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Although, it appears the effects of physical training on insulin sensitivity may be related to exercise's effects on adiposity (50, 48). Tremblay, A. et al. conducted a study to evaluate the additive athletic performance effect of exercise and a low fat diet on body weight, body composition, and metabolic profile in obese women. At the conclusion of the study, the subjects were still overweight, but their plasma glucose and insulin during an oral glucose tolerance test were similar to values obtained in a sample non-obese women. Furthermore, plasma lipid and lipoprotein levels athletic performance were found to be normal with the exception of athletic performance plasma apo B and HDL-C levels. The researchers concluded that aerobic exercise training and a low fat diet can normalize the metabolic profile of obese women, even if their adiposity remains higher than that of lean women (51).
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