Endothelial Function Increases after a 16-Week Diet and Exercise Intervention in Overweight and Obese Young Women

Weight loss improves endothelial function in overweight individuals. The effects of weight loss through combined aerobic and resistance training and caloric restriction on in vivo vascular measures and blood markers associated with the regulation of endothelial function have not been comprehensively examined. Therefore, we investigated brachial artery endothelial function and potential regulatory blood markers in twenty overweight women (30.3 +/- 2.0 years) who participated in 16 weeks of aerobic (5 d/wk) and resistance training (2 d/wk) (combined: >= 250 kcal/d) and caloric restriction (-500 kcal/d versus requirement). Resting brachial artery flow mediated dilation (FMD) and circulating endothelin-1 (ET-1) and interleukin-6 (IL-6) were assessed at baseline and following the intervention. Relative and absolute FMD increased (before: 4.0 +/- 0.5% versus after: 6.9 +/- 0.6%, P < 0.05, and before: 0.14 +/- 0.02 mm versus after: 0.23 +/- 0.02 mm, P < 0.05, resp.), while body mass decreased (before: 86.9 +/- 2.4 kg versus after: 81.1 +/- 2.4 kg, P < 0.05) following the intervention. There were no changes in either blood marker (IL-6: before: 1.5 +/- 0.2 pg/mL versus after: 1.5 +/- 0.1 pg/mL, P > 0.05, and ET-1: before: 0.55 +/- 0.05 pg/mL versus after: 0.59 +/- 0.09 pg/mL, P > 0.05). 16 weeks of combined aerobic/resistance training and diet-induced weight loss improved endothelial function in overweight and obese young women, but this increase was not associated with changes in blood markers of vasoconstriction or inflammation.