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How often do you see, both on men and women indiscriminately, a more or less prominent belly of different consistency, volume, and structure? Well, each of them could have different etiologic factors. Below we will look closely at their peculiarities and causes, to suggest some useful steps to follow in the gym for their treatment (coming on in the paragraphs that follow).

Types of belly fat

Abdominal fat buildup is a typical feature of the androgenic biotype.

We begin to identify the different types of visceral fat accumulation in the various androgenic biotypes:

  1. Pre-diabetic type A
  2. Hepato-digestive type B
  3. Metabolic type C
  4. Colic type D

The pre-diabetic type A:

It is presented with a substantial increase in abdominal fat, mostly flaccid and voluminous. Often, after careful medical evaluation by specific tests (glycemia, insulinemia, glycated hemoglobin, cortisol, testosterone, reactive C protein), a diagnosis of insulin resistance is established. We are therefore confronted with a buildup of hyperinsulinic fat, which may aggravate if accompanied by high serum cortisol levels. Such an event, lowering the free circulating testosterone levels, would further increase fat-accumulation, reducing lean. Nutrition and training should be personalized in close collaboration between the physician and the personal trainer, so that the body can be educated for insulin sensitivity.

the pre-diabetic type A

Hepato-digestive type B:

It is presented with a protruding abdomen, dilated, with fat present more to the compact than the flaccid. It is a typical feature of those with hepatic problems. It is therefore essential to know the subject’s eating habits (for example, if he or she drinks alcohol) and to check the health of the liver through specific examinations (hepatic ultrasound, transaminase, alkaline phosphatase, GT range, bilirubin etc.). It’s not an easy-to-manage situation, as initially an excessive overload and fatigue of the body is contraindicated in exercise at the gym because it could also have a negative effect on the liver. Calisthenics, stretching and respiratory exercises are therefore recommended. Weight training should only be inserted after a real improvement in the clinical picture, it must be light and in any case free of polyarticular movements and direct work on the abdomen.

Metabolic type C:

It has a noticeable flaccidity of fat, typical of the one who feeds it incorrectly. Usually, there are no alterations in blood markers due to hepatic or insulin resistance or even minor changes in hormone profiles. Occasional cases of hypercholesterolemia can be observed. In this case, no particular effort is needed in training. This can be varied in exercises and methodology, directed at both weight loss and muscle toning. Obviously, the food regime must be consistent with the improvement of body composition in the fat / lean mass ratio in favor of the latter.

Colic type D:

It has a tense and voluminous abdomen, which more than a ‘fat belly’ is due to particular conditions such as aerophage and meteorism. This particular symptomatology is typical of individuals suffering from bowel disorders, such as ‘irritable colon syndrome’, and all those who fall back into inflammatory bowel disease (ulcerative colitis, Crohn’s disease, diverticulitis). It is also associated with celiac disease and, less dramatically, to anyone who has a food intolerance. Again, in order to talk about ‘colic abdomen’, the physician must diagnose the diagnosis through specific investigations that determine the actual flogosis (blood counts and possible endoscopic and bioptic examinations) and / or intolerances. It is advisable to integrate gym workout with diaphragmatic breathing exercises and yoga techniques to encourage relaxation. Food framing is very important in maintaining a relaxed, relaxed abdomen free of irritating and / or intolerant foods.

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