Quick Links
Archives
How   to   cite   this   Article:    Mayuri   D.   Mandlik,   Amita   Mehta.    EFFECT   OF   AEROBIC   TRAINING   ON   QUALITY   OF   LIFE   AND   MENTAL   HEALTH   IN OBESE WOMEN.  Int J Physiother Res 2016;4(6):1736-1744. DOI: 10.16965/ijpr.2016.180.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijpr.2016.180 Page No.:  1736-1744
EFFECT OF AEROBIC TRAINING ON QUALITY OF LIFE AND MENTAL HEALTH IN OBESE WOMEN Mayuri D. Mandlik 1 , Amita Mehta * 2 . 1  Seth G.S. Medical College and KEM hospital, Parel, Mumbai, Maharashtra University of Health Sciences, Nashik, India. *2 Professor, Head of Physiotherapy Department, Seth G.S. Medical College and KEM hospital, Parel, Mumbai, India. Address   for   correspondence:      Dr.   Mayuri   D.   Mandlik,   Assistant   Professor,   DPO   Nett   College   of   Physiotherapy,   Thane,   Maharashtra, India.  E-Mail:  mayumndlik@gmail.com Abstract: Background:    Obesity   is   increasingly   important   health   problem   worldwide   including   developing   countries.   Obesity   is   associated   with   mental   illness   and   all aspects of individual’s quality of life .Aerobic training is mainstay in the management of obesity as it helps in caloric expenditure & weight loss.  Objectives:   To   assess   the   effects   of   aerobic   training   on   quality   of   life   using   SF-36   questionnaire   and   on   mental   health   using   Hospital   Anxiety   and   Depression Scale Study Design:  Prospective interventional study Materials   and   Methods:    30   women   with   BMI   >   25   kg/m 2    in   the   age   group   of   20-60   years   were   selected   according   to   convenience   sampling   method.   Then quality   of   life   and   mental   health   evaluation   was   done   using   SF-36   questionnaire   and   Hospital   Anxiety   and   Depression   scale   respectively.   An   aerobic   training program   was   given   for   8   weeks,6   sessions   per   week   with   each   session   consisting   of   warm   up   &   cool   down   period   for   5-10   minutes   and   aerobic   training   of   15- 45   minutes   involving   brisk   walking,   cycling,   stair   climbing   at   target   heart   rate   40%-60%   of   age   predicted   maximum   heart   rate.   At   the   end   of   8   weeks reassessment was done. Results :   There   was   significant   statistical   difference   found   in   physical   functioning,   role   limitation   due   to   physical   health   and   due   to   emotional   problems, energy   levels,   social   functioning,   pain,   emotional   well-   being   and   general   health   post   8   weeks   of   aerobic    training   using   Wilcoxon   Signed   Rank   test   p   value 0.0001. Also there was statistically   significant reduction in weight after aerobic training by using Paired t-test. Conclusion:  We found that aerobic training improved quality of life and mental health in obese women. Also it induced weight loss in obese women. KEY WORDS:  Obesity, aerobic training, quality of life, mental health,SF-36, Hospital Anxiety and depression scale. References 1 . Gadalla TM Association of obesity with mood and anxiety disorders in the adult general population. Chronic Dis Can 2009;30(1):29-36. 2 . Obesity and Mental health National Obesity Observatory March 2011. 3 . Anthony N. Fabricatore, PhD, andThomas A. Wadden, PhD Psychological  functioning  of  obese  individuals Diabetes Spectrum 2003;16(4). 4 . A   Misra,   P   Chowbey,   BM   Makkar,   NK   Vikram,   JS   Wasir,   D      Chadha,      Shashank      R      Joshi,      S      Sadikot,      R      Gupta, Seema      Gulati,      YP      Munjal      Consensus     Statement      for Diagnosis      of      Obesity   ,      Abdominal      Obesity      and      the Metabolic            Syndrome            for            Asian            Indians            and Recommendations      for     Physical  Activity,  Medical  and Surgical Management JAPI 2009;57 .   