Loss of Skeletal Muscle Mass and Intracellular Water as Undesired Outcomes of Weight Reduction in Obese Hyperglycemic Women: A Short-Term Longitudinal Study

Jolanta Zalejska-Fiolka, Anna Birková, Tomasz Wielkoszyński, Beáta Hubková, Beata Szlachta, Rafał Fiolka, Urszula Błaszczyk, Aleksandra Kuzan, Andrzej Gamian, Mária Mareková, Michał Toborek

Research output: Contribution to journalArticlepeer-review

Abstract

The current study is focused on the influence of hyperglycemia on weight loss in obese premenopausal women. Specifically, the study evaluated the impact of a six-month individualized low-calorie diet combined with moderate exercise on weight reduction and glucose metabolism in obese women with normoglycemia compared to obese women with moderate hyperglycemia. The results indicated that patients with normoglycemia achieved a successful weight loss, which was connected to a decrease in adipose tissue and reflected by diminished content of visceral fat area (VFA) and percent body fat. In contrast, weight reduction in patients with hyperglycemia was connected not only to the loss of VFA but also to undesired decrease in skeletal muscle mass as well as intracellular and total body water. These unfavorable outcomes were observed despite normalization of glucose metabolism reflected by statistically significant lowering glucose, fructosamine, advanced glycation end-products, and HOMA-IR levels. Overall, the obtained results indicate the importance of the measurement of the carbohydrate profile in obese women and the need for an early introduction of weight reduction strategies before the development of hyperglycemia.

Original languageEnglish (US)
Article number1001
JournalInternational journal of environmental research and public health
Volume19
Issue number2
DOIs
StatePublished - Jan 1 2022
Externally publishedYes

Keywords

  • Anthropometric parameters
  • Bioimpedance
  • Extracellular body water (ECW)
  • Free fat mass (FFM)
  • Hyper-glycemia
  • Intracellular body water (ICW)
  • Total body water (TBW)
  • Visceral fat area (VFA)
  • Weight loss

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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