Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity

Fabiana Braga Benatti1, F&aacute;bio Santos Lira2, Lila Missae Oyama2, Cl&aacute;udia Maria da Penha Oller do Nascimento2, Antonio Herbert Lancha Junior11School of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil; 2Department of Physiology, Division of Nutriti...

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Autores principales:	Benatti FB, Lira FS, Oyama LM, Oller do Nascimento CM, Lancha AH Jr
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/f66a4b68316c43d692f129a77ab78ff9
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spelling	oai:doaj.org-article:f66a4b68316c43d692f129a77ab78ff92021-12-02T06:33:02ZStrategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity1178-7007https://doaj.org/article/f66a4b68316c43d692f129a77ab78ff92011-04-01T00:00:00Zhttp://www.dovepress.com/strategies-for-reducing-body-fat-mass-effects-of-liposuction-and-exerc-a7187https://doaj.org/toc/1178-7007Fabiana Braga Benatti1, F&aacute;bio Santos Lira2, Lila Missae Oyama2, Cl&aacute;udia Maria da Penha Oller do Nascimento2, Antonio Herbert Lancha Junior11School of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil; 2Department of Physiology, Division of Nutrition Physiology, Federal University of Sao Paulo, Sao Paulo, BrazilAbstract: Liposuction is the most popular aesthetic surgery performed in Brazil and worldwide. Evidence showing that adipose tissue is a metabolically active tissue has led to the suggestion that liposuction could be a viable method for improving metabolic profile through the immediate loss of adipose tissue. However, the immediate liposuction-induced increase in the proportion of visceral to subcutaneous adipose tissue could be detrimental to metabolism, because a high proportion of visceral to subcutaneous adipose tissue is associated with risk factors for cardiovascular disease. The results of studies investigating the effects of liposuction on the metabolic profile are inconsistent, however, with most studies reporting either no change or improvements in one or more cardiovascular risk factors. In addition, animal studies have demonstrated a compensatory growth of intact adipose tissue in response to lipectomy, although studies with humans have reported inconsistent results. Exercise training improves insulin sensitivity, inflammatory balance, lipid oxidation, and adipose tissue distribution; increases or preserves the fat-free mass; and increases total energy expenditure. Thus, liposuction and exercise appear to directly affect metabolism in similar ways, which suggests a possible interaction between these two strategies. To our knowledge, no studies have reported the associated effects of liposuction and exercise in humans. Nonetheless, one could suggest that exercise training associated with liposuction could attenuate or even block the possible compensatory fat deposition in intact depots or regrowth of the fat mass and exert an additive or even a synergistic effect to liposuction on improving insulin sensitivity and the inflammatory balance, resulting in an improvement of cardiovascular risk factors. Consequently, one could suggest that liposuction and exercise appear to be safe and effective strategies for either the treatment of metabolic disorders or aesthetic purposes.Keywords: adipose tissue, inflammatory markers, exercise, insulin, metabolism Benatti FBLira FSOyama LMOller do Nascimento CMLancha AH JrDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2011, Iss default, Pp 141-154 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Benatti FB Lira FS Oyama LM Oller do Nascimento CM Lancha AH Jr Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity
description	Fabiana Braga Benatti1, F&aacute;bio Santos Lira2, Lila Missae Oyama2, Cl&aacute;udia Maria da Penha Oller do Nascimento2, Antonio Herbert Lancha Junior11School of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil; 2Department of Physiology, Division of Nutrition Physiology, Federal University of Sao Paulo, Sao Paulo, BrazilAbstract: Liposuction is the most popular aesthetic surgery performed in Brazil and worldwide. Evidence showing that adipose tissue is a metabolically active tissue has led to the suggestion that liposuction could be a viable method for improving metabolic profile through the immediate loss of adipose tissue. However, the immediate liposuction-induced increase in the proportion of visceral to subcutaneous adipose tissue could be detrimental to metabolism, because a high proportion of visceral to subcutaneous adipose tissue is associated with risk factors for cardiovascular disease. The results of studies investigating the effects of liposuction on the metabolic profile are inconsistent, however, with most studies reporting either no change or improvements in one or more cardiovascular risk factors. In addition, animal studies have demonstrated a compensatory growth of intact adipose tissue in response to lipectomy, although studies with humans have reported inconsistent results. Exercise training improves insulin sensitivity, inflammatory balance, lipid oxidation, and adipose tissue distribution; increases or preserves the fat-free mass; and increases total energy expenditure. Thus, liposuction and exercise appear to directly affect metabolism in similar ways, which suggests a possible interaction between these two strategies. To our knowledge, no studies have reported the associated effects of liposuction and exercise in humans. Nonetheless, one could suggest that exercise training associated with liposuction could attenuate or even block the possible compensatory fat deposition in intact depots or regrowth of the fat mass and exert an additive or even a synergistic effect to liposuction on improving insulin sensitivity and the inflammatory balance, resulting in an improvement of cardiovascular risk factors. Consequently, one could suggest that liposuction and exercise appear to be safe and effective strategies for either the treatment of metabolic disorders or aesthetic purposes.Keywords: adipose tissue, inflammatory markers, exercise, insulin, metabolism
format	article
author	Benatti FB Lira FS Oyama LM Oller do Nascimento CM Lancha AH Jr
author_facet	Benatti FB Lira FS Oyama LM Oller do Nascimento CM Lancha AH Jr
author_sort	Benatti FB
title	Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity
title_short	Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity
title_full	Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity
title_fullStr	Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity
title_full_unstemmed	Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity
title_sort	strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/f66a4b68316c43d692f129a77ab78ff9
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Strategies for reducing body fat mass: effects of liposuction and exercise on cardiovascular risk factors and adiposity

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