5 . Obesity and Overweight World Health Organization, Fact sheet 2013 6 . Dang M. Nguyen, MD and Hashem B.El -Serag, MD, MPH The Epidemiology of Obesity Gastroenterol Clin North Am.2010;39(1):17 .   7 . Body Mass Index as a measure of Obesity. National Obesity Observatory.June 2009. 8 . Jack H Wilmore, David L Costillo. Obesity, diabetes and Physical activity. Physiology of sports and exercise,3 rd edition pg.675-676 .   9 . Louis J. Aronne Classification of obesity and assessment of obesity-related health risks. Obes Res. 2002;10:105S- 115S .   1 0 . WHO   Expert   Consultation   Appropriate   body-mass   index for   Asian   populations   and   its   implications   for   policy   and intervention   strategies   Lancet   2004; 363: 157-63 .   1 1 . Peter G. Kopelman Obesity as a Medical problem Nature 2000;404 .   1 2 . Michael L. Pollock, Jack H. Wilmore. Exercise in Health and Disease.1990;pg. 71 .   1 3 . Health   risks   of   adult   obesity. National Obesity Observatory Public Health England 2013. 1 4 . Xavier Pi-Sunyer The Medical Risks of ObesityPostgrad Med. 2009;121(6):21-33 .   1 5 . WHO Centre for Study of Quality of Life. Department of Psychology,  University  of  Bath,  Bath,UK  Accepted  in revised form 2003. 1 6 . Wadden TA, Phelan S. Assessment of quality of life in obese individuals. Obesity research. 2002 Nov 1;10(S11):50S-7S. 1 7 . Luppino   FS,   de   Wit   LM,   Bouvy   PF,   Stijnen   T,   Cuijpers   P, Penninx   BWJH,   Overweight,   obesity,   and   depression:   a systematic      review      and      meta-analysis      of     longitudinal studies. Archives of General Psychiatry 2010;67(3):220-9. 1 8 . Jorm      AF,      Korten      AE,      Christensen      H,      Jacomb      PA, Rodgers      B,      Parslow      RA.      Association      of      obesity      with anxiety,         depression         and         emotional        well-being:   a community  survey.  Aust  N  Z  J  Public  Health. 2003; 27(4):434-40. 1 9 . Gariepy   G,   Nitka   D,   Schmitz   N.   The   association   between obesity      and      anxiety      disorders      in      the      population:      a systematic   review   and   meta-analysis.Int J Obes (Lond). 2010 Mar;34(3):407-19. 2 0 . Susan   B   Racette   ,   Dale   A   Schoeller,   Robert   F   Kushner, Karen   M   Neil,   Kim   Herling-laffaldano.   Effects   of   aerobic exercises         and         dietary         carbohydrate        on   energy expenditure  and  body  composition  during  weight reduction in obese women.Am J Clin Nutr 1995; 61: 486- 94. 2 1 . Sharon A.Plowman , Denise J Smith. Exercise Physiology for Health, fitness and Performance. Lippincott Williams & Wilkins.2007; pg .61. 2 2 . McArdle;F.  Katch;  V.Katch.  Essentials  of  exercise Physiology. Lippincott Williams & Wilkins 2006 pg. 204 .   2 3 . Sarika   Chaudhary,   Manpreet   Kaur   Kang;   Jaspal   Singh Sandhu.      The      Effects      of   Aerobic      Versus      Resistance   Training   on   CardiovascularFitness   in   Obese Sedentary Females. Asian Journal of Sports Medicine,2010;1( 4):177-184 .   2 4 . Jones  GL,  Sutton  A.  Quality  of  life  in  obese postmenopausal women. Menopause Int. 2008;14(1):26- 32 .   2 5 . Valeria H Taylor.    Mary Forhan, Simone N. Vigod, Roger S. McIntyre,  Katherine  M. Morrison,  MD (Associate    Professor)    The    Impact    of    Obesity    on Quality of Life. Best Practice & Research Clinical Endocrinology &Metabolism 2013; 27:139-146. 2 6 . Deborah   J   Bowen,   Megan   D   Fesinmeyer,   Yutaka   Yasui, Shelley   Tworoger,   Cornelia   M   Ulrich,   Melinda   L   Irwin, Rebecca      E      Rudolph,      Kristin      L      LaCroix,     Robert      R Schwartz      and      Anne      McTiernan      Randomized      trial      of exercise      in      sedentary      middle      aged      women:effects      on   quality   of   life.   International Journal of Behavioral Nutrition and Physical Activity 2006, 3:34. 