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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Movement Quality group | Experimental | movement quality training based on mobility, stability and motor control exercises |
|
| Conventional resistance training group | Experimental | traditional strength training exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Movement quality | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline functional performance at 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 | Up to six weeks |
| Change from baseline body balance at 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 | Up to six weeks |
| Change from baseline upper-body muscular strength at six weeks | Maximal isometric grip strength in kilograms using the handgrip dynamometer | Up to six weeks |
| Change from baseline lower-body muscular strength at six weeks | Amount of time in seconds during a chair raise using the Five Repetition Sit-To-Stand protocol | Up to six weeks |
| Change from baseline breathing pattern at 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 | Up to six weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline weight at six weeks | Body weight using a calibrated weight scale in kilograms | Up to six weeks |
| Change from baseline height at six weeks | Body height using a calibrated stadiometer in meters |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Luca Cavaggioni | Istituto Auxologico Italiano IRCCS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istituto Auxologico Italiano IRCCS | Milan | 20145 | Italy |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| Conventional Resistance Training | Other | 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 |
|
| Up to six weeks |
| Change from baseline waist circumference at six weeks | Waist circumference using a 200 centimeters tape measure in centimeters | Up to six weeks |
| Change from baseline fat mass at six weeks | Fat mass percentage measurement using a bioelectric impedance analysis | Up to six weeks |
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| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |