Effects of Weighted Hula-Hooping Compared to Walking on Abdominal Fat, Trunk Muscularity, and Metabolic Parameters in Overweight Subjects: A Randomized Controlled Study

Background: Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown. Objectives: To determine effects of hula-hooping and walking matched for energy expenditure on android fat %, trunk muscle mass, a...

Full description

Saved in:
Bibliographic Details
Published inObesity facts Vol. 12; no. 4; pp. 385 - 396
Main Authors Lahelma, Mari, Sädevirta, Sanja, Lallukka-Brück, Susanna, Sevastianova, Ksenia, Mustelin, Linda, Gylling, Helena, Rockette-Wagner, Bonny, Kriska, Andrea M., Yki-Järvinen, Hannele
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.09.2019
Karger Publishers
Subjects
Online AccessGet full text
ISSN1662-4025
1662-4033
1662-4033
DOI10.1159/000500572

Cover

Abstract Background: Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown. Objectives: To determine effects of hula-hooping and walking matched for energy expenditure on android fat %, trunk muscle mass, and metabolic parameters in a randomized cross-over study. Design: We recruited 55 overweight nondiabetic subjects, who were randomized to hula-hooping (HULA) for 6 weeks using a 1.5-kg weighted hula-hoop followed by walking (WALK) for another 6 weeks or vice versa. The increments in energy expenditure were similar by HULA and WALK. Body composition (dual-energy X-ray absorptiometry) and metabolic parameters were measured at baseline and after HULA and WALK. The primary endpoint was the change in fat % in the android region. Results: A total of 53subjects (waist 92 ± 1 cm, body mass index 28 ± 1 kg/m 2 ) completed the study. Body weight changed similarly (–0.6 ± 0.2 vs. –0.5 ± 0.2 kg, nonsignificant; HULA vs. WALK). During the intervention the subjects hula-hooped on average 12.8 ± 0.5 min/day and walked 9,986 ± 376 steps/day. The % fat in the android region decreased significantly by HULA but not by WALK (between-group change p < 0.001). Trunk muscle mass increased more by HULA than by WALK (p < 0.05). Waist circumference decreased more by HULA than by WALK (–3.1 ± 0.3 cm vs. –0.7 ± 0.4 cm, p < 0.001; HULA vs. WALK). WALK but not HULA significantly lowered systolic blood pressure and increased HDL cholesterol while HULA significantly decreased LDL cholesterol. Conclusions: Hula-hooping with a weighted hula-hoop can be used to decrease abdominal fat % and increase trunk muscle mass in overweight subjects. Its LDL lowering effect resembles that described for resistance training.
AbstractList Background: Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown. Objectives: To determine effects of hula-hooping and walking matched for energy expenditure on android fat %, trunk muscle mass, and metabolic parameters in a randomized cross-over study. Design: We recruited 55 overweight nondiabetic subjects, who were randomized to hula-hooping (HULA) for 6 weeks using a 1.5-kg weighted hula-hoop followed by walking (WALK) for another 6 weeks or vice versa. The increments in energy expenditure were similar by HULA and WALK. Body composition (dual-energy X-ray absorptiometry) and metabolic parameters were measured at baseline and after HULA and WALK. The primary endpoint was the change in fat % in the android region. Results: A total of 53subjects (waist 92 ± 1 cm, body mass index 28 ± 1 kg/m2) completed the study. Body weight changed similarly (–0.6 ± 0.2 vs. –0.5 ± 0.2 kg, nonsignificant; HULA vs. WALK). During the intervention the subjects hula-hooped on average 12.8 ± 0.5 min/day and walked 9,986 ± 376 steps/day. The % fat in the android region decreased significantly by HULA but not by WALK (between-group change p < 0.001). Trunk muscle mass increased more by HULA than by WALK (p < 0.05). Waist circumference decreased more by HULA than by WALK (–3.1 ± 0.3 cm vs. –0.7 ± 0.4 cm, p < 0.001; HULA vs. WALK). WALK but not HULA significantly lowered systolic blood pressure and increased HDL cholesterol while HULA significantly decreased LDL cholesterol. Conclusions: Hula-hooping with a weighted hula-hoop can be used to decrease abdominal fat % and increase trunk muscle mass in overweight subjects. Its LDL lowering effect resembles that described for resistance training.
Background: Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown. Objectives: To determine effects of hula-hooping and walking matched for energy expenditure on android fat %, trunk muscle mass, and metabolic parameters in a randomized cross-over study. Design: We recruited 55 overweight nondiabetic subjects, who were randomized to hula-hooping (HULA) for 6 weeks using a 1.5-kg weighted hula-hoop followed by walking (WALK) for another 6 weeks or vice versa. The increments in energy expenditure were similar by HULA and WALK. Body composition (dual-energy X-ray absorptiometry) and metabolic parameters were measured at baseline and after HULA and WALK. The primary endpoint was the change in fat % in the android region. Results: A total of 53subjects (waist 92 ± 1 cm, body mass index 28 ± 1 kg/m 2 ) completed the study. Body weight changed similarly (–0.6 ± 0.2 vs. –0.5 ± 0.2 kg, nonsignificant; HULA vs. WALK). During the intervention the subjects hula-hooped on average 12.8 ± 0.5 min/day and walked 9,986 ± 376 steps/day. The % fat in the android region decreased significantly by HULA but not by WALK (between-group change p < 0.001). Trunk muscle mass increased more by HULA than by WALK (p < 0.05). Waist circumference decreased more by HULA than by WALK (–3.1 ± 0.3 cm vs. –0.7 ± 0.4 cm, p < 0.001; HULA vs. WALK). WALK but not HULA significantly lowered systolic blood pressure and increased HDL cholesterol while HULA significantly decreased LDL cholesterol. Conclusions: Hula-hooping with a weighted hula-hoop can be used to decrease abdominal fat % and increase trunk muscle mass in overweight subjects. Its LDL lowering effect resembles that described for resistance training.
Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown. To determine effects of hula-hooping and walking matched for energy expenditure on android fat %, trunk muscle mass, and metabolic parameters in a randomized cross-over study. We recruited 55 overweight nondiabetic subjects, who were randomized to hula-hooping (HULA) for 6 weeks using a 1.5-kg weighted hula-hoop followed by walking (WALK) for another 6 weeks or vice versa. The increments in energy expenditure were similar by HULA and WALK. Body composition (dual-energy X-ray absorptiometry) and metabolic parameters were measured at baseline and after HULA and WALK. The primary endpoint was the change in fat % in the android region. A total of 53subjects (waist 92 ± 1 cm, body mass index 28 ± 1 kg/m2) completed the study. Body weight changed similarly (-0.6 ± 0.2 vs. -0.5 ± 0.2 kg, nonsignificant; HULA vs. WALK). During the intervention the subjects hula-hooped on average 12.8 ± 0.5 min/day and walked 9,986 ± 376 steps/day. The % fat in the android region decreased significantly by HULA but not by WALK (between-group change p < 0.001). Trunk muscle mass increased more by HULA than by WALK (p < 0.05). Waist circumference decreased more by HULA than by WALK (-3.1 ± 0.3 cm vs. -0.7 ± 0.4 cm, p < 0.001; HULA vs. WALK). WALK but not HULA significantly lowered systolic blood pressure and increased HDL cholesterol while HULA significantly decreased LDL cholesterol. Hula-hooping with a weighted hula-hoop can be used to decrease abdominal fat % and increase trunk muscle mass in overweight subjects. Its LDL lowering effect resembles that described for resistance training.
Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown.BACKGROUNDWeighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown.To determine effects of hula-hooping and walking matched for energy expenditure on android fat %, trunk muscle mass, and metabolic parameters in a randomized cross-over study.OBJECTIVESTo determine effects of hula-hooping and walking matched for energy expenditure on android fat %, trunk muscle mass, and metabolic parameters in a randomized cross-over study.We recruited 55 overweight nondiabetic subjects, who were randomized to hula-hooping (HULA) for 6 weeks using a 1.5-kg weighted hula-hoop followed by walking (WALK) for another 6 weeks or vice versa. The increments in energy expenditure were similar by HULA and WALK. Body composition (dual-energy X-ray absorptiometry) and metabolic parameters were measured at baseline and after HULA and WALK. The primary endpoint was the change in fat % in the android region.DESIGNWe recruited 55 overweight nondiabetic subjects, who were randomized to hula-hooping (HULA) for 6 weeks using a 1.5-kg weighted hula-hoop followed by walking (WALK) for another 6 weeks or vice versa. The increments in energy expenditure were similar by HULA and WALK. Body composition (dual-energy X-ray absorptiometry) and metabolic parameters were measured at baseline and after HULA and WALK. The primary endpoint was the change in fat % in the android region.A total of 53subjects (waist 92 ± 1 cm, body mass index 28 ± 1 kg/m2) completed the study. Body weight changed similarly (-0.6 ± 0.2 vs. -0.5 ± 0.2 kg, nonsignificant; HULA vs. WALK). During the intervention the subjects hula-hooped on average 12.8 ± 0.5 min/day and walked 9,986 ± 376 steps/day. The % fat in the android region decreased significantly by HULA but not by WALK (between-group change p < 0.001). Trunk muscle mass increased more by HULA than by WALK (p < 0.05). Waist circumference decreased more by HULA than by WALK (-3.1 ± 0.3 cm vs. -0.7 ± 0.4 cm, p < 0.001; HULA vs. WALK). WALK but not HULA significantly lowered systolic blood pressure and increased HDL cholesterol while HULA significantly decreased LDL cholesterol.RESULTSA total of 53subjects (waist 92 ± 1 cm, body mass index 28 ± 1 kg/m2) completed the study. Body weight changed similarly (-0.6 ± 0.2 vs. -0.5 ± 0.2 kg, nonsignificant; HULA vs. WALK). During the intervention the subjects hula-hooped on average 12.8 ± 0.5 min/day and walked 9,986 ± 376 steps/day. The % fat in the android region decreased significantly by HULA but not by WALK (between-group change p < 0.001). Trunk muscle mass increased more by HULA than by WALK (p < 0.05). Waist circumference decreased more by HULA than by WALK (-3.1 ± 0.3 cm vs. -0.7 ± 0.4 cm, p < 0.001; HULA vs. WALK). WALK but not HULA significantly lowered systolic blood pressure and increased HDL cholesterol while HULA significantly decreased LDL cholesterol.Hula-hooping with a weighted hula-hoop can be used to decrease abdominal fat % and increase trunk muscle mass in overweight subjects. Its LDL lowering effect resembles that described for resistance training.CONCLUSIONSHula-hooping with a weighted hula-hoop can be used to decrease abdominal fat % and increase trunk muscle mass in overweight subjects. Its LDL lowering effect resembles that described for resistance training.
Author Lahelma, Mari
Sevastianova, Ksenia
Rockette-Wagner, Bonny
Yki-Järvinen, Hannele
Sädevirta, Sanja
Lallukka-Brück, Susanna
Mustelin, Linda
Gylling, Helena
Kriska, Andrea M.
AuthorAffiliation a Minerva Foundation Institute for Medical Research, Helsinki, Finland
c Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
b Department of Medicine, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
AuthorAffiliation_xml – name: c Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
– name: a Minerva Foundation Institute for Medical Research, Helsinki, Finland
– name: b Department of Medicine, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
Author_xml – sequence: 1
  givenname: Mari
  surname: Lahelma
  fullname: Lahelma, Mari
  email: mari.lahelma@helsinki.fi
– sequence: 2
  givenname: Sanja
  surname: Sädevirta
  fullname: Sädevirta, Sanja
– sequence: 3
  givenname: Susanna
  surname: Lallukka-Brück
  fullname: Lallukka-Brück, Susanna
– sequence: 4
  givenname: Ksenia
  surname: Sevastianova
  fullname: Sevastianova, Ksenia
– sequence: 5
  givenname: Linda
  surname: Mustelin
  fullname: Mustelin, Linda
– sequence: 6
  givenname: Helena
  surname: Gylling
  fullname: Gylling, Helena
– sequence: 7
  givenname: Bonny
  surname: Rockette-Wagner
  fullname: Rockette-Wagner, Bonny
– sequence: 8
  givenname: Andrea M.
  surname: Kriska
  fullname: Kriska, Andrea M.
– sequence: 9
  givenname: Hannele
  surname: Yki-Järvinen
  fullname: Yki-Järvinen, Hannele
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31216547$$D View this record in MEDLINE/PubMed
BookMark eNp9kt9v0zAQxyM0xH7AA-8IWeIF0Mpsx0kaHpCqamOTNg2xoT1aF_vcuXPj4jibyl_En4m7lopNE5KlXC6f-973ct7NtlrfYpa9ZvQTY0V9QCkt0qn4s2yHlSUfCJrnW5uYF9vZbtdNKS2ZqNiLbDtnnJWFqHay34fGoIod8YZcoZ1cR9TkuHcwOPZ-btsJGfvZHELKRk-uwN0sc74lo0b7mW3BkSOI--Qy9O0NOes7lWqDjYt9Aq0mZxih8c4q8g0CzDBi6Ihtyfkthrv7duSib6ZLB5_JiHxPNUn1V-o29m0M3rkUXsReL15mzw24Dl-tn3vZj6PDy_Hx4PT868l4dDpQxbCIgxpFznSOwjRUMz0UpoIUsBqNMKYBgTQvIL3wcsh5SZHyUqmqBsUrpBXme9nJSld7mMp5sDMIC-nByvuEDxMJIVrlUNbc6FIPURmmBArd5HnJa1aYRtdYIE9aH1dafTuHxR04txFkVC5XJzerS_CXFTzvmxlqhWl-cA8cPPzS2ms58beyrIphxUQSeL8WCP5nj12UM9spdA5a9H0nOReC5Wn8PKHvHqFT34e0zETlyc6wKiuWqLf_OtpY-Xt7EnCwAlTwXRfQSGUjRLtcHVj35JAfHlX874esTd5AmGDYkOdHoxUh59ok6s2T1FrkDxuv-do
CitedBy_id crossref_primary_10_1016_j_gerinurse_2023_02_011
crossref_primary_10_3389_fphys_2020_565573
crossref_primary_10_31004_obsesi_v6i5_1912
crossref_primary_10_1097_MOP_0000000000001187
crossref_primary_10_1080_00365521_2022_2113130
crossref_primary_10_12968_gasn_2019_17_Sup10_S12
Cites_doi 10.1080/02640410470001730089
10.1016/S0828-282X(08)71046-8
10.1016/j.humov.2008.02.018
10.1096/fj.00-0249com
10.1111/j.1365-2125.1979.tb05903.x
10.1093/ajcn/51.6.1106
10.1172/JCI106277
10.1519/JSC.0000000000000653
10.1186/s12944-017-0515-5
10.1016/j.ypmed.2008.10.010
10.1017/S0007114500000982
10.1146/annurev.pu.13.050192.000531
10.1089/jwh.2004.13.1148
10.1016/S2213-8587(14)70032-4
10.3945/ajcn.111.012369
10.1056/NEJMoa033179
10.1016/j.jhep.2010.05.037
10.1038/sj.ijo.0800467
10.1053/j.gastro.2009.06.005
10.1186/1741-7015-10-138
10.1007/s40279-013-0110-5
10.1016/S0009-9120(02)00320-X
10.1152/japplphysiol.01370.2011
ContentType Journal Article
Copyright 2019 The Author(s) Published by S. Karger AG, Basel
2019 The Author(s) Published by S. Karger AG, Basel.
Copyright © 2019 by S. Karger AG, Basel 2019
Copyright_xml – notice: 2019 The Author(s) Published by S. Karger AG, Basel
– notice: 2019 The Author(s) Published by S. Karger AG, Basel.
