This study evaluated the influence of a green tea catechin beverage on body composition and fat distribution in overweight and obese adults during exercise-induced weight loss. Participants (n = 132 with 107 completers) were randomly assigned to receive a beverage containing approximately 625 mg of catechins with 39 mg caffeine or a control beverage (39 mg caffeine, no catechins) for 12 wk. Participants were asked to maintain constant energy intake and engage in >or=180 min/wk moderate intensity exercise, including >or=3 supervised sessions per week. Body composition (dual X-ray absorptiometry), abdominal fat areas (computed tomography), and clinical laboratory tests were measured at baseline and wk 12. There was a trend (P = 0.079) toward greater loss of body weight in the catechin group compared with the control group; least squares mean (95% CI) changes, adjusted for baseline value, age, and sex, were -2.2 (-3.1, -1.3) and -1.0 (-1.9, -0.1) kg, respectively. Percentage changes in fat mass did not differ between the catechin [5.2 (-7.0, -3.4)] and control groups [-3.5 (-5.4, 1.6)] (P = 0.208). However, percentage changes in total abdominal fat area [-7.7 (-11.7, -3.8) vs. -0.3 (-4.4, 3.9); P = 0.013], subcutaneous abdominal fat area [-6.2 (-10.2, -2.2) vs. 0.8 (-3.3, 4.9); P = 0.019], and fasting serum triglycerides (TG) [-11.2 (-18.8, -3.6) vs. 1.9 (-5.9, 9.7); P = 0.023] were greater in the catechin group. These findings suggest that green tea catechin consumption enhances exercise-induced changes in abdominal fat and serum TG.

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urine since early on Thursday morning; he felt sure that his bladder was empty, and that a small calculus had got impacted in his right ureter on Wednesday, and one in the left ureter on Thursday morning. I percussed the abdomen and found no evidence of retention in the bladder. On Saturday the 27th I found him complaining of slight pain in the loinp, but without bladder uneasiness. However, I thought it best to pass a catheter, and introduced a No. 10 silver. Finding the bladder empty and collapsed, I prescribed aperients and diaphoretics, with warm baths. The treatment was continued for two days by my brother, Mr. Albert Bell, who watched him during my absence from home till Monday, the 29th, when I saw him about noon. He was sweating, and had a distinct urinous odour in his breath and skin, but was almost free from pain. There was no alteration in his symptoms in the evening or on the next day, except that his wife said he twitched a good deal when asleep. On the Tuesday morning I aked my friend Mr. Nankivell to look at him with me. He thought the best hope was in continuing purgatives and diaphoretics, whether