Effectiveness of Physical Therapy in Middle-Aged Women with Alimentary Form of Obesity of the First Degree
Authors: Vasylieva Nataliia O. , Koziy Tetyana , Lavrykova Oksana , Karpukhina Yulia , Biriukova Tetiana 
Published: July 2022

Aim: The objective of the article is to demonstrate the research on the effectiveness of physical therapy in renewal of health of women with alimentary-constitutional type of I degree obesity. The task was also to study the initial level of obesity of women, to develop the structure of the therapeutic rehabilitation complex, to implement the developed programme of physical therapy and evaluate its effectiveness. Materials and Methods: The study was conducted for six months on the basis of a sports and recreation complex, which includes a gym, aerobics and a swimming pool with professional equipment. It was attended by 40 people aged from 33 to 56, with overweight and obesity of I degree. They were divided into two groups: the main (20 people) and control (20 people). The main group used a set of strength physical exercises of aerobic and anaerobic types, diet therapy andconstant online psychological support. The women in the control group performed the standard set of physical exercises that are usually offered in sports facilities and ate at their own discretion. We also used elements of therapeutic exercise to increase energy expenditure, reduce excess weight and strengthen muscles, restore and maintain physical and professional performance. There wereno people with serious disorders of the cardiovascular, endocrine and other body systems among the participants of the study. Results: During the therapeutic programme, we performed monthly control measurements of body parameters and body weight in order to monitor their dynamics and compare it with that in the control group, which was engaged in the standard complex. At the beginning of the study, the results in both groups were quite positive, after some time the rate of weight loss began to slow down, and in the control group, among some participants it even worsened – the weight returned. 6 months after the initial control, a final control of both groups of women of second adulthood was performed. When comparing the data obtained before and after rehabilitation measures, we observed a significant decrease in body weight in individuals of the study group in contrast to the control, where there was a decrease in body weight, but it was statistically insignificant. Analysis of the dynamics of monthly weight loss for the entire rehabilitation period showed that in the control group there was a decrease in body weight in the first and second months of the rehabilitation complex, relative to the main group, then the dynamics was marked by significant weight loss in the 1st, 2nd, 3rd month. Conclusions: Based on the obtained results, we proved the high efficiency of the proposed therapeutic and rehabilitation complex (combination of diet therapy, exercises of aerobic and anaerobic directions) for the treatment of persons with I degree of obesity (significantly reduced body weight and reduced the size of body parts). Rehabilitation measures used in our study activate metabolic processes, increase energy expenditure, reduce excess body weight, strengthen the body. By following a healthy lifestyle, eating rationally, you can prevent a number of diseases, improve efficiency and general well-being, avoid premature aging. Physical therapy of obese patients requires a combination of dietary and physiotherapeutic methods (massage, physiotherapy, psychological training), which allows to achieve sustainable weight loss for a long period.