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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003ECan physical activity with little or no weight loss deliver health benefits? This article discusses this question and discussed the role of physical activity\/exercise in the management of abdominal obesity.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EAssessment\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EObesity\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiometabolic Disorder\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003ECan physical activity with little or no weight loss deliver health benefits? Robert Ross, PhD, Queen\u0027s University, Kingston, Ontario, Canada, answered this question and discussed the role of physical activity\/exercise in the management of abdominal obesity.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EThe global prevalence of obesity (BMI\u226530 kg\/m\u003Csup\u003E2\u003C\/sup\u003E) almost doubled between 1980 and 2008, bringing the number of obese people to half a billion [World Health Organization. \u003Cem\u003EWorld Health Statistics: A Snapshot of Global Health\u003C\/em\u003E 2012]. This rapid growth indicates an urgent need to identify effective interventions that can reduce or eliminate the high personal, societal, and healthcare costs associated with obesity.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EAnti-obesity programs to date have focused on weight loss through lifestyle interventions, ie, changes in diet and exercise. However, the emphasis on weight loss may be misleading, diverting efforts from other approaches that may also help to achieve public health objectives. According to Prof. Ross, it is time to rethink our lifestyle management targets. To manage obesity and related health risks, clinicians must look beyond weight loss as the only indicator of therapeutic\/treatment success.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EData indicate that obesity and its associated health risks can be reduced by increased physical activity with or without weight loss [Ross R, Bradshaw AJ. \u003Cem\u003ENat Rev Endocrinol\u003C\/em\u003E 2009]. A study of premenopausal women with abdominal obesity showed that equivalent diet- or exercise-induced weight loss and exercise without weight loss produced similar decreases in visceral fat in all treatment groups (p\u0026lt;0.008) [Ross R et al. \u003Cem\u003EObes Res\u003C\/em\u003E 2004]. A study of obese men also found decreased abdominal and visceral fat in the weight-loss group (p\u0026lt;0.001) as well as in the exercise-without-weight-loss group (p=0.001) [Ross R et al. \u003Cem\u003EAnn Intern Med\u003C\/em\u003E 2000].\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EJaniszewski and Ross [\u003Cem\u003EAppl Physiol Nutr Metab\u003C\/em\u003E 2007] identified a dose-response relationship between minutes per week of exercise and decreases in subcutaneous and visceral adipose tissue (VAT). Similarly, Coker et al. [\u003Cem\u003EMetab Syndr Relat Disord\u003C\/em\u003E 2009] reported significant reductions in the abdominal\/visceral fat of elderly adults with high-intensity exercise (\u221239 cm\u003Csup\u003E2\u003C\/sup\u003E) compared with the medium-intensity exercise group and the control group.\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003EMore recently, a systematic review and meta-analysis by Ismail et al [\u003Cem\u003EObes Rev\u003C\/em\u003E 2012] reported a significant pooled effect size (ES) in a comparison of aerobic therapy versus control (ES \u22120.33; 95% CI, \u22120.52 to \u22120.14; p\u0026lt;0.01), suggesting that aerobic exercise is central for exercise programs aimed at reducing visceral adipose tissue (VAT) and that levels below current recommendations for overweight\/obesity management may be sufficient for beneficial VAT modification.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003ETranslating these findings into effective treatment within primary-care settings may be a challenge. In a randomized controlled trial that compared a behavioral intervention (individual counseling from health educators to promote physical activity with a healthful diet) to usual care (advice from physicians), outcomes showed that the former was associated with modest reductions in waist circumference in men but not women [Ross R et al. \u003Cem\u003EArch Intern Med\u003C\/em\u003E 2012].\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/12\/11\/12\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022The editors would like to thank the many members of the 3rd International Congress on Abdominal Obesity presenting faculty who generously gave their time to ensure the accuracy and quality of the articles in this publication.\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-322461528\u0022 data-figure-caption=\u0022\u0026amp;lt;div xmlns=\u0026amp;quot;http:\/\/www.w3.org\/1999\/xhtml\u0026amp;quot;\u0026amp;gt;The editors would like to thank the many members of the 3\u0026amp;lt;sup\u0026amp;gt;rd\u0026amp;lt;\/sup\u0026amp;gt; International Congress on Abdominal Obesity presenting faculty who generously gave their time to ensure the accuracy and quality of the articles in this publication.\u0026amp;lt;\/div\u0026amp;gt;\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure1\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/12\/11\/12\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/12\/11\/12\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure1\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/12\/11\/12\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/14189\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\n            \u003Cp id=\u0022p-9\u0022 class=\u0022first-child\u0022\u003EThe editors would like to thank the many members of the 3\u003Csup\u003Erd\u003C\/sup\u003E International Congress on Abdominal Obesity presenting faculty who generously gave their time to ensure the accuracy and quality of the articles in this publication.\u003C\/p\u003E\n         \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2012 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/12\/11\/12.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nznc71\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nznc71\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}