Resistance Training Versus Aerobic Training on Obese Non Alcoholic Fatty Liver, MANAL K. YOUSSEF and MARIANA V. PHILIP
Abstract
The incidence of non-alcoholic fatty liver disease (NAFLD) is increasing dramatically affecting up to 30% of the population worldwide and obesity is the most common risk factor. At present, diet and life style modification (physical training) are the best treatment options as pharmacological management of NAFLD has had disappointing results. The current study was conducted to detect the effect of diet accompanied with aerobic exercise versus diet with resistance exercise on liver enzymes and lipid profile and fasting glucose in obese patients suffering from NAFLD. Thirty patients with NAFLD were included into this study from Department of Internal Medicine, Cairo University Hospitals. Their ages ranged from 20-45 years, subjects were divided randomly into two equal groups (A&B). Group A received diet and resistance exercises. Group B received diet and aerobic exercises for 3 months with a total of 36 sessions. All partic-ipants were evaluated before the first session of treatment and at the end of treatment through: Anthropometric measure-ments, which include (weight, height, body mass index, waist circumference, hip circumference), lipid profile, liver enzymes. On comparing the pre and post treatment values of both groups, results revealed decrease in Weight 1.17% in resisted training (RT) compaired to 4% in aerobic training (AT) respectively, BMI decreased 3.3%, 4.5% respectively, waist circumference decreased 4% and 6% respectively, hip circum-ference decreased 0.32% and 31 % respectively, fasting glucose 4.7% and 10.7% respectively, Triglycerides decreased 12.3% and 18% respectively, Total cholesterol decreased 7% and 9.7% respectively, LDL decreased 17% and 24.5% respectively, HDL increased 3.5% and 10% respectively, AST decreased 16.9% and 22.4% respectively, ALT decreased 12.4% and 23.9% respectively.
Conclusion: In sedentary, overweight, and obese adults, aerobic training was consistently more effective than resistance training at improving lipid profile and liver enzymes.