Cent Eur J Public Health 2017, 25(4):326-331 | DOI: 10.21101/cejph.a4780

Comprehensive group therapy of obesity and its impact on selected anthropometric and postural parameters

Stanislav Horák1,2, Eliška Sovová3, Dalibor Pastucha4,5, Petr Konečný2,6,7, Lenka Radová8, Naděžda Calabová1,2, Jana Janoutová9, Vladimír Janout9
1 Department of Rehabilitation, University Hospital Olomouc, Olomouc, Czech Republic
2 Department of Physiotherapy, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic
3 Department of Exercise Medicine and Cardiovascular Rehabilitation, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic
4 Department of Rehabilitation, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
5 ReFit Clinic, Olomouc, Czech Republic
6 Department of Rehabilitation, Prostějov Hospital, Prostějov, Czech Republic
7 Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech Republic
8 Central European Institute of Technology, Masaryk University, Brno, Czech Republic
9 Centre for Research and Science, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic

Objective: Obesity is a multifactorial disease. This non-infectious epidemic has reached pandemic proportions in the 21 century. Posture is a dynamic process referring to an active maintenance of body movement segments against the action of external forces. The aim of the study was to investigate the effect of comprehensive group therapy for obese persons on selected anthropometric and postural parameters.

Methods: The study comprised 53 females with a mean age of 44.5 years (range 29-65 years, standard deviation 9.42 years, median 44 years), who completed a controlled weight loss programme. At the beginning and at the end of the programme, anthropometric parameters (Body Mass Index (BMI), weight and waist circumference) were measured and the posturography tests Limits of Stability (LOS) and Motor Control Test (MCT) were performed using the NeuroCom's SMART EquiTest system. The data were statistically analyzed using R software at a level of significance of 0.05.

Results: There were positive changes after the controlled weight loss programme in anthropometric parameters (BMI reduction, with p < 0.001; waist circumference reduction, with p < 0.001; and weight loss, with p < 0.001), postural stability with statistically significant (p < 0.05) improvements in both postural activity (LOS test parameters) and reactions (MCT parameters).

Conclusion: The study showed a statistically significant effect of comprehensive group therapy for obesity in terms of reductions in waist circumference, body weight and BMI, and thus the overall reduction of both cardiovascular and metabolic risks, as well as improved postural skills (activity and reactions).

Keywords: body mass index, obesity, waist circumference, posture, posturography, controlled weight loss programme

Received: March 21, 2016; Revised: November 30, 2017; Published: December 30, 2017  Show citation

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Horák S, Sovová E, Pastucha D, Konečný P, Radová L, Calabová N, et al.. Comprehensive group therapy of obesity and its impact on selected anthropometric and postural parameters. Cent Eur J Public Health. 2017;25(4):326-331. doi: 10.21101/cejph.a4780. PubMed PMID: 29346858.
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