Endocrine Abstracts

Aim of the study was to estimate the effect of complex with 4 kinesiotherapy methods on body weight loss and carbohydrate metabolism in patients with obesity.

Material and meth

ods. 80 people were enrolled in the study. 40 people in the first group (G1) -54–63 years old with obesity (mean age 57 [54;63] years, weight 100.5 [89.5;114.8]kg, BMI 35.6 [32.8;43.2] kg/m², waist circumference WC 105.5 [100.3;118.3] cm, hip circumference HC 117.5[108.5;127.3] cm. 40 people in the second group (G2) 58 [53;66] years old with obesity (weight 107[94.3;127] kg, BMI 41.7[34.2;46.9] kg/m², WC 109[105;125.8] cm, HC 127[112.3;139.8] cm. Complex kinesiotherapy administrered daily for 3 weeks included interactive sensorimotor training on double platform, complex of physical exercises in the gym and ergocycle. In addition, in G2. patients included kinesitherapy in a pool. Weight, WC, HC, carbohydrate tolerance test (TT HC), insulin last 3 weeks was measured at baseline and after the treatment was completed.

Results

There was a significant improve in body weight in G1 (100.5 [89.5;114.8]kg vs 98[87.5;111.3] kg in 3 weeks; P = 0.000), BMI (35.6 [32.8;43.2] vs 34.6 [32;42.1]kg/m²; P = 0.000), WC (105.5 [100.3;118.3] vs 103.5[97;114.3]cm; P = 0.000), HC (117.5[108.5;127.3] vs 115.5[107;122.8]; P = 0.000). Body weight in G2 (107[94.3;127] kg vs 104.5[93.3;123.5] kg; P = 0.000), BMI (41.7[34.2;46.9] vs 39.3 [33.9;45.4]kg/m²; P = 0.000), WC (109[105;125.8] vs 107[98.8;120]cm; P = 0.000), HC (127[112.3;139.8] vs 121[109.5;133.5] cm; P = 0.000). We registered statistically significant elevation in insulin levels of G2 vs to G1. With Z=2.63 in G1, P = 0.003 and Z=1.96, P = 0.002 in G2, and Z=2.87 when assessing the significance elevation between G1 and G2, P = 0.023. Significantly improved performance of TT HC in G1. Z=2.02, P = 0.04, in G2. Z=3.004, P = 0.002. When assessing the significance of differences between G1 and G2 after treatment, Z=2.3, P = 0.017.

Conclusions. Complex treatment with 4 methods of kinesiotherapy helps to reduce body weight, WC, HC, insulin, TT HC in obesity. Intensification training using kinesitherapy in a pool showed more significant improvements in carbohydrate metabolism.