Obesity
Conditions
Keywords
Obesity, Functional performance, Postural control, Muscular strength
Brief summary
Generally, the enhancement of physical fitness depends on the optimal modulation of different physiological, technical or psychological stimuli and within the factors the would contribute to a decrease performance level, obesity is one of them. In this context, ample evidence shows that obesity is associated with an augmented cardio-metabolic risk, lowered postural control, functional performance and strength-related variables. International guidelines suggests to counteract obesity to respect a minimum dosage of 150 min a week of physical activity at moderate intensity performed with resistance training exercises with a frequency of 2-3 days/week. However, in the aforementioned guidelines there is a little consideration for what concern the quality of motor execution (i.e., how an individual performs each movement pattern). In addition, the available literature demonstrates the effectiveness of a movement-quality training intervention on fitness parameters and postural control, compared to a mere conventional exercise, in normal-weight individuals . In account to this, the purpose is to evaluate whether a quality of movement protocol would be more effective than a traditional strength training exercise in improving postural control and fitness parameters in subjects with obesity.
Interventions
6-week-home-based training protocols designed to improve general fitness levels and postural control performed in a circuit-training mode (time of work per set 30 s, time of rest between each exercise 15 s, time of rest between sets 2 min, total volume 3 sets) for a duration of 45 min with a frequency of 3 days per week while performing mobility, stability and motor control exercises.
6-week-home-based training protocols designed to improve general fitness levels and postural control performed in a circuit-training mode (time of work per set 30 s, time of rest between each exercise 15 s, time of rest between sets 2 min, total volume 3 sets) for a duration of 45 min with a frequency of 3 days per week while performing traditional strength training exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* physical activity frequency at least 1 days per week * BMI index more than 30 kg/m2 * informed consent signature
Exclusion criteria
* aged more than 70 years * patients with knee pain (Visual Analogue Scale \> 7 a.u.) * history of hip or knee replacement * severe hip or knee osteoarthrosis * cardiac or neurological condition contraindicating physical activity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline breathing pattern at six weeks | Up to six weeks | Breathing pattern performance using the Total Faulty Breathing Scale protocol in arbitrary units with a 0-12 point scale in which lower scores mean a better outcome |
| Change from baseline functional performance at six weeks | Up to six weeks | Functional performance using the Functional Movement Screen protocol in arbitrary units with a 0-12 point scale in which higher scores mean a better outcome |
| Change from baseline body balance at six weeks | Up to six weeks | Body stability using the modified version of the Balance Error Scoring System protocol in arbitrary units with a 0-30 point scale in which lower scores mean a better outcome |
| Change from baseline upper-body muscular strength at six weeks | Up to six weeks | Maximal isometric grip strength in kilograms using the handgrip dynamometer |
| Change from baseline lower-body muscular strength at six weeks | Up to six weeks | Amount of time in seconds during a chair raise using the Five Repetition Sit-To-Stand protocol |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline height at six weeks | Up to six weeks | Body height using a calibrated stadiometer in meters |
| Change from baseline waist circumference at six weeks | Up to six weeks | Waist circumference using a 200 centimeters tape measure in centimeters |
| Change from baseline fat mass at six weeks | Up to six weeks | Fat mass percentage measurement using a bioelectric impedance analysis |
| Change from baseline weight at six weeks | Up to six weeks | Body weight using a calibrated weight scale in kilograms |
Countries
Italy