– notice: Copyright © 2019 by S. Karger AG, Basel 2019
DBID M--
AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
3V.
7WY
7X7
7XB
883
88E
8FI
8FJ
8FK
8FL
8G5
ABUWG
AFKRA
AZQEC
BENPR
BEZIV
CCPQU
DWQXO
FRNLG
FYUFA
GHDGH
GNUQQ
GUQSH
K60
K6~
K9.
M0F
M0S
M1P
M2O
MBDVC
PADUT
PHGZM
PHGZT
PJZUB
PKEHL
PPXIY
PQBIZ
PQBZA
PQEST
PQQKQ
PQUKI
PRINS
PYYUZ
Q9U
7X8
5PM
ADTOC
UNPAY
DOA
DOI 10.1159/000500572
DatabaseName Karger Open Access Journals
CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
ProQuest Central (Corporate)
ABI/INFORM Collection
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
ABI/INFORM Trade & Industry (Alumni)
Medical Database (Alumni Edition)
ProQuest Hospital Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ABI/INFORM Collection (Alumni)
Research Library (Alumni)
ProQuest Central (Alumni)
ProQuest Central UK/Ireland
ProQuest Central Essentials
ProQuest Central
Business Premium Collection
ProQuest One
ProQuest Central Korea
Business Premium Collection (Alumni)
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Central Student
ProQuest Research Library
ProQuest Business Collection (Alumni Edition)
ProQuest Business Collection
ProQuest Health & Medical Complete (Alumni)
ABI/INFORM Trade & Industry
Health & Medical Collection (Alumni)
Medical Database
Research Library
Research Library (Corporate)
Research Library China
ProQuest Central Premium
ProQuest One Academic (New)
ProQuest Health & Medical Research Collection
ProQuest One Academic Middle East (New)
ProQuest One Health & Nursing
ProQuest One Business
ProQuest One Business (Alumni)
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central China
ABI/INFORM Collection China
ProQuest Central Basic
MEDLINE - Academic
PubMed Central (Full Participant titles)
Unpaywall for CDI: Periodical Content
Unpaywall
DOAJ - Directory of Open Access Journals (Some content may be blocked by TCTC IT security protocols)
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
ProQuest Business Collection (Alumni Edition)
ProQuest One Business
Research Library Prep
ProQuest Central Student
ProQuest One Academic Middle East (New)
ProQuest Central Essentials
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest One Health & Nursing
Research Library (Alumni Edition)
ProQuest Central China
ABI/INFORM Complete
ProQuest Central
Health Research Premium Collection
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
Health & Medical Research Collection
ProQuest Research Library
ProQuest Central (New)
Research Library China
ProQuest Medical Library (Alumni)
ABI/INFORM Complete (Alumni Edition)
Business Premium Collection
ABI/INFORM Trade & Industry (Alumni Edition)
ProQuest Central Basic
ProQuest One Academic Eastern Edition
ABI/INFORM China
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Business Collection
ProQuest Hospital Collection (Alumni)
ProQuest Health & Medical Complete
ProQuest Medical Library
ProQuest One Academic UKI Edition
ProQuest One Business (Alumni)
ABI/INFORM Trade & Industry
ProQuest One Academic
ProQuest One Academic (New)
ProQuest Central (Alumni)
Business Premium Collection (Alumni)
MEDLINE - Academic
DatabaseTitleList CrossRef

MEDLINE
MEDLINE - Academic

ProQuest Business Collection (Alumni Edition)
Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
– sequence: 4
  dbid: UNPAY
  name: Unpaywall
  url: https://proxy.k.utb.cz/login?url=https://unpaywall.org/
  sourceTypes: Open Access Repository
– sequence: 5
  dbid: M--
  name: Karger Open Access Journals
  url: https://www.karger.com/OpenAccess
  sourceTypes:
    Enrichment Source
    Publisher
– sequence: 6
  dbid: BENPR
  name: ProQuest Central
  url: http://www.proquest.com/pqcentral?accountid=15518
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1662-4033
EndPage 396
ExternalDocumentID oai_doaj_org_article_92fd6d8ecf1c4e4db3362915fbd9e5e2
10.1159/000500572
PMC6758714
31216547
10_1159_000500572
500572
Genre Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Journal Article
GroupedDBID ---
0R~
0~B
123
3O.
3V.
4.4
53G
5VS
7WY
7X7
883
88E
8FI
8FJ
8FL
8G5
AAKDD
AAYIC
ABPAZ
ABUWG
ACGFS
ADBBV
AENEX
AEYAO
AFKRA
AHMBA
ALDHI
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AOIJS
AZQEC
BCNDV
BENPR
BEZIV
BPHCQ
BVXVI
CCPQU
CS3
CYUIP
DU5
DWQXO
E0A
EBS
EJD
EMOBN
F5P
FB.
FRNLG
FYUFA
GNUQQ
GROUPED_DOAJ
GUQSH
HMCUK
HYE
HZ~
IAO
IHR
IHW
K60
K6~
KQ8
KUZGX
M--
M0F
M1P
M2O
N9A
O1H
O9-
OK1
PADUT
PQBIZ
PQBZA
PQQKQ
PROAC
PSQYO
RIG
RKO
RNS
RPM
UJ6
UKHRP
AAYXX
ABBTS
ABWCG
AFJJK
AHFRZ
AZPMC
CAG
CITATION
COF
IPNFZ
ITC
OVD
PHGZM
PHGZT
PJZUB
PPXIY
PUEGO
TEORI
CGR
CUY
CVF
ECM
EIF
NPM
7XB
8FK
K9.
MBDVC
PKEHL
PQEST
PQUKI
PRINS
Q9U
7X8
5PM
ADTOC
UNPAY
ID FETCH-LOGICAL-c585t-9e431d3e4fb0d1d84f7a0d119ef4ffba4e035aef42682260e026cc79ac27e07e3
IEDL.DBID DOA
ISSN 1662-4025
1662-4033
IngestDate Wed Aug 27 01:23:57 EDT 2025
Tue Aug 19 23:58:16 EDT 2025
Tue Sep 30 16:21:01 EDT 2025
Thu Sep 04 18:02:10 EDT 2025
Fri Jul 25 06:23:04 EDT 2025
Wed Feb 19 02:31:07 EST 2025
Wed Oct 01 08:26:46 EDT 2025
Thu Apr 24 22:53:06 EDT 2025
Thu Sep 05 19:48:40 EDT 2024
Thu Aug 29 12:04:43 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 4
Keywords Waist circumference
Obesity
Exercise
Body composition
Language English
License This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.
https://creativecommons.org/licenses/by-nc-nd/4.0
2019 The Author(s) Published by S. Karger AG, Basel.
cc-by-nc-nd
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c585t-9e431d3e4fb0d1d84f7a0d119ef4ffba4e035aef42682260e026cc79ac27e07e3
Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
content type line 14
ObjectType-Feature-3
ObjectType-Evidence Based Healthcare-1
ObjectType-Article-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
Mari Lahelma and Sanja Sädevirta contributed equally to this work.