2 7 . Ikuyo   Imayama,   Catherine   M   Alfano,   Angela   Kong,   Karen   E   Foster-Schubert,   Carolyn   E   Bain,   Liren   Xiao,Catherine   Duggan,   Ching-Yun   Wang,   Kristin   L Campbell,     George     L     Blackburn     and     Anne     McTiernan.     Dietary     weight     loss     and     exercise          interventionseffects          on          quality          of          life          in overweight/obesepostmenopausal   women:a randomizedcontrolled         trial.         International         Journal         of Behavioral   Nutrition   and   Physical   Activity   2011, 8:118. 2 8 . James   M.   Rippe,Janet   M.   Price,   t   Stacey   A.   Hess,   Greg Kline.i      Kimberly      A.      DeMers,      Susanne      Damitz,      Imad Kreidieh,   Patty   Freedsoni.   Improved psychological    well- being,    qualityof    life,    and    health    practices    in    moderately overweightwomen    participating    in    a    12-week    structured weight lossprogram. Obes Res. 1998;6:208-218. 2 9 . Willis   LH,   Slentz   CA,   Bateman   LA,   Shields   AT,   Piner   LW, Bales   CW,   Houmard   JA,   Kraus   WE.   Effects   of   aerobic and/or   resistance   training   on   body   mass   and fat mass in overweight  or  obese  adults.  J  Appl  Physiol. 2012; 113(12):1831-7. 3 0 . James   J.   Annesi.   Relationship   of   physical   activity   and weight      loss      inwomen      with      Class      II      and      Class      III obesity:Mediation         of         exercise-induced        changes   in tensionand depression. International Journal of Health and Clinical Psychology. 2010; 10: 435-444. 3 1 . Sarsan A, Ardiç F, Ozgen M, Topuz O, Sermez Y. The effects  of  aerobic  and  resistance  exercises  in  obese women.Clin Rehabil. 2006 Sep;20(9):773-82. 3 2 . DiLorenzo    TM,    Bargman    EP,    Stucky-Ropp    R,    Brassington GS,    Frensch    PA,    LaFontaine    T.    Long-term    effects    of aerobic    exercise    on    psychological outcomes.Prev Med. 1999 Jan;28(1):75-85. 3 3 . Jennifer   T.   Fine;   Graham   A.   Coldiz;   Eugenie   H.   Coakley; George   Moseley;   JoAnn   E.   Manson;   Walter   C.   Willett;   Ichiro   Kawachi.   A   Prospective   study   of weight change and health related quality of life in women. JAMA 1999; 282: 2136-2142. 3 4 . Kolotkin RL, Meter K, Williams GR. Quality of life and obesity. Obes Rev. 2001 Nov;2(4):219-29. 3 5 . Edward H Livingston; Aaron S. Fink. Quality of Life Cost and  Future  of  Bariatric  Surgery.  ARCH  SURG 2003; 138:383-388. 3 6 . Zhao   G,   Ford   ES,   Dhingra   S,   Li   C,   Strine   TW,   Mokdad AH.Depression         and         anxiety         among         US         adults:   associations   with   body   mass   index.   Int   J   Obes (Lond). 2009 Feb;33(2):257-66. 3 7 . KM      Scott,      R      Bruffaerts,      GE      Simon,      J      Alonso,      M Angermeyer,   G   de   Girolamo,   K   Demyttenaere,Gasquet, JM   Haro,   E   Karam,   RC   Kessler,   D   Levinson, ME   Medina   Mora,MA Oakley Browne, J Ormel, JP Villa, H Uda and M Von      Korff.      Obesity      and      mental      disorders      in      the general   population:         results        from   the world   mental healthsurveys.International Journal of Obesity 2008;32: 192-200.   3 8 . López-Alvarenga      JC,      Vázquez-Velázquez      V,      Arcila- Martínez      D,      Sierra-Ovando      AE,      González-Barranco      J, Salín-Pascual   RJ.Accuracy   and   diagnostic utility of the Hospital  Anxiety  and  Depression  Scale (HAD)  in  a sample of obese Mexican patients. Rev Invest Clin. 2002 Sep-Oct;54(5):403-9. 3 9 . Ben      Michael      Brumpton,      Linda      Leivseth,      Pål      Richard Romundstad,      Arnulf      Langhammer,      Yue      Chen,      Carlos Arturo      Camargo      Jr      and      Xiao-Mei     Mai.  The  joint association  of  anxiety,  depression  and  obesity  with incident asthma in adults: the HUNT Study.2013. 