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Thirty-three postmenopausal women (BMI: 34.6 +/- 1.9 kg/m2) were assigned to one of three interventions: a hypocaloric HMF diet alone, exercise alone (EX), and HMF D+E for 14 weeks. Aerobic capacity, body composition, abdominal fat distribution (magnetic resonance imaging), glucose tolerance and insulin sensitivity were measured pre and post intervention. Body weight ( approximately 4.5 kg) weight loss information and percent body fat ( approximately 5%) were decreased weight loss information (P weight loss information < 0.05) with the D and D+E intervention, while only percent body fat ( approximately 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 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%
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