Scientists know that the type of fat you can measure with a tape isn't the most dangerous.But what is the most effective way to fight internal,visceral fat that you cannot see or feel?The answer:exercise.

　　科學(xué)家們知道外在的由尺子測量出來的肥胖并不是最可怕的，那對抗腹部肥胖(就是那些感覺不到看不到的內(nèi)臟脂肪)最有效的方式到底是什么呢?

　　答案就是：運(yùn)動。()——我也要好好運(yùn)動了。

　　西南醫(yī)學(xué)中心的研究人員分析了兩種類型的干預(yù)措施

　　Researchers at UT Southwestern Medical Center analyzed two types of interventions--lifestyle modification(exercise)and pharmacological(medicine)--to learn how best to defeat fat lying deep in the belly.The study is published in Mayo Clinic Proceedings.

　　西南醫(yī)學(xué)中心的研究人員分析了兩種類型的干預(yù)措施——生活方式的改變和藥物使用——來了解如何更好的減少腹部脂肪的堆積。

　　這項(xiàng)研究的結(jié)果發(fā)表在Mayo Clinic Proceedings上面。

　　"Visceral fat can affect local organs or the entire body system.Systemically it can affect your heart and liver,as well as abdominal organs,"said senior author and cardiologist Dr.Ian J.Neeland,Assistant Professor of Internal Medicine."When studies use weight or body mass index as a metric,we don't know if the interventions are reducing fat everywhere in the body,or just near the surface."

　　內(nèi)臟脂肪可以影響局部器官功能甚至整個(gè)身體系統(tǒng)的功能。他可以影響你的心臟、肝臟甚至你的腹部器官。內(nèi)科醫(yī)學(xué)助理Ian J.Neeland博士說，當(dāng)我們使用體重或者BMI作為衡量指標(biāo)時(shí)，我們很難清楚地了解到我們到底是減少了哪里的脂肪，或者我們

　　To find out,the researchers evaluated changes in visceral fat in 3,602 participants over a 6-month period measured by a CT or MRI exam.Both exercise and medicines resulted in less visceral fat,but the reductions were more significant per pound of body weight lost with exercise.

　　為了搞清楚，研究者利用CT或MRI隨訪了3602名志愿者6個(gè)月來檢測他們腹部脂肪的變化。運(yùn)動和使用藥物都可與減少腹部脂肪，不過每公斤下降的體重中脂肪運(yùn)動

　　"The location and type of fat is important.If you just measure weight or BMI,you can underestimate the benefit to your health of losing weight,"said Dr.Neeland,a Dedman Family Scholar in Clinical Care."Exercise can actually melt visceral fat."

　　脂肪生成的部位和類型很重要，如果你只是稱體重或者計(jì)算BMI，你可能會低估減重對你身體的益處。運(yùn)動確實(shí)可以“溶掉”你的腹部脂肪。

　　Participants in exercise trials were 65 percent female,with a mean age of 54 and mean BMI at enrollment of 31.Exercise regimens were monitored,not self-reported.The majority of exercise trials were performed in the U.S.and Canada,while pharmacologic trials included the U.S.,Canada,Sweden,Japan,and four multinational cohorts.

　　參與運(yùn)動組的志愿者65%是女性，平均年齡54歲，BMI的平均值是31.參與運(yùn)動組的志愿者65%是女性，平均年齡54歲，BMI的平均值是31.運(yùn)動方案由系統(tǒng)檢測，并非志愿者自我上報(bào)，這樣就減少了偏差。大多數(shù)的運(yùn)動干預(yù)試驗(yàn)在美國和加拿大進(jìn)行，而藥物試驗(yàn)部分則安排在美國，加拿大，瑞典，日本和四個(gè)多中心試驗(yàn)組。

　　The medications used by study participants were FDA approved or in the FDA approval pipeline.

　　研究參與者使用的藥物是FDA已批準(zhǔn)或者正在申請獲批中的。

　　According to the Centers for Disease Control and Prevention,obesity affects nearly 40 percent of adult Americans.Dr.Neeland said researchers previously thought of fat as inert storage,but over the years this view evolved and fat is now seen as an active organ."Some people who are obese get heart disease,diabetes,or metabolic syndrome--and others don't,"Dr.Neeland said."Our study suggests that a combination of approaches can help lower visceral fat and potentially prevent these diseases."

　　根據(jù)疾病防控中心的數(shù)據(jù)，美國有40%成年人身體肥胖。

　　Neeland博士說，研究人員以前認(rèn)為脂肪是惰性物質(zhì)，但多年來這種觀點(diǎn)逐漸發(fā)展，脂肪現(xiàn)在被視為一種活躍的器官�！耙恍┓逝值娜嘶加行呐K病，糖尿病或代謝綜合癥-而其他人則沒有，”德博士說�！拔覀兊难芯勘砻鳎�多種方法可以幫助降低人體內(nèi)臟脂肪，并有可能預(yù)防上面這些疾病�！�

　　Other UT Southwestern researchers who contributed to this work include Dr.Shreya Rao,cardiology fellow;Dr.Ambarish Pandey,Assistant Professor of Internal Medicine;Dr.Bryan Park,internal medicine resident;Helen Mayo,Faculty Associate;Dr.Dharam Kumbhani,Associate Professor of Internal Medicine;and Dr.James A.de Lemos,Professor of Internal Medicine.Dr.de Lemos holds the Sweetheart Ball-Kern Wildenthal,M.D.,Ph.D.,Distinguished Chair in Cardiology.

　　為這項(xiàng)工作做出貢獻(xiàn)的其他UT西南研究人員包括心臟病學(xué)研究員Shreya Rao博士;內(nèi)科醫(yī)學(xué)助理教授Ambarish Pandey博士;內(nèi)科住院醫(yī)師Bryan Park醫(yī)生;教師助理Helen Mayo，;內(nèi)科副教授Dharam Kumbhani博士;和內(nèi)科學(xué)教授James A.de Lemos博士。de Lemos博士帶領(lǐng)著碩士Sweetheart Ball-博士Kern Wildenthal，他們都是杰出心臟病學(xué)教授。

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