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Exercise physiology in internal diseases: obesity

Prof. dr. Dominique Hansen


dr. Charly Keytsman
Prof. dr. Chris Burtin
Physical fitness
 Lowered VO2peak?

 Not every obese person is deconditioned per se


 When expressing VO2peak in ml/min

 Every obese person is deconditioned


 When expressing VO2peak in ml/kg/min
Muscle function

Tanner CJ, et al. Am J Physiol 2002; 282: E1191


Muscle function

Biolo G, et al. Clin Nutr 2014; 33; 737


Muscle function

 Muscle overload during walking/running

 Increased RPE Borg especially during weight-


baring exercises
Muscle function

 Lowered fat oxidation capacity

Percentage of plasma free fatty acid (FFA) uptake oxidized during basal and exercise (50% maximum O2
consumption). *Significantly decreased in extremely obese and extremely obese subjects after weight reduction
(weight-reduced) compared with lean (P < 0.05).

Houmard J A Am J Physiol Regul Integr Comp Physiol 2008;294:R1111-R1116


Hormonal disturbances

Mittendorfer et al. Am J Physiol 2004


Hormonal disturbances

Vettor R, et al. Acta Diabetol 1997; 34: 61


Hormonal disturbances

Goodpaster B, et al. Obes Res 2002; 10: 575


Disturbed lipolysis

Cedric Moro
Adapted from: Hansen D, Exercise therapy in adult individuals with obesity. 2013, Nova Science Publishers, NY, USA
Adipocyte physiology
Disturbed lipolysis

Mittendorfer B, et al. Am J Physiol 2004; 286: E354


Cardiovascular disturbances

Adapted from: Hansen D, Exercise therapy in adult individuals with obesity. 2013, Nova Science Publishers, NY, USA
Gondoni et al. Nutr Metab Cardiovasc Dis 2008
Cardiovascular disturbances

Salvadori A, et al. J Clin Basic Cardiol 1999; 2: 229


Pulmonary disturbances

Santiago Lorenzo and Tony Babb


Adapted from: Hansen D, Exercise therapy in adult individuals with obesity. 2013, Nova Science Publishers, NY, USA
Pulmonary disturbances

Could lower PaO2 during exercise

Santiago Lorenzo and Tony Babb


Adapted from: Hansen D, Exercise therapy in adult individuals with obesity. 2013, Nova Science Publishers, NY, USA

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