{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T03:59:42Z","timestamp":1772164782042,"version":"3.50.1"},"reference-count":24,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obes Facts"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p>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 \u00b1 1 cm, body mass index 28 \u00b1 1 kg\/m2) completed the study. Body weight changed similarly (\u20130.6 \u00b1 0.2 vs. \u20130.5 \u00b1 0.2 kg, nonsignificant; HULA vs. WALK). During the intervention the subjects hula-hooped on average 12.8 \u00b1 0.5 min\/day and walked 9,986 \u00b1 376 steps\/day. The % fat in the android region decreased significantly by HULA but not by WALK (between-group change p &lt; 0.001). Trunk muscle mass increased more by HULA than by WALK (p &lt; 0.05). Waist circumference decreased more by HULA than by WALK (\u20133.1 \u00b1 0.3 cm vs. \u20130.7 \u00b1 0.4 cm, p &lt; 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.<\/jats:p>","DOI":"10.1159\/000500572","type":"journal-article","created":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T17:00:41Z","timestamp":1560963641000},"page":"385-396","source":"Crossref","is-referenced-by-count":6,"title":["Effects of Weighted Hula-Hooping Compared to Walking on Abdominal Fat, Trunk Muscularity, and Metabolic Parameters in Overweight Subjects: A Randomized Controlled Study"],"prefix":"10.1159","volume":"12","author":[{"given":"Mari","family":"Lahelma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanja","family":"S\u00e4devirta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna","family":"Lallukka-Br\u00fcck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ksenia","family":"Sevastianova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Mustelin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena","family":"Gylling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bonny","family":"Rockette-Wagner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea\u00a0M.","family":"Kriska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannele","family":"Yki-J\u00e4rvinen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2019,6,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(14)70032-4"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(08)71046-8"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.humov.2008.02.018"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0000000000000653"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2009.06.005"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1080\/02640410470001730089"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/51.6.1106"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.012369"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2010.05.037"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-10-138"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114500000982"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0800467"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa033179"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12944-017-0515-5"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-013-0110-5"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.pu.13.050192.000531"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2008.10.010"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2004.13.1148"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2004.13.1148"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.01370.2011"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1172\/JCI106277"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9120(02)00320-X"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1096\/fj.00-0249com"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.1979.tb05903.x"}],"updated-by":[{"DOI":"10.1159\/000501815","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T00:00:00Z","timestamp":1560902400000}}],"container-title":["Obesity 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