Search Results (284)

Background/Objectives: Obesity has been linked to cardiometabolic alterations and deteriorated body composition. Gallic acid, a polyphenol with antioxidant properties, may influence these parameters; however, there is limited clinical data. The aim of this study was to evaluate the effects of gallic acid supplementation combined with physical exercise in obese individuals. Methods: A randomized, double-blind, placebo-controlled clinical trial with 150 participants recruited and divided into eight groups according to nutritional status (eutrophic or obese), supplementation (gallic acid 200 mg/day vs. placebo), and physical exercise (trained vs. untrained) for 12 weeks. Body composition, anthropometry, and serum biomarkers were assessed before and after the intervention. Data were analyzed using repeated-measures ANOVA. Results: A total of 107 participants completed the final assessment. A reduction in waist-to-hip ratio was observed in the obese group trained and supplemented with gallic acid (supplement × time interaction: p = 0.031). There was a reduction in waist circumference (supplement × physical exercise × time interaction: p = 0.041) and a reduction in skinfold thickness at the pectoral (p = 0.044) and abdominal (p = 0.036) sites. Fat-free mass showed a tendency to increase in the supplemented trained obese group (p = 0.054). In biochemical markers, an increase in albumin was identified in the supplement × time interaction (p = 0.043), especially in the trained obese group. Conclusions: The combination of gallic acid and physical exercise promoted improvements in abdominal adiposity and body composition markers, with favorable biochemical effects. Full article

Background: CKDB-322, a combination of Lactiplantibacillus plantarum Q180 and Phaeodactylum tricornutum, has shown anti-obesity potential in preclinical models, although human evidence is still limited. This randomized, double-blind, placebo-controlled, 12-week trial evaluated the efficacy and safety of CKDB-322 in overweight adults. Methods: Participants were aged 19–65 years; had a body mass index (BMI) of 25–30 kg/m², and a waist circumference of ≥90 cm for men or ≥85 cm for women. They were randomly assigned to receive either CKDB-322, which provided 1.0 × 10⁹ CFU of L. plantarum Q180 and 200 mg of P. tricornutum daily (n = 50), or a placebo (n = 50). Results: CKDB-322 supplementation resulted in statistically significant reductions in body fat mass and body fat percentage, as measured by dual-energy X-ray absorptiometry (DEXA), compared to the placebo group (p < 0.05). Computed tomography (CT) analyses also revealed significant reductions in abdominal fat area in the CKDB-322 group (p < 0.05). Additional improvements were observed in body weight and anthropometric parameters. Among metabolic biomarkers, serum triglycerides and leptin levels decreased significantly in the CKDB-322 group compared to the placebo. Exploratory microbiome analyses indicated an increase in the relative abundance of Lactobacillus, suggesting potential modulation of the gut–adipose axis. CKDB-322 was well tolerated, with no clinically significant adverse events or laboratory abnormalities. Conclusions: Collectively, CKDB-322 demonstrated a favorable safety profile and produced statistically significant improvements in multiple adiposity-related outcomes, including reductions in body fat mass, abdominal adiposity, and key anthropometric measures, supporting its potential as a functional ingredient for body fat reduction and metabolic health. Full article

