Endocrine Abstracts

Objectives: To evaluate the effectiveness of a new comprehensive rehabilitation program on weight dynamics and body composition indicators using different methods after the rehabilitation stage and long-term results.

Material and methods: The Research includes men and women aged 40 to 65 with a body weight index more than 30 kg/m². Patients of the main group (Group 1) received 4 methods of physical therapy: balance therapy, group sessions of kinesihydrotherapy, group sessions with a special complex of therapeutic exercises in the hall, aerobic exercises on a bike or treadmill. Patients of the comparison group (group 2) were treated only with the use of aerobic exercises and therapeutic exercises in the hall according to the same methodology and with the same number of procedures as in the main group.

Results: According to the data obtained, in both groups, after the completion of the treatment phase, body weight significantly decreased in both groups, P=0.0001, waist circumference (P=0.0001 in group 1 and P=0.005 in group 2) and hip circumference (P=0.0001 in group 1 and P=0.0003 in group 2). In the main group, the thickness of the triceps fat fold decreased significantly (P < 0.05) after 14 days, 3 and 6 months, respectively (from 36.0 [28.0; 39.5] to 32.0 [24.0; 46 0] to 28.0 [20.5; 37.5] to 29.0 [19.0; 45.0] mm, respectively), the thickness of the abdominal fat fold decreased after 14 days, 3 and 6 months (from 67.5 [50.0; 77.5] to 56.0 [50.0; 68.0] to 46.0 [37.0; 50.0] to 50.0 [38.0; 70.0] mm, respectively. We received a significant (P < 0.05) decrease in fat mass according to bioimpedancemetry in the main group after 14 days and 3 months, respectively (from 65.7 [49.2; 72.1] to 60.9 [42. 2; 66.7] to 55.3 [39.3; 62.2] kg, respectively). In group 1, the decrease in adipose tissue according to the data of air-replacing body platysmography also significantly (P < 0.05) differed after 14 days, 3 months, respectively (from 56.8 [41.3; 77.5] to 49.7 [40.1; 57.1] to 44.4 [34.4; 64.4] kg, respectively).

Conclusions: The new complex program, including aerobic and strength physical training, kinesihydrotherapy and balance therapy in combination with a low-calorie diet, showed a more significant effect than the standard rehabilitation method on reducing body weight, reducing the thickness of fat folds, as well as changing the composition of the body, including 3 and 6 months follow-up.