OpenAccessLink https://doaj.org/article/92fd6d8ecf1c4e4db3362915fbd9e5e2
PMID 31216547
PQID 2300587671
PQPubID 2047983
PageCount 12
ParticipantIDs pubmed_primary_31216547
proquest_journals_2300587671
unpaywall_primary_10_1159_000500572
karger_primary_500572
pubmedcentral_primary_oai_pubmedcentral_nih_gov_6758714
crossref_citationtrail_10_1159_000500572
crossref_primary_10_1159_000500572
doaj_primary_oai_doaj_org_article_92fd6d8ecf1c4e4db3362915fbd9e5e2
proquest_miscellaneous_2244130353
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2019-09-01
PublicationDateYYYYMMDD 2019-09-01
PublicationDate_xml – month: 09
  year: 2019
  text: 2019-09-01
  day: 01
PublicationDecade 2010
PublicationPlace Basel, Switzerland
PublicationPlace_xml – name: Basel, Switzerland
– name: Switzerland
– name: Basel
– name: Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch
PublicationTitle Obesity facts
PublicationTitleAlternate Obes Facts
PublicationYear 2019
Publisher S. Karger AG
Karger Publishers
Publisher_xml – name: S. Karger AG
– name: Karger Publishers
References Kelley GA, Kelley KS. Aerobic exercise and lipids and lipoproteins in men: a meta-analysis of randomized controlled trials. J Mens Health Gend. 2006;3(1):61–70. 10.1089/jwh.2004.13.114810.1016/j.jmhg.2005.09.003186456331571-8913
Global recommendations on physical activity for health. Geneva: World Health Organization; 2010. http://www.ncbi.nlm.nih.gov/books/NBK305057/. Accessed Mar 12, 2018.
Seidell JC, Bouchard C. Visceral fat in relation to health: is it a major culprit or simply an innocent bystander. Int J Obes Relat Metab Disord. 1997Aug;21(8):626–31. 10.1038/sj.ijo.080046715481760
ACE-sponsored research. Hooping—Effective workout or child’s play? https://www.acefitness.org/certifiednewsarticle/1094/ace-sponsored-research-hooping-effective-workout. Accessed Jan 11, 2018.
McGill SM, Cambridge ED, Andersen JT. A six-week trial of hula hooping using a weighted hoop: effects on skinfold, girths, weight, and torso muscle endurance. J Strength Cond Res. 2015May;29(5):1279–84. 10.1519/JSC.0000000000000653252682841064-8011
Willis LH, Slentz CA, Bateman LA, Shields AT, Piner LW, Bales CW, et al.. Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol (1985). 2012Dec;113(12):1831–7. 10.1152/japplphysiol.01370.2011230193161522-1601
Hills M, Armitage P. The two-period cross-over clinical trial. Br J Clin Pharmacol. 1979Jul;8(1):7–20. 10.1111/j.1365-2125.1979.tb05903.x5522990306-5251
Frayn KN. Visceral fat and insulin resistance—causative or correlative. Br J Nutr. 2000Mar;83(S1Suppl 1):S71–7. 10.1017/S0007114500000982108897950007-1145
Blair SN, Kohl HW, Gordon NF, PaffenbargerRSJr. How much physical activity is good for health. Annu Rev Public Health. 1992;13(1):99–126. 10.1146/annurev.pu.13.050192.00053115996030163-7525
Klein S, Fontana L, Young VL, Coggan AR, Kilo C, Patterson BW, et al.. Absence of an effect of liposuction on insulin action and risk factors for coronary heart disease. N Engl J Med. 2004Jun;350(25):2549–57. Available from: http://content.nejm.org/cgi/content/abstract/350/25/254910.1056/NEJMoa033179152014110028-4793
Mann S, Beedie C, Jimenez A. Differential effects of aerobic exercise, resistance training and combined exercise modalities on cholesterol and the lipid profile: review, synthesis and recommendations. Sports Med. 2014Feb;44(2):211–21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2417430510.1007/s40279-013-0110-5241743050112-1642
Sevastianova K, Kotronen A, Gastaldelli A, Perttilä J, Hakkarainen A, Lundbom J, et al.. Genetic variation in PNPLA3 (adiponutrin) confers sensitivity to weight loss-induced decrease in liver fat in humans. Am J Clin Nutr. 2011Jul;94(1):104–11. 10.3945/ajcn.111.012369215251930002-9165
Zamboni M, Armellini F, Milani MP, De Marchi M, Todesco T, Robbi R, et al.. Body fat distribution in pre- and post-menopausal women: metabolic and anthropometric variables and their inter-relationships. Int J Obes Relat Metab Disord. 1992Jul;16(7):495–504.1323546
Frühbeck G, Gómez-Ambrosi J, Salvador J. Leptin-induced lipolysis opposes the tonic inhibition of endogenous adenosine in white adipocytes. FASEB J. 2001Feb;15(2):333–40. 10.1096/fj.00-0249com111569490892-6638
Textbook of sports medicine: Basic science and clinical aspects of sports injury and physical activity. https://www.wiley.com/en-us/Textbook+of+Sports+Medicine%3A+Basic+Science+and+Clinical+Aspects+of+Sports+Injury+and+Physical+Activity-p-9780632065097. Accessed Mar 22, 2018.
Hoop history: Learn about hooping, hula hoops, evolution of hooping. HulaHooping.com. http://www.hulahooping.com/history.html. Accessed Mar 12, 2018.