Background/Objectives: High-fat diets (HFDs) are widely used to induce obesity, but cost-effective and reproducible formulations remain challenging. Moreover, the reversibility of metabolic and gut microbiota alterations following HFD withdrawal is not fully understood. This study evaluated a low-cost HFD model in mice and investigated metabolic, oxidative, and gut microbiota changes during a subsequent 12-week dietary normalization phase. Methods: Male C57BL/6 mice were fed a standard diet (CTN) or a lard-supplemented HFD for 12 weeks (Phase 1), followed by 12 weeks dietary normalization to a standard diet (Phase 2). Body weight, adiposity, blood glucose, biochemical parameters, and oxidative markers were assessed. Fecal samples were analyzed for short-chain fatty acids (SCFAs), microbiota composition (16S rRNA sequencing), and predicted functions using FAPROTAX and PICRUSt2. Results: The HFD significantly increased body weight, abdominal circumference, the Lee index, and adipose tissue mass compared to CTN. Following diet normalization, both groups exhibited weight loss, but the previously obese mice maintained a higher Lee index and distinct lipid and uric acid profiles. No hepatic oxidative stress was detected after normalization. SCFA profiles underwent a temporal shift: CTN showed higher fecal acetate, while HFD mice exhibited elevated butyrate. Functional prediction revealed one pathway associated with an unclassified Rickettsiales bacterium that was exclusively found in HFD mice. The CTN group exhibited a higher abundance of the thiamine diphosphate formation pathway (PWY-7357), suggesting enhanced oxidative metabolism. Conclusions: This low-cost HFD successfully induced obesity and dysbiosis. Dietary normalization resulted in a partial modulation of metabolic and microbial balance, thereby highlighting host–microbe metabolic plasticity. Full article

Background: Accurately tracking body-composition changes in endurance field settings remains methodologically challenging. This study aimed to evaluate whether changes in subcutaneous adipose tissue (SAT) across a 7-day ultramarathon are better reflected by anthropometric indices than by body mass (BM) alone. Methods: Twenty ultrarunners were assessed using both anthropometric indices and ultrasound measurements of SAT thickness, applying a novel method that distinguishes layers including (D_I) versus excluding (D_E) embedded fibrous structures. Measurements were obtained before the race and after Stages 4 and 7. Indices included body mass index (BMI), mass index (MI_I), and waist-to-height ratio (WHtR). Results: Total SAT thickness decreased significantly for both D_I (p = 0.001) and D_E (p < 0.001). BM, BMI, MI_I, and WHtR also declined significantly post-race (p < 0.001). SAT reduction was most pronounced at the abdominal and thigh sites. Additionally, ultrarunners with lower D_E values exhibited lower fat at the abdomen and distal triceps. BMI was significantly related to D_E at the upper and lower abdomen and erector spinae; MI_I was significantly associated with D_E at the upper and lower abdomen; and WHtR correlated with both D_E and D_I at abdominal and erector spinae sites. BM showed no significant association with any SAT parameter. Conclusions: Ultrasound-derived SAT thickness, in combination with BMI, MI_I, and WHtR, offers a field-feasible approach to evaluate body-composition change during multistage ultramarathons. In contrast, BM alone does not reliably reflect SAT distribution or loss. Full article

A 16-week feeding trial was conducted to evaluate the effects of different feed forms on the productivity, egg quality, nutrient digestibility, and organ development of laying hens. A total of 252 Lohmann Brown laying hens, 20 weeks of age, were randomly assigned to one of three dietary treatments: mash, pellet, or crumble. Each treatment consisted of seven replicates with 12 hens per replicate. All diets were formulated primarily with corn and soybean meal to provide 2801 kcal/kg of metabolizable energy and 17.99% crude protein. Productive performance (egg production, egg weight, feed intake, egg mass, and feed conversion ratio), egg quality traits (haugh unit, eggshell strength, and eggshell thickness), apparent nutrient digestibility (dry matter, crude protein, calcium, and phosphorus), and relative organ weights (crop, gizzard, and abdominal fat) were measured. No significant differences (p > 0.05) were observed among the feed form treatments for productive performance, egg quality, nutrient digestibility, or organ development. These results indicate that feed form (mash, pellet, or crumble) does not significantly affect performance, egg quality, nutrient utilization, or organ development in Lohmann Brown laying hens under the conditions of this study. Full article

