Cavaggioni Luca, Gilardini Luisa, Redaelli Gabriella, Croci Marina, Capodaglio Paolo, Gobbi Michele, Bertoli Simona
Department of Biomedical Sciences for Health, Università Degli Studi di Milano, 20129 Milan, Italy.
Obesity Unit and Laboratory of Nutrition and Obesity Research, Department of Endocrine and Metabolic Diseases, Istituto Auxologico Italiano IRCCS, 20145 Milan, Italy.
Healthcare (Basel). 2021 Oct 27;9(11):1451. doi: 10.3390/healthcare9111451.
The aim of this study was to determine the effects of two different home-based training interventions on functional parameters and body composition in obese patients. Sixty-four obese patients were recruited at the IRCCS Istituto Auxologico Italiano and randomly assigned into a movement quality group (MQ) and a conventional training group (CT). In the MQ, the training protocol combined various stimuli based on whole-body movement patterns, mobility, motor control and diaphragmatic breathing. The CT included traditional bodyweight resistance-training exercises. All patients were tested for movement efficiency (Functional Movement Screen, FMS), postural control (Modified Balance Error Scoring System, M-BESS), breathing pattern (Total Faulty Breathing Scale, TFBS), muscular strength (Handgrip Strength Test, HST and Five Repetition Sit to Stand, FRSTS) and body composition (Waist Circumference, WC, Body Mass Index, BMI, Body fat mass percentage, Fat Mass) before and after a 6-week period of training. Significant interactions and main effects of time ( < 0.0001) were found in MQ compared to CT in the FMS, M-BESS and TFBS parameters, while muscular strength (HST, FRSTS) and body composition parameters improved similarly in both groups with a main effect of time ( < 0.05). These findings suggest that a 6-week movement quality training is effective in ameliorating postural control and movement efficiency with similar improvements in muscular strength and body composition compared with a mere traditional home-based training. Fitness coaches and practitioners might consider the MQ intervention as a valuable alternative to conventional training when treating obesity.
本研究的目的是确定两种不同的居家训练干预措施对肥胖患者功能参数和身体成分的影响。64名肥胖患者在意大利IRCCS阿佐利奥研究所招募，并随机分为运动质量组（MQ）和传统训练组（CT）。在MQ组中，训练方案结合了基于全身运动模式、灵活性、运动控制和膈肌呼吸的各种刺激。CT组包括传统的体重抗阻训练练习。所有患者在为期6周的训练前后均接受了运动效率（功能性动作筛查，FMS）、姿势控制（改良平衡误差评分系统，M-BESS）、呼吸模式（总错误呼吸量表，TFBS）、肌肉力量（握力测试，HST和五次坐立试验，FRSTS）以及身体成分（腰围，WC、体重指数，BMI、体脂百分比，脂肪量）的测试。与CT组相比，MQ组在FMS、M-BESS和TFBS参数方面发现了显著的交互作用和时间主效应（<0.0001），而两组的肌肉力量（HST、FRSTS）和身体成分参数在时间主效应下均有类似改善（<0.05）。这些发现表明，与单纯的传统居家训练相比，为期6周的运动质量训练在改善姿势控制和运动效率方面是有效的，同时在肌肉力量和身体成分方面也有类似的改善。健身教练和从业者在治疗肥胖症时可能会认为MQ干预是传统训练的一种有价值的替代方案。
