Thursday, October 28, 2010

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Bellies?! .. I'm not all the same!

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prediabetic A Metabolic Epatodigestivo B C D Colico
Figure 1: different types of accumulation of abdominal fat nell'androide



A cura di Alessandro De Vettor


Quante volte capita di vedere, su uomini e donne indistintamente, “pancette” o pance più o meno prominenti di diversa consistenza, volume e struttura? Ebbene, ognuna di loro potrebbe avere fattori eziologici differenti. Di seguito analizzeremo più da vicino le loro peculiarità e cause, per proporre in articoli successivi alcuni utili accorgimenti da seguire in palestra per il loro trattamento.

L’accumulo di grasso addominale è una caratteristica tipica del biotipo androide. Iniziamo quindi ad identificare i diversi tipi di accumulo adiposo viscerale nei vari biotipi androidi (Figura 1):


Fonte: Dr. Crescenzo M. Muto www.crescenzomuto.it

prediabetic type A:

It shows a large intake of fat in the abdomen, mostly flabby and bulky. Often, after a careful evaluation by the physician through specific tests (blood glucose, insulin, glycated hemoglobin, cortisol, testosterone, C-reactive protein), you establish a diagnosis of insulin resistance. We are therefore faced with an accumulation of fat from "hyperinsulinism", which may worsen if concomitant with elevated serum cortisol. This event, reflecting the lowering of circulating free testosterone levels, would further increase the predisposition to the accumulation of body fat, reducing the lean. Power and the coach must be customized in close collaboration between physician and personal trainer in order to educate the body to insulin sensitivity.

epatodigestivo Type B:

It has a protruding abdomen, dilated, with the presence of fat tends to compact the more flaccid. It 'a characteristic of people suffering from problems in the liver. It is therefore essential to know the eating habits of the subject (for example, makes regular use of alcohol) and check the health of the liver through appropriate examinations (ultrasound liver transaminases, alkaline phosphatase, gamma GT, bilirubin, etc.). It is not a situation of easy to manage as it was originally an excessive overload and fatigue the body is contraindicated in training in the gym, because it could have an adverse effect on the hepatic system. It is therefore recommended calistenici exercises, stretching and breathing. The weight training should be inserted only after a real improvement of the clinical picture, must be lightweight, and in any case devoid of poly-articular movements and working directly on the abdominals.


The metabolic type C:

a clear flaccid fat, typical of the man who is fed incorrectly. Usually there are alterations in blood indicators related conditions of distress or impairment of insulin resistance, nor alterations in hormonal profiles. You can see occasional cases of hypercholesterolemia. In this case you do not need any special device training. This can be varied in the exercises and methodology, aimed at weight loss is that the muscle tone. Obviously, the diet must be appropriate to the improvement in the relationship of body composition body fat / lean in favor of the latter.



The colicky D:

presents a tense abdomen and massive, which more than a "bacon fat" is result of particular conditions, such as bloating and flatulence. This particular symptom is typical of individuals suffering from disorders of the intestinal apparatus, such as "irritable bowel syndrome," and all those back in inflammatory bowel disease (ulcerative colitis, Crohn's disease, diverticulitis). It is also associated with Celiac disease and, less dramatically, to all those who have food intolerances. Again, to talk about "abdominal colic" is necessary for the medical diagnosis is established through specific surveys which establish the actual inflammation (blood indices of inflammation and eventual endoscopy and biopsy) and / or intolerances. It is recommended to supplement training in the gym with diaphragmatic breathing exercises and yoga techniques to promote relaxation. The grading food is very important in maintaining a distended abdomen, relaxed, without those irritating foods and / or intolerant.

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