INS and Insulin resistance: The visceral to subcutaneous fat area ratio by magnetic resonance imaging markedly decreased (0.41 ± 0.13 vs 0.37 ± 0.14, P = 0.026), accompanied by increased insulin sensitivity, indicated by reduced homeostasis model assessment for insulin resistance (HOMA-IR) (2.6 ± 1.3 vs 2.0 ± 1.0, P = 0.030) after BBR intervention (Table 1).