Effect of Aerobic Exercise Training on Body Mass Index and Functional Performance in Diabesity Women under Intermittent Fasting 16/8 Protocol

Abstract
Background: The increased number of patients suffer from diabesity provoke the scientific researchers to deal with its complications either acute or chronic as well as increasing the debate about the effect of aerobic exercises with intermittent fasting 16/8 protocol in modulating this issue.
Aim of Study: The current study aimed to determine the effect of aerobic exercise on metabolic profile in diabesity patients under intermittent fasting16/8 protocol.
Material and Methods: Forty women diabesity patients with mean age 40.2±2.98 years old. They are diabetic since 5-7 years with class II obesity according to their Body Mass Index (BMI) classification and were assigned randomly using the sealed envelope method of randomization into two groups equal in number. Both groups were under controlled diet regimen with the protocol of intermittent fasting 16/8. Group
A performed treadmill aerobic exercise for 3 times/week during the fasting period (window) with intensity of 40-60% of the Maximum Heart Rate (MHR) for 12 weeks & Group
B performed treadmill aerobic exercise for 3 times/week during the eating period (window). According to training intensity with 40-60% of maximum heart rate for 12 weeks participated in the study BMI, Glycosylated hemoglobin (HbA1c) and 6 minute walk test were used for assessment at baseline and after 12 weeks of training.
Results: The results revealed that there was significant reduction of BMI in Group A (9.19%) and Group B (7.12%), and in HbA1c Group A (20.7%) and Group B (13.91%) and significant increase of 6 MWT in Group A (23.8%) and Group B (18.36%) in compare to pre-treatment in both groups. Unpaired t-test revealed that there was significant difference of the mean values of the "post" test between both groups in HbA1c and 6 MWT. This significant difference in favor to Group A than Group B. There was no statistical difference between both groups of the mean values of the "post" test in BMI.
Conclusion: Intermittent fasting 16/8 protocol with con-trolled diet regimen and treadmill aerobic exercise for 3 times/ week during the fasting period is the best way to decrease body weight, controlling blood glucose and enhance functional performance in diabesity women.