Clinical trial NCT04793451: Endurance-strength Training in Obese Women
Official title: Effect of Endurance and Endurance-strength Training on Selected Aspects of Psychological Functioning of Women With Obesity
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Obesity
Cognitive Dysfunction
Physical Exercise
Keywords: Obesity
Women
Psychological functioning
Physical exercise
Lead sponsor: Poznan University of Medical Sciences
Sponsor class: OTHER
First posted: 2021-03-11
Enrollment: 38
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study was designed as a prospective randomized trial.
Primary purpose: BASIC_SCIENCE

Brief summary: The aim of this study was to compare the effects of three months' endurance training and three months' endurance-strength training on selected psychological aspects in women with abdominal obesity.

Detailed description: Study patients. Written informed consent was obtained from all subjects. The study meets the standards of the Declaration of Helsinki in its revised version of 1975 and its amendments of 1983, 1989, and 1996.

Study design. The study was designed as a prospective randomized trial. Subjects were randomly divided into two groups, A and B, using a randomization list. Both groups performed three month of physical training. Group A underwent endurance training, while group B performed endurance-strength training. Aside from the training, all subjects were instructed to maintain the physical activity and diet that they had been practicing so far. At baseline and after three months of physical training, anthropometric measurements were performed and psychological questionnaires (Perceived Stress Scale (PSS-10); The Rosenberg Self-Esteem Scale (SES); Body Shape Questionnaire (BSQ - 34); Figure rating scale (FRS); The Three-Factor Eating Questionnaire-18 (TFEQ-18)) were fulfilled for both groups.

Intervention. The exercise program lasted three months, with three sessions per week. Women in both groups participated in a total of 36 training sessions. The women in group A underwent endurance exercise on cycle ergometers (Schwinn Evolution, Schwinn Bicycle Company, Boulder, Colorado, USA). Exercise sessions consisted of a five-minute warm-up (stretching exercise) at low intensity (50%-60% of maximum heart rate), a 45-minute exercise (at 50%-80% of maximum heart rate), five minutes of cycling without a load, and five minutes of closing stretching and breathing exercise of low intensity. Group B performed endurance-strength exercise consisting of a five-minute warm-up (stretching exercises) of low intensity (50%-60% of maximum heart rate), a strength component, an endurance component, 5 minutes cycling without a load, and a 5 minutes closing stretching and breathing exercise of low intensity. The 20-minute-long strength component was performed using a neck barbell and a gymnastic ball. Directly after the strength exercise, the women took part in a 25-minute endurance exercise on cycle ergometers (Schwinn Evolution, Schwinn Bicycle Company, Boulder, Colorado, USA) at 50%-80% of maximum heart rate. Both the endurance and endurance-strength training were comparable in exercise volume; the only difference was the nature of the effort.

Eligibility criteria: Inclusion Criteria:

* informed written consent;
* simple obesity;
* age from 18 to 65 years;
* body fat content, assessed by electrical bioimpedance, equal to or more than 33%;
* waist circumference more than 80 cm;
* stable body weight in the one month prior to the trial.

Exclusion Criteria:secondary form of excess body mass

* secondary form of arterial hypertension
* mean systolic blood pressure \> 140 mmHg and/or mean diastolic blood pressure \> 90 mmHg;
* diabetes;
* ischemic heart disease;
* stroke;
* heart failure;
* history of malignancy;
* clinically significant heart arrhythmias;
* a history of use of any dietary supplement;
* serious liver or kidney damage;
* abnormal thyroid gland function;
* clinically significant inflammation, connective tissue disease, or arthritis;
* nicotine, alcohol, or narcotic abuse;
* infection;
* pregnancy, childbirth, or lactation;
* any other condition that would make participation not in the best interest of the subject, or could prevent the efficacy of the study.

Primary outcomes:
measure: Perceived Stress Scale (PSS-10) question 1 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 1 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 2 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 2 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 3 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 3 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 4 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 4 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 5 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 5 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 6 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 6 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 7 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 7 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 8 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 8 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 9 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 9 after three months of physical training
timeFrame: after three months of physical training
measure: Perceived Stress Scale (PSS-10) question 10 at Baseline
timeFrame: at Baseline
measure: Perceived Stress Scale (PSS-10) question 10 after three months of physical training
timeFrame: after three months of physical training
Secondary outcomes:
measure: The Rosenberg Self-Esteem Scale (SES) question 1 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 1 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 2 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 2 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 3 at Beseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 3 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 4 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 4 at Baseline
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 5 at Baseline
timeFrame: At the baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 5 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 6 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 6 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 7 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 7 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 8 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 8 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 9 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 9 after three months of physical training
timeFrame: after three months of physical training
measure: The Rosenberg Self-Esteem Scale (SES) question 10 at Baseline
timeFrame: at Baseline
measure: The Rosenberg Self-Esteem Scale (SES) question 10 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 1 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 1 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 2 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 2 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 3 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 3 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 4 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 4 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 5 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 5 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 6 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 6 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 7 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 7 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 8 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 8 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 9 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 9 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 10 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 10 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 11 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 11 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 12 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 12 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 13 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 13 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 14 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 14 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 15 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 15 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 16 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 16 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 17 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 17 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 18 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 18 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 19 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 19 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 20 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 20 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 21 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 21 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 22 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 22 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 23 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 23 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 24 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 24 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 25 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 25 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 26 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 26 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 27 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 27 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 28 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 28after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 29 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 29 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 30 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 30 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 31 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 31 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 32 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 32 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 33 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 33 after three months of physical training
timeFrame: after three months of physical training
measure: Body Shape Questionnaire (BSQ - 34) question 34 at baseline
timeFrame: at baseline
measure: Body Shape Questionnaire (BSQ - 34) question 34 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 1 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 1 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 2 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 2 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 3 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 3 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 4 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 4 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 5 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 5 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 6 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 6 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 7 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 7 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 8 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 8 after three months of physical training
timeFrame: after three months of physical training
measure: Figure rating scale (FRS) - figure 9 at baseline
timeFrame: at baseline
measure: Figure rating scale (FRS) - figure 9 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 1 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 1 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 2 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 2 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 3 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 3 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 4 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 4 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 5 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 5 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 6 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 6 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 7 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 7 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 8 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 8 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 9 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 9 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 10 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 10 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 11 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 11after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 12 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 12 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 13 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 13 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 14 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 14 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 15 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 15 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 16 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 16 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 17 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 17 after three months of physical training
timeFrame: after three months of physical training
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 18 at baseline
timeFrame: at baseline
measure: The Three-Factor Eating Questionnaire-18 (TFEQ-18) question 18 after three months of physical training
timeFrame: after three months of physical training
Other outcomes:
Locations:
city: Poznan
country: Poland
facility: Department of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics; Poznan University of Medical Sciences
state: Wielkopolska
Study officials:
affiliation: Poznan University of Medical Sciences
name: Paweł Bogdański, Prof.
role: STUDY_CHAIR
References:
citation: Bak-Sosnowska M, Gruszczynska M, Skrypnik D, Grzegorczyn S, Karolkiewicz J, Ratajczak M, Madry E, Walkowiak J, Bogdanski P. Type of Physical Training and Selected Aspects of Psychological Functioning of Women with Obesity: A Randomised Trial. Nutrients. 2021 Jul 26;13(8):2555. doi: 10.3390/nu13082555.