The Effect of Movement Control Training on Body Mass Index and Cardiorespiratory Fitness ‎in Obese Children

Document Type : Original Article

Authors

1 Department of Sports Sciences, Imam Reza International University, Mashhad, Iran

2 Department of Sports Sciences, Imam Reza International University (AS), Mashhad, Iran

3 Department of General Studies, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Purpose:
Mechanical factors such as increased weight on the chest wall and abdomen heightened demand for ventilation (respiration rate), respiratory muscle inefficiency, and decreased respiratory adaptation in obese people. The purpose of this study was to investigate the effect of Motor Control Exercise (MCE) on body mass index and cardiorespiratory fitness of obese children.
Methods:
This research was semi-experimental with a pre-test and post-test design with a control group. A number of 30 obese children aged 8-12 years with a body mass index (BMI) of 19 to 23 in Mashhad, who had not participated in any regular physical activity program in the past two years, were selected as available and randomly assigned to two movement control training and control groups (Each group of 15 people). Cardiorespiratory endurance was measured through the 2-minute standing step test and breathing performance was measured through the number of breaths in one minute and the breath-holding test. The experimental group participated in the movement control training program for 8 weeks, 5 sessions per week and each session lasted 45-60 minutes. The control group received no intervention. The statistical method of mixed variance analysis was used to analyze the data at the P≤0.05 level.
Results:
Weight, BMI and breathing rate in the training group were significantly reduced by 3.31%, 30.40% and 1.88%, respectively, compared to the control group (p=0.014, p=0.030 and p=0.017, respectively). Inspiratory breath holding and exhaling breath holding increased by 1.32% and 2.61% respectively in the training group compared to the control group, but they were not significant (p=0.11 and p=0.27, respectively). Cardiorespiratory endurance in the training group increased significantly by 7.17% compared to the control group (p=0.001).
Conclusion:
It is concluded that 8 weeks of motor control training leads to a significant improvement in cardiorespiratory endurance and breathing performance, as well as a significant reduction in weight and BMI in obese children aged 8-12 years and it is recommended that these exercises be included in the training program of these people.

