expression of GRP78, ATF6, PERK and IER1⍺. Taken together, these finding suggested that the reduction of the body weight, glucose tolerance and unfolded protein response by treadmill exercise may represent a positive adaptation protecting against high-fat diet-induced ER stress.
PURPOSE This study aimed to investigate the effects of regular moderate- and vigorous-intensity aerobic exercise on body composition, resting metabolic rate, and blood lipid profile in normal-weight obese women. METHODS The participants in the study were normal-weight obese women in their 20’s, divided into moderate- and vigorous-intensity aerobic exercise (VIAE) groups. Aerobic exercise was performed three times a week for 8 weeks. To verify the exercise effect, pre- and post- body composition, resting metabolic rate, and blood lipid profile were analyzed. RESULTS Weight and body fat decreased in both groups, and lean body mass and resting metabolic rate increased in the VIAE group. Blood TC, TG, and LDL-C decreased in both groups and HDL-C increased in the VIAE group. CONCLUSIONS In normal-weight obese women, vigorous-intensity aerobic exercise is more effective than moderate intensity aerobic exercise for improving body composition, resting metabolic rate and blood lipid profile.