Cluff T, Robertson DG, Balasubramaniam R. Kinetics of hula hooping: an inverse dynamics analysis. Hum Mov Sci. 2008Aug;27(4):622–35. 10.1016/j.humov.2008.02.018184059900167-9457
Kelley GA, Kelley KS. Impact of progressive resistance training on lipids and lipoproteins in adults: a meta-analysis of randomized controlled trials. Prev Med. 2009Jan;48(1):9–19. Available from: http://www.sciencedirect.com/science/article/pii/S009174350800561610.1016/j.ypmed.2008.10.010190131870091-7435
Mazess RB, Barden HS, Bisek JP, Hanson J. Dual-energy x-ray absorptiometry for total-body and regional bone-mineral and soft-tissue composition. Am J Clin Nutr. 1990Jun;51(6):1106–12. 10.1093/ajcn/51.6.110623499260002-9165
Wang Y, Xu D. Effects of aerobic exercise on lipids and lipoproteins. Lipids Health Dis. 2017Jul;16(1):132. 10.1186/s12944-017-0515-5286794361476-511X
Gómez-Ambrosi J, Salvador J, Páramo JA, Orbe J, de Irala J, Diez-Caballero A, et al.. Involvement of leptin in the association between percentage of body fat and cardiovascular risk factors. Clin Biochem. 2002Jun;35(4):315–20. 10.1016/S0009-9120(02)00320-X121356950009-9120
Yki-Järvinen H. Non-alcoholic fatty liver disease as a cause and a consequence of metabolic syndrome. Lancet Diabetes Endocrinol. 2014Nov;2(11):901–10. Available from: http://www.thelancet.com/journals/landia/article/PIIS2213-8587(14)70032-4/abstract10.1016/S2213-8587(14)70032-4247316692213-8587
Ross R, Janiszewski PM. Is weight loss the optimal target for obesity-related cardiovascular disease risk reduction? Can J Cardiol. 2008;24 Suppl D:31D. Accessed Jan 11, 2018. 10.1016/S0828-282X(08)71046-8
Yamaoka K, Tango T. Effects of lifestyle modification on metabolic syndrome: a systematic review and meta-analysis. BMC Med. 2012Nov;10(1):138. 10.1186/1741-7015-10-138231512381741-7015
Kelley GA, Kelley KS, Tran ZV. Aerobic exercise and lipids and lipoproteins in women: a meta-analysis of randomized controlled trials. J Womens Health (Larchmt). 2004Dec;13(10):1148–64. 10.1089/jwh.2004.13.1148156503481540-9996
Pools of C the B. The measurement of the exchangeable. J Clin Invest. 1970;49:655–65. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC322520/10.1172/JCI1062770021-9738
Kotronen A, Peltonen M, Hakkarainen A, Sevastianova K, Bergholm R, Johansson LM, et al.. Prediction of non-alcoholic fatty liver disease and liver fat using metabolic and genetic factors. Gastroenterology. 2009Sep;137(3):865–72. 10.1053/j.gastro.2009.06.005195245790016-5085
Keytel LR, Goedecke JH, Noakes TD, Hiiloskorpi H, Laukkanen R, van der Merwe L, et al.. Prediction of energy expenditure from heart rate monitoring during submaximal exercise. J Sports Sci. 2005Mar;23(3):289–97. Available from: http://www.tandfonline.com/doi/abs/10.1080/0264041047000173008910.1080/02640410470001730089159663470264-0414
Simonen P, Kotronen A, Hallikainen M, Sevastianova K, Makkonen J, Hakkarainen A, et al.. Cholesterol synthesis is increased and absorption decreased in non-alcoholic fatty liver disease independent of obesity. J Hepatol. 2011Jan;54(1):153–9. 10.1016/j.jhep.2010.05.037209471980168-8278
ref13
ref24
ref12
ref23
ref15
ref14
ref20
ref11
ref22
ref10
ref21
ref2
ref1
ref17
ref16
ref19
ref18
ref8
ref7
ref9
ref4
ref3
ref6
ref5
References_xml – reference: Sevastianova K, Kotronen A, Gastaldelli A, Perttilä J, Hakkarainen A, Lundbom J, et al.. Genetic variation in PNPLA3 (adiponutrin) confers sensitivity to weight loss-induced decrease in liver fat in humans. Am J Clin Nutr. 2011Jul;94(1):104–11. 10.3945/ajcn.111.012369215251930002-9165
– reference: Hoop history: Learn about hooping, hula hoops, evolution of hooping. HulaHooping.com. http://www.hulahooping.com/history.html. Accessed Mar 12, 2018.
– reference: Kelley GA, Kelley KS. Impact of progressive resistance training on lipids and lipoproteins in adults: a meta-analysis of randomized controlled trials. Prev Med. 2009Jan;48(1):9–19. Available from: http://www.sciencedirect.com/science/article/pii/S009174350800561610.1016/j.ypmed.2008.10.010190131870091-7435
– reference: Yki-Järvinen H. Non-alcoholic fatty liver disease as a cause and a consequence of metabolic syndrome. Lancet Diabetes Endocrinol. 2014Nov;2(11):901–10. Available from: http://www.thelancet.com/journals/landia/article/PIIS2213-8587(14)70032-4/abstract10.1016/S2213-8587(14)70032-4247316692213-8587
– reference: Textbook of sports medicine: Basic science and clinical aspects of sports injury and physical activity. https://www.wiley.com/en-us/Textbook+of+Sports+Medicine%3A+Basic+Science+and+Clinical+Aspects+of+Sports+Injury+and+Physical+Activity-p-9780632065097. Accessed Mar 22, 2018.
– reference: Mann S, Beedie C, Jimenez A. Differential effects of aerobic exercise, resistance training and combined exercise modalities on cholesterol and the lipid profile: review, synthesis and recommendations. Sports Med. 2014Feb;44(2):211–21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2417430510.1007/s40279-013-0110-5241743050112-1642
– reference: Simonen P, Kotronen A, Hallikainen M, Sevastianova K, Makkonen J, Hakkarainen A, et al.. Cholesterol synthesis is increased and absorption decreased in non-alcoholic fatty liver disease independent of obesity. J Hepatol. 2011Jan;54(1):153–9. 10.1016/j.jhep.2010.05.037209471980168-8278
– reference: Frayn KN. Visceral fat and insulin resistance—causative or correlative. Br J Nutr. 2000Mar;83(S1Suppl 1):S71–7. 10.1017/S0007114500000982108897950007-1145
– reference: Blair SN, Kohl HW, Gordon NF, PaffenbargerRSJr. How much physical activity is good for health. Annu Rev Public Health. 1992;13(1):99–126. 10.1146/annurev.pu.13.050192.00053115996030163-7525
– reference: Klein S, Fontana L, Young VL, Coggan AR, Kilo C, Patterson BW, et al.. Absence of an effect of liposuction on insulin action and risk factors for coronary heart disease. N Engl J Med. 2004Jun;350(25):2549–57. Available from: http://content.nejm.org/cgi/content/abstract/350/25/254910.1056/NEJMoa033179152014110028-4793
– reference: Mazess RB, Barden HS, Bisek JP, Hanson J. Dual-energy x-ray absorptiometry for total-body and regional bone-mineral and soft-tissue composition. Am J Clin Nutr. 1990Jun;51(6):1106–12. 10.1093/ajcn/51.6.110623499260002-9165
– reference: Cluff T, Robertson DG, Balasubramaniam R. Kinetics of hula hooping: an inverse dynamics analysis. Hum Mov Sci. 2008Aug;27(4):622–35. 10.1016/j.humov.2008.02.018184059900167-9457
– reference: Willis LH, Slentz CA, Bateman LA, Shields AT, Piner LW, Bales CW, et al.. Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol (1985). 2012Dec;113(12):1831–7. 10.1152/japplphysiol.01370.2011230193161522-1601
– reference: Pools of C the B. The measurement of the exchangeable. J Clin Invest. 1970;49:655–65. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC322520/10.1172/JCI1062770021-9738
– reference: Kelley GA, Kelley KS, Tran ZV. Aerobic exercise and lipids and lipoproteins in women: a meta-analysis of randomized controlled trials. J Womens Health (Larchmt). 2004Dec;13(10):1148–64. 10.1089/jwh.2004.13.1148156503481540-9996
– reference: Ross R, Janiszewski PM. Is weight loss the optimal target for obesity-related cardiovascular disease risk reduction? Can J Cardiol. 2008;24 Suppl D:31D. Accessed Jan 11, 2018. 10.1016/S0828-282X(08)71046-8
– reference: Kelley GA, Kelley KS. Aerobic exercise and lipids and lipoproteins in men: a meta-analysis of randomized controlled trials. J Mens Health Gend. 2006;3(1):61–70. 10.1089/jwh.2004.13.114810.1016/j.jmhg.2005.09.003186456331571-8913
– reference: Frühbeck G, Gómez-Ambrosi J, Salvador J. Leptin-induced lipolysis opposes the tonic inhibition of endogenous adenosine in white adipocytes. FASEB J. 2001Feb;15(2):333–40. 10.1096/fj.00-0249com111569490892-6638
– reference: Wang Y, Xu D. Effects of aerobic exercise on lipids and lipoproteins. Lipids Health Dis. 2017Jul;16(1):132. 10.1186/s12944-017-0515-5286794361476-511X
– reference: Hills M, Armitage P. The two-period cross-over clinical trial. Br J Clin Pharmacol. 1979Jul;8(1):7–20. 10.1111/j.1365-2125.1979.tb05903.x5522990306-5251
– reference: Kotronen A, Peltonen M, Hakkarainen A, Sevastianova K, Bergholm R, Johansson LM, et al.. Prediction of non-alcoholic fatty liver disease and liver fat using metabolic and genetic factors. Gastroenterology. 2009Sep;137(3):865–72. 10.1053/j.gastro.2009.06.005195245790016-5085
– reference: Seidell JC, Bouchard C. Visceral fat in relation to health: is it a major culprit or simply an innocent bystander. Int J Obes Relat Metab Disord. 1997Aug;21(8):626–31. 10.1038/sj.ijo.080046715481760
– reference: Gómez-Ambrosi J, Salvador J, Páramo JA, Orbe J, de Irala J, Diez-Caballero A, et al.. Involvement of leptin in the association between percentage of body fat and cardiovascular risk factors. Clin Biochem. 2002Jun;35(4):315–20. 10.1016/S0009-9120(02)00320-X121356950009-9120
– reference: McGill SM, Cambridge ED, Andersen JT. A six-week trial of hula hooping using a weighted hoop: effects on skinfold, girths, weight, and torso muscle endurance. J Strength Cond Res. 2015May;29(5):1279–84. 10.1519/JSC.0000000000000653252682841064-8011
– reference: Global recommendations on physical activity for health. Geneva: World Health Organization; 2010. http://www.ncbi.nlm.nih.gov/books/NBK305057/. Accessed Mar 12, 2018.