Background: Degenerin proteins, such as Acid-Sensing Ion Channel 2 (ASIC2) and β Epithelial Na⁺ Channel (βENaC), have been implicated in cardiovascular function. We previously demonstrated that mice lacking normal levels of βENaC and ASIC2 are protected from diet-induced obesity, metabolic disruption, and hepatic steatosis. Methods: To investigate the specific role of βENaC proteins in the progression of metabolic disease, we examined the impact of a high-fat diet (HFD) in the βENaC hypomorph mouse model (βMUT). Body composition and metabolic and behavioral phenotypes were examined in male and female and βMUT and WT mice (n = 6–14/group) fed a normal chow diet (NFD) from weaning until 16 weeks of age, then a 60% kcal-fat diet for 5 weeks. Results: Compared to WT mice, βMUT male mice have reduced lean and total body mass. No remarkable differences in energy expenditure, motor activity, or food consumption patterns were detected. HFD-fed male βMUT mice exhibited reduced liver fat content (mass and Oil Red O staining) yet increased abdominal fat depots. HFD-fed female βMUT mice exhibited lower heart mass. Conclusions: These novel findings suggest a role for βENaC in the maintenance of metabolic homeostasis and adipose tissue distribution. Full article

Background: Adolescents suffering from obesity are at higher risk of bone fragility due to hepatic steatosis, which may lead to an inflammatory microenvironment in the bone marrow. We therefore aimed to assess the reliability of measuring the bone marrow fat fraction (BMFF) and T2* of the lumbar vertebral marrow using the proton density fat fraction (PDFF) sequence for adolescents with obesity and liver steatosis. Method: This was an observational feasibility pilot study on adolescents living with obesity and liver steatosis. Anthropometric measurements were obtained. Participants underwent abdominal MRI, MR elastography and dual-energy X-ray absorptiometry (DXA). Regions of interest were drawn using the radiology interface from the central L1 to L4 vertebrae on fat and T2* maps from the PDFF sequence. ImageJ was used to measure abdominal compartment fat areas. Descriptive analyses, the intraclass correlation coefficient, and correlation results were obtained from anthropometric, adiposity, BMFF, and T2* measurements. Results: We recruited 23 adolescents with a body mass index > 85th percentile and mean age = 14.7 years (interval 12–17 years), and n = 18 (78%) were boys. BMFF and T2* measurements were successful in 100% of cases. The intra-operator reproducibility of the BMFF and T2* measurements was excellent: ICC = 0.99 (95% confidence interval (CI) [0.986; 0.999]) and ICC = 0.99 (95% CI [0.992; 0.999]), respectively. The inter-operator ICC was good for BMFF (ICC = 0.89; 95% CI [0.705; 0.963]) and moderate for T2* (ICC = 0.66; 95% CI [0.239; 0.873]). Only BMFF was inversely correlated with vertebral-bone mineral density (r = −0.67; p = 0.0009). However, T2* measurements showed a positive linear relationship with the total body fat tissue percentage measured by DXA (r = 0.48; p = 0.03) and the total abdominal fat area (r = 0.45; p = 0.04). Conclusions: PDFF could be a reliable imaging biomarker for bone health assessment in adolescents living with obesity. Full article

Background/Objective: One of the life stages that affects the consolidation of habits and health is the university stage. This transition to adulthood is associated with a decrease in physical activity, increasing the risk of cardiovascular disease. This study describes lifestyle habits related to physical activity level, diet quality, and body composition in nursing students and analyzes cardiovascular risk using the ABSI-z index. Methods: We conducted a cross-sectional study with 296 students from the Faculty of Nursing of Albacete (Spain). Physical activity was assessed via the IPAQ-SF. Body composition was measured by bioimpedance, from which BMI and ABSI-z scores were obtained as indicators of cardiovascular risk. The eating patterns of the participants were analyzed. Results/Discussion: The active students had significantly better body composition, with greater fat-free mass and muscle mass than the sedentary students, both in men (p = 0.037 and p = 0.046, respectively) and in women (p = 0.002 and p = 0.007). These findings corroborate evidence of the protective role of physical activity in maintaining metabolic health. The analysis of the ABSI-z score revealed different patterns in the distribution of body fat. High ABSI values were associated with greater abdominal girth (p < 0.001) and visceral fat (p < 0.001) in women, confirming its usefulness as an early marker of cardiovascular risk in university students. In contrast, the fulfillment of healthy dietary criteria was low, especially in the consumption of legumes (19%) and fish (25.9%). Conclusions: Regular physical activity is a determining factor in the body composition of university students, and ABSI is a good indicator of cardiovascular risk. Full article

