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Body weight ( approximately 4.5 kg) and percent body fat ( approximately 5%) were decreased (P < 0.05) with the D and D+E intervention, while only percent body fat physiquetransformation ( approximately physiquetransformation 2.3%) decreased with EX. Total abdominal fat and sc adipose tissue (SAT) were reduced with the D and D+E interventions (P < 0.05), while visceral adipose tissue (VAT) decreased with the D+E and EX intervention, but not the D intervention. Exercise alone resulted in physiquetransformation a reduction in total abdominal fat, VAT, and SAT despite the lack of weight loss. The reductions in total abdominal fat and SAT explained 57.2% and 9.7%, respectively, of the variability in the changes in fasting glucose levels, while the reductions in VAT explained 15.9% of the changes in fasting insulin levels (P < 0.05). From the results it was concluded that modest weight loss, either through D or D+E, resulted in similar improvements in total abdominal fat, SAT and glycemic status in postmenopausal women with type 2 diabetes; however the addition of exercise to diet is necessary for VAT loss.
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