Estrogen modulates metabolic risk profile after resistance training in early postmenopausal women: a randomized controlled trial.


Journal

Menopause (New York, N.Y.)
ISSN: 1530-0374
Titre abrégé: Menopause
Pays: United States
ID NLM: 9433353

Informations de publication

Date de publication:
01 11 2021
Historique:
entrez: 2 11 2021
pubmed: 3 11 2021
medline: 1 2 2022
Statut: ppublish

Résumé

Women experience an unhealthy change in metabolic risk profile at menopause. The purpose of the present study was to determine effects of resistance training with or without transdermal estrogen therapy (ET) on adipose tissue mass and metabolic risk profile in early postmenopausal women. A double-blinded randomized controlled trial, where healthy, untrained postmenopausal women were allocated to supervised resistance training with placebo (PLC, n = 16) or transdermal ET (n = 15) for 12 weeks. Endpoints with prespecified hypotheses were the change in total fat mass (FM) (main endpoint) and the change in visceral FM (secondary endpoint) from before to after the intervention. Additionally, prespecified endpoints of body composition, metabolic health-related blood markers, fat%, fat cell size, and lipogenic markers in subcutaneous adipose tissue (SAT) from abdominal and femoral region were explored. Compared with the ET group, the PLC group experienced a greater reduction (time × treatment interaction P < 0.05) in total FM (PLC vs ET: -5.6% vs -1.1%) and visceral FM (-18.6% vs -6.8%), and femoral SAT (-5.6% vs 1.0%), but not abdominal SAT mass (-8.5% vs -2.8%, P = 0.15).The ET group improved their metabolic blood profile by reduced low-density lipoprotein, glucose and hemoglobin A1c compared with PLC (time × treatment interaction P < 0.05). The intervention induced changes in lipolytic markers of abdominal SAT, whereas no changes were detected in femoral SAT. Use of transdermal ET reduced adipose tissue loss, but improved metabolic blood markers when combined with 12 weeks of progressive resistance training in early postmenopausal women.

Identifiants

pubmed: 34726661
doi: 10.1097/GME.0000000000001841
pii: 00042192-202111000-00005
doi:

Substances chimiques

Estrogens 0

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1214-1224

Informations de copyright

Copyright © 2021 by The North American Menopause Society.

Déclaration de conflit d'intérêts

Financial disclosure/conflicts of interest: None reported.

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Auteurs

Tine Vrist Dam (TV)

Section for Sport Science, Department of Public Health, Aarhus University, Aarhus, Denmark.

Line Barner Dalgaard (LB)

Section for Sport Science, Department of Public Health, Aarhus University, Aarhus, Denmark.

Christian Bejlegaard Thomsen (CB)

Section for Sport Science, Department of Public Health, Aarhus University, Aarhus, Denmark.

Rikke Hjortebjerg (R)

Medical Research Laboratory, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Steffen Ringgaard (S)

The MR Research Centre, Aarhus University Hospital, Aarhus, Denmark.

Frank Ted Johansen (FT)

Section for Sport Science, Department of Public Health, Aarhus University, Aarhus, Denmark.

Mads Bisgaard Bengtsen (MB)

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.

Maike Mose (M)

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.

Katrine Meyer Lauritsen (KM)

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Steno Diabetes Center Aarhus, Aarhus, Denmark.

Esben Søndergaard (E)

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Steno Diabetes Center Aarhus, Aarhus, Denmark.

Claus H Gravholt (CH)

Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Department of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark.

Mette Hansen (M)

Section for Sport Science, Department of Public Health, Aarhus University, Aarhus, Denmark.

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