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I . The Metabolic Syndrome 57

II. Overview of Current Controversies with Definition of the

Metabolic Syndrome 58

  1. Cross-Sectional Studies of the Importance of Physical Fitness and Exercise to the Diagnosis and Etiology of Metabolic Syndrome 60
  2. Metabolic Syndrome and Exercise 63
  3. Exercise Training and Individual Components of Metabolic Syndrome ...64
  4. Exercise-Training Effects on Blood Pressure 64
  5. Exercise-Training Effects on Triglycerides 66
  6. Exercise-Training Effects on HDL Cholesterol 66
  7. Exercise-Training Effects on Fasting Plasma Glucose 67
  8. Exercise-Training Effects on Insulin Sensitivity 69
  9. Exercise Training Effects on Waist Circumference 70
  10. Rationale for Including Cardiorespiratory Fitness in

Metabolic Syndrome 71

VII. Future Directions for Research 73

References 73

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