Keywords

References

  1. WHO Consultation on Obesity. Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000; 894: 1-253.
  2. Taheri F, Kazemi T, Taghizadeh B, Najibi G. Prevalence of overweight and obesity in Birjand adolescents. IJEM 2008; 10: 121-126. [Persian]
  3. Cali AM, Caprio S. Obesity in children and adolescents. J Clin Endocrinol Metab 2008; 93: 31-36.
  4. Mehrabi E, Kargarfard M, Kelishadi R, Mojtahedi H. Effects of Obesity on Pulmonary Function in Obese, Overweight, and Normal Students. J Isf Med Sci 2012; 30(183). 401-409 [Persian]
  5. Hong Y, Ra SW, Shim TS, Lim CM, et al. Poor interpretation of pulmonary function tests in patients with concomitant decreases in FEV1 and FVC. Respirology 2008; 13(4): 569-574.
  6. Ochs-Balcom HM, Grant BJ, Muti P, Sempos CT, et al. Pulmonary function and abdominal adiposity in the general population. Chest 2006; 129(4): 853-862.
  7. Attarzadeh Hoeini SR, Oshtovani ZH, Soltani H, Kakhk SA. Changes in Pulmonary Function and Peak Oxygen Consumption in Response to Interval Aerobic Training in Sedentary Girls. J Sabz Univ Med Sci 2012; 19(1): 42-51. [Persian]
  8. Salome CM, King GG, Berend N. Physiology of obesity and effects on lung function. J Appl Physiol 2010; 108(1): 206-211.
  9. Giacomini MB, da Silva AM, Weber LM, Monteiro MB. The pilates method increases respiratory muscle strength and performance as well as abdominal muscle thickness. J Bodyw Mov Ther 2016; 20(2): 258-264.
  10. Jesus LT, Baltieri L, Oliveira LG, Angeli LR, et al. Effects of the Pilates method on lung function, thoracoabdominal mobility and respiratory muscle strength: nonrandomized placebo-controlled clinical trial. Fisioterapia e Pesquisa 2015; 22(3): 213-222.
  11. Alexandrov A, Frolov A, Massion J. Biomechanical analysis of movement strategies in human forward trunk bending. Experimental study. Biol Cybern, 2001; 84(6): 435-443.
  12. Shumway-Cook A, Woollacot M. Motor control: translating research into clinical practice. Philadelphia: Lippincott Raven 2011; 3-20.
  13. Quatman-Yates CC, Quatman CE, Meszaros AJ,  Paterno MV,  Hewett TE. A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness? Br J Sports Med 2012; 46: 649-655.
  14. Pinto RZ, Ferreira PH, Franco MR,  Ferreira MC, et al. The effect of lumbar posture on abdominal muscle thickness during an isometric leg task in people with and without nonspecific low back pain. Man Ther 2011; 16: 578-584.
  15. Hirata RP, Salomoni SE, Christensen SW, Graven- Nielsen T. Reorganized motor control strategies of trunk muscles due to acute low back pain. Hum Mov Sci 2015; 41: 282-294.
  16. Parameswaran K, Todd DC, Soth M. Altered respiratory physiology in obesity. Can Respir J 2006; 13: 203-210.
  17. Key J. ‘The core’: understanding it, and retraining its dysfunction. J Bodyw Mov Ther 2013; 17: 541-559.
  18. Sharp JT, Druz WS, Kondragunta VR. Diaphragmatic responses to body position changes in obese patients with obstructive sleep apnea. Am Rev Respir Dis 1986; 133: 32-37.
  19. Gibson GJ. Obesity, respiratory function and breathlessness. Thorax 2000; 55: 41-44.
  20. Hulens M, Vansant G, Claessens AL,  Lysens R,  Muls E. Predictors of 6-minute walk test results in lean, obese and morbidly obese women. Scand J Med Sci Sports 2003; 13: 98-105.
  21. Hodges PW, Heijnen I, Gandevia SC. Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiol (Lond) 2001; 537: 999-1008.
  22. Bezzoli E, Andreotti D, Pianta L, Mascheroni M, et al. Motor control exercises of the lumbar-pelvic region improve respiratory function in obese men. Disabil Rehabil 2016; 40(2):152-158.
  23. Ozturk B, Duruturk N. Effect of telerehabilitation applied during COVID-19 isolation period on physical fitness and quality of life in overweight and obese individuals. Int J Obes (Lond) 2022; 46(1): 95-99.
  24. Kim KH, Kim DH. Effects of Maitland Thoracic Joint Mobilization and Lumbar Stabilization Exercise on Diaphragm Thickness and Respiratory Function in Patients with a History of COVID-19. Int J Environ Res Public Health 2022; 19: 17044. 1-9
  25. Skelton JA, Rudolph CD. Overweight and obesity. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, Zietell BJ, Dawis HW, Nelson texbook of pediatrics. 18th ed. Philadelphia: Saunders. 2007; 232-242.
  26. Ghavipanje V, Rahimi NM, Akhlaghi F. Six Weeks Effects of Dynamic Neuromuscular Stabilization (DNS) Training in Obese Postpartum Women with Low Back Pain: A Randomized Controlled Trial. Biol Res Nurs 2022; 24 (1):106-114.
  27. Kiesel K, Rhodes T, Mueller J, Waninger A. Butler R. Development of a screening protocol to identify individuals with dysfunctional breathing. IJSPT 2017; 12(5): 774-786.
  28. Madanmohan  D, Thombre P, Balakumar B,  Nambinarayanan TK, et al. Effect of yoga training on reaction time, respiratory endurance and muscle strength. Indian J Physiol Pharmacol 1992; 36(4): 229-233.
  29. Jones CJ, Rikli RE. Measuring functional fitness in older adults. J Act Aging 2002; 25-30.
  30. Tine Kartinah N, Rosalyn Sianipar I, Nafi'ah Rabia. The Effects of Exercise Regimens on Irisin Levels in Obese Rats Model: Comparing High-Intensity Intermittent with Continuous Moderate-Intensity Training. Biomed Res Int 2018; 27: 4708287.1-7
  31. Wong PC, Chia YH, Tsou YH, Darren L, et al. Effects of a 12-week Exercise Training Program me on Aerobic Fitness, Body Composition, Blood Lipids and C-Reactive Protein in Adolescents with Obesity. Ann Acad Med Singapore 2008; 37: 286-293.
  32. Woo R. Effects of increase in physical activities on carbolic intake in lean women. Metabulism 1985; 34: 856-840.
  33. Nimen David C. Fitness and your health. Bull publishing company; 2000.
  34. Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol 2000; 89: 967-976.
  35. Lehtola V, Luomajoki H, Leinonen V, Gibbons S, et al. Sub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: a randomized controlled trial. BMC Musculoskelet Disord 2016; 17:135.
  36. Yüksel F, Güzel NA, Taşpınar B, Balaban A. Relationship between Trunk Muscle Endurance, Pulmonary Function, and Respiratory Muscle Strength in Healthy Individuals. Turk J Physiother Rehabil 2020; 31(3): 255-262.
  37. Streicher H, Matzold F, Hamilton D, Wagner P. Comparison of group motor control training versus individual training for people suffering from back pain. J Bodyw Mov Ther.2014; 18:489-496.
  38. McGill SM, Grenier S, Kavcic N, Cholewicki J. Coordination of muscle activity to assure stability of the lumbar spine. J Electromy Kines 2003; 13(4): 353-359.
  39. Ahmadi R, Hidari N, Mahdavi B, Daneshmandi H. The effect of core stabilization exercises on the physical fitness in children 9-12 Years. Medicina Sportiva 2014; 1(3): 2401-2405.
  40. Sailors M, Berg K. Comparison of responses to weight training in pubescent boys and men. JSM 1987; 27: 30-37.
Journal of Paramedical Sciences & Rehabilitation
Volume 12, Issue 2
September 2023
Pages 64-73

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