– reference: Zamboni M, Armellini F, Milani MP, De Marchi M, Todesco T, Robbi R, et al.. Body fat distribution in pre- and post-menopausal women: metabolic and anthropometric variables and their inter-relationships. Int J Obes Relat Metab Disord. 1992Jul;16(7):495–504.1323546
– reference: ACE-sponsored research. Hooping—Effective workout or child’s play? https://www.acefitness.org/certifiednewsarticle/1094/ace-sponsored-research-hooping-effective-workout. Accessed Jan 11, 2018.
– reference: Yamaoka K, Tango T. Effects of lifestyle modification on metabolic syndrome: a systematic review and meta-analysis. BMC Med. 2012Nov;10(1):138. 10.1186/1741-7015-10-138231512381741-7015
– reference: Keytel LR, Goedecke JH, Noakes TD, Hiiloskorpi H, Laukkanen R, van der Merwe L, et al.. Prediction of energy expenditure from heart rate monitoring during submaximal exercise. J Sports Sci. 2005Mar;23(3):289–97. Available from: http://www.tandfonline.com/doi/abs/10.1080/0264041047000173008910.1080/02640410470001730089159663470264-0414
– ident: ref6
  doi: 10.1080/02640410470001730089
– ident: ref2
  doi: 10.1016/S0828-282X(08)71046-8
– ident: ref3
  doi: 10.1016/j.humov.2008.02.018
– ident: ref23
  doi: 10.1096/fj.00-0249com
– ident: ref24
  doi: 10.1111/j.1365-2125.1979.tb05903.x
– ident: ref7
  doi: 10.1093/ajcn/51.6.1106
– ident: ref21
  doi: 10.1172/JCI106277
– ident: ref4
  doi: 10.1519/JSC.0000000000000653
– ident: ref14
  doi: 10.1186/s12944-017-0515-5
– ident: ref17
  doi: 10.1016/j.ypmed.2008.10.010
– ident: ref11
  doi: 10.1017/S0007114500000982
– ident: ref16
  doi: 10.1146/annurev.pu.13.050192.000531
– ident: ref18
  doi: 10.1089/jwh.2004.13.1148
– ident: ref1
  doi: 10.1016/S2213-8587(14)70032-4
– ident: ref8
  doi: 10.3945/ajcn.111.012369
– ident: ref13
  doi: 10.1056/NEJMoa033179
– ident: ref19
  doi: 10.1089/jwh.2004.13.1148
– ident: ref9
  doi: 10.1016/j.jhep.2010.05.037
– ident: ref12
  doi: 10.1038/sj.ijo.0800467
– ident: ref5
  doi: 10.1053/j.gastro.2009.06.005
– ident: ref10
  doi: 10.1186/1741-7015-10-138
– ident: ref15
  doi: 10.1007/s40279-013-0110-5
– ident: ref22
  doi: 10.1016/S0009-9120(02)00320-X
– ident: ref20
  doi: 10.1152/japplphysiol.01370.2011
SSID ssj0061471
Score 2.2074375
Snippet Background: Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects...
Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is unknown....
Weighted hula-hoops have gained popularity, but whether they indeed reshape the trunk or have beneficial metabolic effects in overweight subjects is...
SourceID doaj
unpaywall
pubmedcentral
proquest
pubmed
crossref
karger
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 385
SubjectTerms Abdominal Fat - diagnostic imaging
Abdominal Fat - metabolism
Abdominal Fat - pathology
Abdominal Muscles - diagnostic imaging
Abdominal Muscles - metabolism
Abdominal Muscles - pathology
Absorptiometry, Photon
Adolescent
Adult
Aerobics
Aged
Blood pressure
Body composition
Body Composition - physiology
Body fat
Body Mass Index
Cardiovascular disease
Clinical trials
Cross-Over Studies
Enzymes
Exercise
Exercise Therapy - instrumentation
Exercise Therapy - methods
Fasting
Female
Glucose
High density lipoprotein
Humans
Insulin resistance
Laboratories
Leisure Activities
Lipids
Lipoproteins
Male
Metabolism
Middle Aged
Obesity
Obesity - prevention & control
Organ Size
Overweight
Overweight - metabolism
Overweight - therapy
Physical fitness
Play and Playthings
Research Article
Sports injuries
Strength training
Waist circumference
Waist Circumference - physiology
Walking
Walking - physiology
Young Adult
SummonAdditionalLinks – databaseName: Karger Open Access Journals
  dbid: M--
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwdV3db9MwELfQkMZeEB8DAgMdHw88LFLSOHHCW5moKqQyhDZtb5ETn6FalFRtIjT-Iv5M7pw0orC9ubFjK_XZ9zv77ndCvAtK1KlNAj9LJBkoNjM-6XHrxzbkW5nC2pQDhRdfkvm5_HwZXw7nHRwLc8X-z44adeQWIIXrUs9x3CRttndJ4SpmyV_4_nbPJR3Tm1YJxwCRGh84hHZePRD7UTjh6B21o4QcVz8poH7om5Dm_w6T97p6pa9_6qr6SxvNHoj7A4yEaT_vD8UdrB-J_cVwUf5Y_O5ZiTfQWLhwp59oYN5V2p83LkQKTgbnc2gbuNAVn5hDU8O0MI3L8wUz3R7D2bqrr2DR9e6qhNiPQdcGFtiS8FTLEr5q9u5iik5Y1nDq3Kx5OKAdiY94Nh9gCt_oHer1F4120rvGV1RkF8brQ3E--3R2MveHpAx-SZZF62dIkMNEKG0RmNCk0ipNhTBDK60ttMQgijX9mCSEPZIAycgrS5XpcqIwUBg9EXt1U-MzAUFhCS6WaYBpJpPIUEGFiGhjkhsrlSfeb2cpLwfGck6cUeXOcomzfJxbT7wZm656mo6bGn3kqR4bMLO2e9Csv-fDQs2ziTWJSbG0YSlRmiIiFZ-FsS1MhjFSJ4e9oIzdbDs_-uf56WzaV-UrY6l6K1b5sEts8gnnCiB1pEJPvB6raX3zpY2usemoDeEvxhlx5ImnvRSOI2zF2RNqRz53vnC3pl7-cBzibCeqUHri7SjJt_9xz2_55hfigPDj4HJ3JPbadYcvCaO1xSu3PP8AP1E1Ng