Background: Feminizing adrenocortical tumors (FATs) are an exceedingly rare subset of adrenal neoplasms, typically affecting adult men and characterized by an excess of estrogen, suppressed gonadotropins, and gynecomastia. Most FATs are malignant, with a poor prognosis and a high risk of recurrence. Case Presentation: We report the case of a 24-year-old male with bilateral gynecomastia, abdominal mass symptoms, and one year of unexplained infertility. A hormonal evaluation revealed elevated estradiol (90.1 pg/mL) and suppressed ACTH (2.6 pg/mL), with inappropriately normal cortisol levels (12.1 µg/dL). Imaging identified a right adrenal mass. The patient underwent open adrenalectomy, and histopathology confirmed stage II adrenocortical carcinoma (T2NxM0) with autonomous estradiol secretion, negative margins, and a Ki-67 index of 10%. Postoperatively, gonadal function normalized, and infertility resolved at two months. The multidisciplinary tumor board considered but did not initiate adjuvant mitotane, given the completely resected low-stage disease. Conclusions: This case illustrates the rare presentation of feminizing adrenocortical carcinoma with reversible infertility and highlights the importance of early recognition and close surveillance. In addition, our literature review of 12 male cases reported between 2015 and 2025 emphasizes gynecomastia as the hallmark presentation and discusses emerging evidence supporting active surveillance as a potential alternative to adjuvant mitotane in selected low-risk patients. Full article

Metabolic syndrome (MetS) is a multifactorial clinical condition characterized by the co-occurrence of abdominal obesity, impaired glucose metabolism, high blood pressure, and dyslipidemia. Non-pharmacological strategies, such as hypocaloric diets (HD) and structured physical training (PT), have shown promise in improving metabolic and functional outcomes in this population. The aim of this prospective interventional study was to evaluate the effects of a 16-week program combining HD with PT on ventilatory efficiency and cardiometabolic risk markers in women with MetS. Forty-one sedentary women (aged 45–55 years) with clinically diagnosed MetS underwent anthropometric, metabolic, nutritional, and cardiopulmonary assessments before and after the intervention. Participants engaged in 60 min exercise sessions three times per week and followed a personalized hypocaloric diet targeting 5–10% weight loss. Post-intervention analyses revealed significant reductions (p ≤ 0.05) in body weight (from 86.6 kg ± 3.3 kg to 78.2 kg ± 3.3 kg), body fat percentage (40.1% ± 0.6% to 33.4% ± 1.6%), and waist circumference (105.1 cm ± 1.2 cm to 95.7 cm ± 1.9 cm). Improvements were also observed in fasting glucose (from 117.1 mg/dL to 95.1 mg/dL) and triglycerides (158.8 mg/dL ± 9.1 mg/dL to 111.8 mg/dL ± 9.1 mg/dL), and in lean mass percentage (59.9% ± 6.5% to 66.6% ± 1.7%). Cardiopulmonary variables showed enhanced ventilatory function, with increased VO₂peak (1.59 L/min ± 0.1 L/min to 1.74 ± 0.1 L/min), improved oxygen uptake efficiency slope (OUES), and a steeper VO₂/workload relationship. Resting heart rate and blood pressure declined significantly (69.9 bpm ± 2.0 bpm to 64.9 ± 1.8 bpm; 145.4 mmHg ± 3.9/80.2 ± 3.0 mmHg to 140.1 mmHg ± 2.7/75.2 ± 1.6 mmHg). In conclusion, the 16-week intervention combining HD with PT proved effective for reducing cardiometabolic risk factors and enhancing ventilatory efficiency, suggesting improved integration of oxygen uptake, transport, and utilization in the women with MetS assessed. Full article

