Endocrine Abstracts

Aim: The Aim of the study was evaluation of effectiveness a new complex included aerobic and physical training, kinesiohydrotherapy, balance therapy on changes in muscle strength and movement disorders in patients with obesity.

Materials and methods: The study group included 40 patients aged 58 [53;66] y.o. with a BMI≥30 kg/m². The control group included of 40 people aged 57 [54;63] y.o. with BMI≥30 kg/m². Study methods included anthropometry, functional tests, and dynamometry.

Results: In research it was a significant decrease in body weight (from 106.03 [83;145] to 102.8 [80;141] kg), BMI (from 39.2 [30.12;49.1] to 38.1 [29.4;46.7] kg/m²), decreased WC (from 109 [105;125.8] to 107 [98.8 12] cm), HC (from 127 [112.3;139.8] to 121 [109.5;133.5] cm), decreased pain syndrome (from 5 [3;7] to 2.5 [1;4.75] points), increased arm strength (in right arm from 20 [14.25;34] to 30 [19;42], in left arm from 19.5 [14.25;29.5] to 22 [18;30.75] daN). Conditioning and coordination abilities improved significantly in the main group according to the functional tests: "Up and go test" (from 7.9 [7.1;8.9] to 7.4 [6.5;8.3] sec.), back muscle strength (from 5[5;5] to 5[5;5]), static and dynamic abdominal muscle endurance (from 12.04 [9.47;17.13] to 16.07 [10.69;27.7] sec. and from 31[21;37.25] to 39 [29.5;46.5] sec, and back and (from 14.94 [5.8775;22.205] to 18.41 [9.745;31.335] times and from 8 [5;14] to 10 [8;23], times, respectively); Fukuda test scores (from 65 [56;76.75] to 72 [61;82] reps), One leg standing test (from 13.9 [5.38;32.15] to 18.61 [8.6125;38.1575] sec. for the left) and closed eyes (from 3.45 [2.16;6.38] to 3.975 [2.715;5.82] seconds for the right and from 4.12 [1.3;8.61] to 4.31 [2.16;8.13] seconds for the left).

Conclusions: A new complex including aerobic and strength training, kinesiohydrotherapy, and balance therapy showed significant effects on body weight reduction, body volume reduction, and muscle strength improvement in obese patients. A new integrated method results in a longer maintenance of the achieved effect when controlling the long-term results after 3 months and 1 year compared with the group that received only the 2-component program.

Keywords: obesity, kinesiohydrotherapy, balance, rehabilitation, coordination training, muscle strength.