  priority: 102
  providerName: Karger AG
– databaseName: Health & Medical Collection
  dbid: 7X7
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lj9MwELZgkYAL4rFAYUHmceCw0ebhvLigUlFVSGUR2tX2Fjn2GKqNktImQssv4mcy47iBwsLNjV27jceeb8afZxh76SuQmUl8L08EGigm1x7qcePFJqBTmdKYjC4Kzz8ks1PxfhEvnMNt42iV2z3RbtS6UeQjPwoprjou3TR4s_rqUdYoOl11KTSusmsBQhWS6nQxGFyoeXqDK6GbQajcXWQh1OA2lx1dxAx39JEN24-66JxY2OvLQOff3MkbXb2SF99kVf2mmKa32S2HKPm4F4E77ArUd9n1uTszv8d-9AGKN7wx_Mw6QkHzWVdJb9bY21J84njovG34mazIec6bmo9L3diUX3wq20N-su7qcz7veuYqgvdDLmvN59CiHFVLxT9KInpRtE6-rPmxZVzTcBw3J_L2bF7zMf-E38Fev-Nok54lX2GR2IwX--x0-u5kMvNcfgZPoZHRejkg-tARCFP6OtCZMKnEQpCDEcaUUoAfxRI_hAnCkMQHtPeUSnOpwhT8FKL7bK9uanjIuF8aRI4q8yHLRRJpLKQBAJgYRciIdMRebWepUC54OeXQqAprxMR5MUzoiD0fmq76iB2XNXpLUz00oCDb9kGz_ly4NVvkodGJzkCZQAkQuoxQ2-dBbEqdQwzYyX4vKEM3284P_nh-PB33VcVKG6zeilXhNoxN8Uu8R-zZUI1Lnc5vZA1Nh20QihHkiKMRe9BL4TBCFIR0Lw1fVLojnzv_cLemXn6x4cTJZEwDMWIvBkn-94t79P8f_5jdRETpSHgHbK9dd_AEUVtbPrVL8yfi0UC6
  priority: 102
  providerName: ProQuest
– databaseName: Unpaywall
  dbid: UNPAY
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9MwELfQJgEvfA4oDGQ-HnhY1qRxvngrFVWF1K1CqzaeIic-Q9UoqdpEaPuL-DO5c9yIjiHtzc05tuKefXf2z79j7IObg4x16DpJKDBA0Yly0I5rJ9AencpkWsd0UXh6Ek7m4utFcGHJojcWVrkkDLShR-0P2-Hrz5TuB3RxElfb_ZDOkvbY_vxkNvxOAVVIN39ck2DVln3fsgihtTZ568y7O7bHUPSj3Wl7u8nB_Bcnea8pV_LylyyKv4zQ-GEL39oY7kLCniyPmzo7zq-uMTve6vsesQfWFeVW-JjdgfIJuzu1h-1P2e-W2XjDK83PzQ4qKD5pCulMKnPNio8sgJ3XFT-XBe2686rkw0xVJlcYH8v6iJ-tm3LJp00LeUWv_4jLUvEp1KiAxSLnM0kIMaL55IuSnxqoNnXHcVWjbaLNJz7k3_AdbPUKexu18PoCiwSDvDxg8_GXs9HEsYkdnByjk9pJAN0W5YPQmas8FQsdSSx4CWihdSYFuH4g8ccgRP8ldAEDxTyPEpkPInAj8J-xvbIq4QXjbqbR5cxjF-JEhL7CQuQBgA5Q97SIeuzj9i9Pc8t6Tsk3itREP0GSdtrRY--6qquW6uOmSp9Jb7oKxM5tHlTrH6md7Gky0CpUMeTaywUIlfnoJiReoDOVQADYyEGrA10z28YPrz0_HQ9bUbpSGsVbHU3tSrNJB5RvAE1a5PXY206MawQd_MgSqgbroA9Hvkrg99jzVqW7HnxvQBfacKCiHWXf-cJdSbn4aXjIKdaMPNFj77tp8f-Be3mrWq_YffRILYjvkO3V6wZeo9dXZ2_sfP8DSFlVFg
  priority: 102
  providerName: Unpaywall
Title Effects of Weighted Hula-Hooping Compared to Walking on Abdominal Fat, Trunk Muscularity, and Metabolic Parameters in Overweight Subjects: A Randomized Controlled Study
URI https://karger.com/doi/10.1159/000500572
https://www.ncbi.nlm.nih.gov/pubmed/31216547
https://www.proquest.com/docview/2300587671
https://www.proquest.com/docview/2244130353
https://pubmed.ncbi.nlm.nih.gov/PMC6758714
https://www.karger.com/Article/Pdf/500572
https://doaj.org/article/92fd6d8ecf1c4e4db3362915fbd9e5e2
UnpaywallVersion publishedVersion
Volume 12
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAFT
  databaseName: Open Access Digital Library
  customDbUrl:
  eissn: 1662-4033
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0061471
  issn: 1662-4033
  databaseCode: KQ8
  dateStart: 20130101
  isFulltext: true
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  providerName: Colorado Alliance of Research Libraries
– providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  customDbUrl:
  eissn: 1662-4033
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0061471
  issn: 1662-4033
  databaseCode: DOA
  dateStart: 20130101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
– providerCode: PRVKGR
  databaseName: Karger Open Access Journals
  customDbUrl:
  eissn: 1662-4033
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0061471
  issn: 1662-4033
  databaseCode: M--
  dateStart: 20130101
  isFulltext: true
  titleUrlDefault: https://www.karger.com/OpenAccess
  providerName: Karger AG
– providerCode: PRVAQN
  databaseName: PubMed Central
  customDbUrl:
  eissn: 1662-4033
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0061471
  issn: 1662-4033
  databaseCode: RPM
  dateStart: 20080101
  isFulltext: true
  titleUrlDefault: https://www.ncbi.nlm.nih.gov/pmc/
  providerName: National Library of Medicine
– providerCode: PRVPQU
  databaseName: Health & Medical Collection
  customDbUrl:
  eissn: 1662-4033
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0061471
  issn: 1662-4033
  databaseCode: 7X7
  dateStart: 20170301
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/healthcomplete
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Central
  customDbUrl: http://www.proquest.com/pqcentral?accountid=15518
  eissn: 1662-4033
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0061471
  issn: 1662-4033
  databaseCode: BENPR
  dateStart: 20170301
  isFulltext: true
  titleUrlDefault: https://www.proquest.com/central
  providerName: ProQuest
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1bb9MwFLZgSMAL4jIgMCpzeeBhEbk4ccJbV62qkNpV06qVp8iJj0W1KKnaRGj8In4mx3YarTDECy-Vazu2Yn85F_tcCPngFSASFXtuGjNUUFQqXeTjyo2Ur29lcqUS7Sg8ncWTBfuyjJY3Un1pmzAbHtgu3Kc0UDKWCRTKLxgwmYdIclM_UrlMIQJDfZGN7ZQpS4OR51hVK9Y-QcjWu5hCyLtNFjvtghnscSITsB-50JW2v97cJm7-aTX5oK3W4vq7KMsbLGn8mDzqZEk6tO_whNyB6im5P-1uy5-RnzY08ZbWil6aI1CQdNKWwp3Uxk-KjjoLdNrU9FKU-tic1hUd5rI2yb7oWDTH9GLTVld02lqbVRTbj6moJJ1CgwgqVwWdC23ipeN00lVFz4yttZ6OIlnS5zzbz3RIz_EZHPUHzjay9vElFrUd4_UhWYxPL0YTt8vM4BaoXjRuCih3yBCYyj3py4QpLrDgp6CYUrlg4IWRwD9BjAJI7AFqekXBU1EEHDwO4XNyUNUVvCTUyxXKjEXiQZKyOJRY4D4AqAjBoxh3yMfdLmVFF7ZcZ88oM6O-RGnWb6hD3vVd1zZWx22dTvRW9x10eG1TgaDLOtBl_wKdQw4tUPphdoMf_VZ_Nh7apmwtFTbvYJV1pGKbBTphAPIk7jvkbd-MH7m-uREV1C32QSFMCxtR6JAXFoX9DKEfaI80XCi-h8-9N9xvqVbfTCBxrSxynznkfY_kvy_cq_-xcK_JQ5Q4OyO9I3LQbFp4g1Jdkw_IXb7kA3Lv5HQ2Px-Yzxl_p66LdYvZfPj1FzZ7T4o
linkProvider Directory of Open Access Journals
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1ZbxMxELZKkSgviKOUQAFzSTx0xR7eCwmhUIhS2rQIpWreFu96DFFXuyHZVRV-EU_8Rmb2gkDhrW_O2rGTnfHMN_YcjD01E5CB9kwj9AQaKDpUBupxbbjaoluZWOuAAoVHh97wWLyfuJM19qONhSG3ylYmVoJa5Qmdkb-wKa86bl3fej37alDVKLpdbUto1GyxD8szNNkWr_beIn2f2fbg3Xh3aDRVBYwEoXFhhIA6UzkgdGwqSwVC-xIbVghaaB1LAabjSvxge6g8PRPQSkkSP5SJ7YPpg4PzXmKXhWMKytXvTzoDDzVdbeB5FImEYKLJZISIoaqdR4Gf9or-q8oEoO47Ja_v-Xkg929fzY0ym8nlmUzT3xTh4Dq71iBY3q9Z7gZbg-wmuzJq7uhvse91QuQFzzU_qQ5eQfFhmUpjmFfRWXy38XvnRc5PZEqH9TzPeD9WeVVijA9kscPH8zI75aOy9pRFY2GHy0zxERTIt-k04R8kOZZRdlA-zfhR5eFNy3EUhnS6tHjJ-_wjfgdn_Yar7dZe-Sk2yXtyucmOL4Ryt9l6lmdwh3Ez1ohUk8CEIBSeo7DhWwCgXWRZLfwee95SKUqaZOlUsyONKqPJDaOOoD32uBs6qzOEnDfoDZG6G0BJvasH-fxz1MiIKLS18lQAibYSAULFDqKL0HJ1rEJwASfZrBmlm6adfPuP50eDft0VzZTG7patokZALaJf26nHHnXdKFrovkhmkJc4BqEfQRzX6bGtmgu7FRzLpjg4fFH-Cn-u_MPVnmz6pUpfTiaqb4kee9Jx8r9f3N3___iHbGM4Hh1EB3uH-_fYVUSzjQPgNlsv5iXcR8RYxA-qbcrZp4uWCz8BK3R-cg
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1ZbxMxELZKkQoviKOUQAFzSTx01T28FxJCoSVKKWkr1Kp5W7zrMURd7YZkV1X4RfwGfh0ze0Gg8NY3Z-3Yyc54DvubGcaemwnIQHumEXoCHRQdKgP1uDZcbdGtTKx1QIHCowNveCLej93xCvvRxsIQrLKViZWgVnlCZ-TbNuVVx63rW9u6gUUc7Q7eTL8aVEGKblrbcho1i-zD4hzdt_nrvV2k9QvbHrw73hkaTYUBI0EzuTBCQP2pHBA6NpWlAqF9iQ0rBC20jqUA03ElfrA9VKSeCeixJIkfysT2wfTBwXmvsKu-IxyCk_njztlDrVc7ex5FJaFh0WQ1QuuhqqNHQaD2ki6sSgagHjwjBPjsIoP3b9zmtTKbysW5TNPflOLgJrvRWLO8X7PfLbYC2W22Nmru6--w73Vy5DnPNT-tDmFB8WGZSmOYV5FafKfBwPMi56cypYN7nme8H6u8KjfGB7LY4sezMjvjo7JGzaLjsMVlpvgICuThdJLwI0kgM8oUyicZP6zQ3rQcR8FIJ03zV7zPP-J3cNZvuNpOjdBPsUlIysU6O7kUyt1lq1mewT3GzVij1ZoEJgSh8ByFDd8CAO0i-2rh99jLlkpR0iROp_odaVQ5UG4YdQTtsafd0GmdLeSiQW-J1N0ASvBdPchnn6NGXkShrZWnAki0lQgQKnbQ0ggtV8cqBBdwkvWaUbpp2sk3_3h-OOjXXdFUaexu2SpqhNU8-rW1euxJ141ihu6OZAZ5iWPQDCRzx3V6bKPmwm4Fx7IpJg5flL_En0v_cLknm3ypUpmTu-pboseedZz87xd3__8__jFbQ4kQfdg72H_ArqNh22ABN9lqMSvhIRqPRfyo2qWcfbpssfATKAiCrQ
linkToUnpaywall http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9MwELfQJgEvfA4oDGQ-HnhY1qRxvngrFVWF1K1CqzaeIic-Q9UoqdpEaPuL-DO5c9yIjiHtzc05tuKefXf2z79j7IObg4x16DpJKDBA0Yly0I5rJ9AencpkWsd0UXh6Ek7m4utFcGHJojcWVrkkDLShR-0P2-Hrz5TuB3RxElfb_ZDOkvbY_vxkNvxOAVVIN39ck2DVln3fsgihtTZ568y7O7bHUPSj3Wl7u8nB_Bcnea8pV_LylyyKv4zQ-GEL39oY7kLCniyPmzo7zq-uMTve6vsesQfWFeVW-JjdgfIJuzu1h-1P2e-W2XjDK83PzQ4qKD5pCulMKnPNio8sgJ3XFT-XBe2686rkw0xVJlcYH8v6iJ-tm3LJp00LeUWv_4jLUvEp1KiAxSLnM0kIMaL55IuSnxqoNnXHcVWjbaLNJz7k3_AdbPUKexu18PoCiwSDvDxg8_GXs9HEsYkdnByjk9pJAN0W5YPQmas8FQsdSSx4CWihdSYFuH4g8ccgRP8ldAEDxTyPEpkPInAj8J-xvbIq4QXjbqbR5cxjF-JEhL7CQuQBgA5Q97SIeuzj9i9Pc8t6Tsk3itREP0GSdtrRY--6qquW6uOmSp9Jb7oKxM5tHlTrH6md7Gky0CpUMeTaywUIlfnoJiReoDOVQADYyEGrA10z28YPrz0_HQ9bUbpSGsVbHU3tSrNJB5RvAE1a5PXY206MawQd_MgSqgbroA9Hvkrg99jzVqW7HnxvQBfacKCiHWXf-cJdSbn4aXjIKdaMPNFj77tp8f-Be3mrWq_YffRILYjvkO3V6wZeo9dXZ2_sfP8DSFlVFg
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effects+of+Weighted+Hula-Hooping+Compared+to+Walking+on+Abdominal+Fat%2C+Trunk+Muscularity%2C+and+Metabolic+Parameters+in+Overweight+Subjects%3A+A+Randomized+Controlled+Study&rft.jtitle=Obesity+facts&rft.au=Lahelma%2C+Mari&rft.au=S%C3%A4devirta%2C+Sanja&rft.au=Lallukka-Br%C3%BCck%2C+Susanna&rft.au=Sevastianova%2C+Ksenia&rft.date=2019-09-01&rft.eissn=1662-4033&rft.volume=12&rft.issue=4&rft.spage=385&rft_id=info:doi/10.1159%2F000500572&rft_id=info%3Apmid%2F31216547&rft.externalDocID=31216547
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1662-4025&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1662-4025&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1662-4025&client=summon