The objective of this study was to assess the changes in adiponectin concentrations and inflammatory markers in men with abdominal obesity following physical exercise and exercise combined with dietary intervention. This study included 44 males with abdominal obesity (mean age 34.7 ± 5.5 years, waist circumference [WC] 110.3 ± 8.5, BMI 32.0 ± 3.9), who were randomly assigned to three groups: a control group without interventions (CG, n = 12), an experimental group engaging in aerobic-resistance exercise (EG, n = 16) and a group engaging in aerobic-resistance exercise combined with an ad libitum high-protein, low-glycemic index carbohydrate diet (EDG, n = 16). Body composition metrics: the body fat-, fat-free mass-, and abdominal fat-to body mass (BF/BM, FFM/BM, ABD/BM) indexes and the body adiposity index (BAI), along with biochemical blood analyses—adiponectin (ADIPO), interleukin-6 (IL-6), high-sensitivity C-reactive protein (hs-CRP), Castelli-II Index (CRI II) and fasting glucose–insulin (FG/I) ratio—were measured at baseline and after the intervention. The effects of the interventions on the analyzed variables across groups were assessed using mixed ANOVA tests with post hoc comparisons. Effect size (ES) was also calculated using partial eta squared (ηp²). The exercise intervention (EG) resulted in a significant reduction in the BAI (p < 0.01), insulin resistance FG/I (p < 0.02), and IL-6 concentrations (p < 0.01) and initiated an increase in ADIPO secretion (p = 0.03). The combined intervention (EDG) reduced the insulin resistance FG/I (p = 0.02) and atherogenic index CRI II (p = 0.01), decreased inflammatory markers IL-6 (p = 0.01) by 48% and hs-CRP (p = 0.04) by 30%, and simultaneously increased the ADIPO (p = 0.02) concentration by 15%. These effects were accompanied by significant changes in body composition: reductions in visceral fat ABD/BM (p < 0.01), total fat BF/BM (p < 0.01), and BAI (p = 0.02) and an increase in FFM/BM (p < 0.01). A crucial role in achieving these outcomes was played by dietary modifications, i.e., the inclusion of low-glycemic index carbohydrates (p < 0.01), a 23% increase in protein intake (p < 0.01), and a 50% increase in dietary fiber intake (p < 0.01), which consistently deepened the energy deficit (p < 0.01) and reduced fat intake (p < 0.01). These findings underscore that short-term interventions, whether exercise alone or combined with dietary modifications, can effectively reduce inflammation and lower insulin resistance in men with visceral obesity. However, the combined intervention, involving both exercise and dietary modifications, resulted in more pronounced beneficial changes in both body composition and concentrations of adipokines, inflammatory markers, and atherogenic indices and insulin resistance. Full article

Objectives: This study aimed to assess changes in anthropometric measures, cardiometabolic markers, and physical fitness following a structured basketball training program in healthy prepubertal boys. Methods: The intervention consisted of a 6-week pre-season phase followed by a 32-week basketball training season conducted during the academic year. Training sessions were held three times per week at moderate to vigorous intensity, along with a weekly match. The participants were assessed at baseline, 6, 9, and 12 months. A reference group was evaluated at baseline for comparison. The study was registered at ClinicalTrials.gov (identifier: NCT07007624). Results: Seventeen boys completed the program. Anthropometric assessments revealed increases in fat-free mass in the trunk and lower limbs, along with maintenance of an adequate BMI. After nine months, participants in the intervention showed significant improvements in fitness tests, including a 45% increase in Course Navette performance (p < 0.001), a 21% increase in horizontal jump performance (p = 0.001), and a 13% increase in abdominal test performance (p < 0.001). Conclusion: These findings suggest that a structured, school-based basketball program may enhance physical fitness and support healthy body composition maintenance in healthy-weight prepubertal boys. Full article

