Can the exercise mode determine lipid profile improvements in obese patients?

INTRODUCTION Unfavorable lipid profile is associated with developed cardiovascular diseases. It is necessary to know the beneficial effects of different mode exercises to improve lipid profile. OBJECTIVE To investigate, in obese men and women, the effect on lipid profile of hypocaloric diet combined with structured exercise programs or recommendations of physical activity. METHODS Ninety six obese subjects (59 women and 61 men; 18 - 50 years; BMI >30 and < 34.9 kg/m(2)) were randomised into four supervised treatment groups: strength training (S; n = 24), endurance training (E; n = 26), combined S + E (SE; n = 24), and and received recommendations of physical activity (PA; n = 22). Energy intake, body composition, training variables (VO(2peak), strength index, dynamometric strength index) and blood lipid profile were recorded at baseline and after 24 weeks of treatment. RESULTS Blood lipid profile improved in all groups. No statistically significant differences in baseline and posttraining values were observed between groups. HDLCholesterol showed no changes. A decrease in LDLCholesterol values was observed in all groups after the intervention (S: 11.2%, E: 10.8%, SE: 7.9%, PA: 10.8%; p < 0.01). S, E and PA subjects showed decrease in triglycerides (S: 14.9%, E: 15.8%, PA: 15.7%; p < 0.01). Total cholesterol decreased in all groups (S: 8.4%, p < 0.01; E: 8.8%, p < 0.01; SE: 4.9%, p < 0.01; PA: 8.3%, p < 0.05). CONCLUSION All protocols proposed in our study improved blood lipid profile in obese people. There were no significant differences about the effect on the lipid profile between the implementation of a structured training protocol with physical activity professional supervision and follow recommendations of physical activity.