Cardiovascular diseases remain the leading cause of mortality worldwide, with multiple risk factors contributing to their development. Among these, obesity and hyperhomocysteinemia have been recognized as significant contributors to endothelial dysfunction, a key early event in the pathogenesis of atherosclerosis. Our study aimed to evaluate the relationship between total homocysteine (tHcy) levels and traditional cardiovascular risk factors in overweight and obese adolescents. We enrolled 42 obese, 14 overweight, and 25 non-obese children. No significant differences in tHcy levels were observed between overweight, obese, and non-obese adolescents. Homocysteine positively correlated with age (r = 0.433, p < 0.011) and creatinine concentrations (r = 0.363, p = 0.001) in the overall group of overweight, obese, and non-obese children, as well as in the combined group of overweight and obese children (for age: r = 0.275, p = 0.025; for creatinine: r = 0.278, p = 0.025). We did not find any association between homocysteine and atherogenic lipid profile, insulin-resistance status, blood pressure, and inflammatory parameters in overweight and obese patients. Age emerged as the strongest independent predictor of homocysteine levels. The observed association with creatine suggests a potential renal contribution to homocysteine metabolism. Full article

Background: The causation of type 2 diabetes remains under debate, but evidence supports both abdominal lipid and ectopic lipid overspill into tissues including muscle as key. How these depots differentially alter cardiometabolic profile and change during body weight and fat loss is not known. Methods: Women with obesity scheduled to undergo bariatric surgery were assessed at baseline (BL, n = 28) and at 6-month follow-up (6m_FU, n = 26) after weight loss. Fasting plasma (Pla), subcutaneous thigh adipose (STA), subcutaneous abdominal adipose, (SAA), and thigh vastus lateralis muscle (VLM) samples were collected at BL through surgery and at 6m_FU using needle biopsy. An untargeted liquid chromatography mass spectrometry metabolomics platform was used. Pla and tissue-specific lipid and polar metabolite profiles were modelled as changes from BL and 6m_FU. Results: There was significant body weight (−24.5 kg) loss at 6m_FU (p < 0.05). BL vs. 6m_FU tissue metabolomics profiles showed the largest difference in lipid profiles in SAA tissue in response to surgery. Conversely, polar metabolites were more susceptible to change in STA and VLM. In Pla samples, both lipid and polar metabolite profiles showed significant differences between timepoints. Jaccard–Tanimoto coefficient t-tests identified a sub-group of gut microbiome and dietary-derived omega-3-fatty-acid-containing lipid species and core energy metabolism and adipose catabolism-associated polar metabolites that are trafficked between sample types in response to bariatric surgery. Conclusions: In this first report on channelling of lipids and polar metabolites to alternative tissues in bariatric-induced weight loss, adaptive shuttling of small molecules was identified, further promoting adipose processing and highlighting the dynamic and coordinated nature of post-surgical metabolic regulation. Full article

Background: The waist–calf circumference ratio (WCR) is an index that combines waist and calf circumference measurements, offering a potentially effective method for evaluating the imbalance between abdominal fat and leg muscle mass in older adults. Objective: To assess the association between WCR and indicators of body composition, muscle strength, and physical performance in community-dwelling older women. Methods: This was a cross-sectional study involving 133 older women (≥65 years) from an urban-marginal community in Guayaquil, Ecuador. The WCR was categorized into quartiles (Q1: 2.07–2.57; Q2: 2.58–2.75; Q3: 2.76–3.05; Q4: 3.06–4.76). Body indicators included fat-free mass (FFM), skeletal muscle mass (SMM), appendicular muscle mass (ASM), appendicular muscle mass index (ASMI), visceral fat (VF), fat mass (FM), and fat mass index (FMI). Handgrip strength (HGS) and the Short Physical Performance Battery test (SPPB) score were used to assess muscle strength and function, respectively. Results: The median age of the participants was 75 [IQR: 65–82] years. The mean WCR was 2.92 ± 0.93. Statistically significant associations were found between WCR and VF (p < 0.001), WCR and SMM (p = 0.039), and WCR and ASM (p = 0.016). Regarding muscle function, WCR was associated with HGS (p = 0.025) and SPPB score (p = 0.029). Conclusions: A significant association was observed between WCR and body composition, and muscle strength and function in older women. Full article