4 0 . Zigmond  AS,  Snaith  RP:  The  hospital  anxiety  and depression scale. Acta Psychiatr Scand 1983, 67:361- 370. 4 1 . John   Roger   Andersen,   Anny   Aasprang,   Per   Bergsholm, Nils      Sletteskog,      Villy      Våge      and      Gerd      Karin      Natvig. Anxietyand   depression   in   association   with morbid obesity: changes with improved physical health after duodenal switch. Health and Quality of Life Outcomes 2010, 8:52. 4 2 . Francesco   Corica,   Andrea   Corsonello,   Giovanni   Apolone,   Maria   Lucchetti,   Nazario   Melchionda,   Giulio   Marchesini.   Construct   Validity   of   the   Short   Form-36 Health Survey and Its Relationship with BMI in Obese Outpatients.OBESITY 2006; 14(8). 4 3 . John M Jakicic and Amy D Otto Am. Physical activity considerations for the treatment and prevention of obesity. J Clin Nutr 2005;82(suppl):226S-9S. 4 4 . Hirsch, J.L. & Batchelor, B. Adipose tissue cellularity and human obesity. Clinical Endocrinology and Metabolism. 5: 299, 1976. 4 5 . Donnelly,   J.E.,   Pronk,   N.P.,   Jacobsen,   D.J.,   Pronk,   S.J., Jakicic,      J.M.,      Effects   of      a      very-low-calorie      diet      and physical-training      regimens      on      body     composition  and resting  metabolic  rate  in  obese  females.  American Journal of Clinical Nutrition. 1991;54(1): 56-61. 4 6 . Wolf, Donna Lynn.The Effects of Exercise Training and Dietary Supplementation on Fat Metabolism and Body Composition in Obese Women.2006. 4 7 . Gwinup G.Weight loss without dietary restriction efficacy of different forms of aerobic exercises.Am J Sports Med. 1987;15(3):275-9. 4 8 . Ellen    E.Blaak,    Wim    H.    M.    Saris.    Substrate    oxidation, obesity    and    exercise    training.    Best    Practice    &    Research Clinical    Endocrinology    and Metabolism.2002;16:667-668. 4 9 . Joseph   E.   Donnellya,   Jeffery   J.   Honasa,   Bryan   K.   Smithb, Matthew      S.      Mayoc,      Cheryl      A.      Gibsona,      Debra      K. Sullivand,   Jaehoon   Leee,   Stephen   D. Herrmanna,   Kate Lambournea,   and   Rik   A.   Washburn.   Aerobic   exercise alone   results   in   clinically   significant   weight   loss   for   men and   women:   Midwest Exercise Trial-2. Obesity (Silver Spring). 2013; 21(3): E219-E228. 5 0 . Dirk   Vissers,   Wendy   Hens,   Jan   Taeymans,   Jean-Pierre Baeyens,   Jacques   Poortmans,   Luc   Van   Gaal.   The   Effect   of   Exercise   on   Visceral   Adipose   Tissue   in Overweight Adults: A   Systematic   Review   and   Meta Analysis.Exercise and Visceral Adipose Tissue. 2013; 8 5 1 . I.   IsmailS.   E.   Keating,   M.   K.   Baker,   N.   A.   Johnson.   A systematic      review      and      meta-analysis      of      the      effect      of aerobic   vs.   resistance   exercise   training   on visceral fat. Obesity Reviews. 2011; 13: 68-91. 5 2 . Lehri   A.   and   Mokha,   R.   Effectiveness   of   Aerobic   and Strength   training   in   causing   weight   loss   and   favorably body      composition      in      females.     Journal  of  Exercise Sciences and Physiology.2006; 2: 96-99. 5 3 . Katschnig   H.How   useful   is   the   concept   of   quality   of   life   in   psychiatry?   In:   Katschnig   H,   Freeman   H,   and   Sartorius   M,   eds.   Quality   of   Life   in   Mental   Disorders. New York: Wiley; 1997, pp. 3-15 5 4 . Fitzgibbon   ML,   Stolley   MR,   Kirschenbaum   DS:Obese people   who   seek   treatment   have   differentcharacteristics than   those   who   do   not   seek   treatment. Health Psychol 1993;12:342-345. 5 5 . Menan      A.      Rabiel,      Nahla      Fawzy      Abo      El-Ezz,      Mervat Salah-el-Din.      Anxiety      and      Social      Anxiety      symptoms among      overweight      females      seeking     treatment  for obesity.Current Psychiatry.2010;17(4):13-20 .   5 6 . Guszkowska M. Effects of exrcise on anxiety, depression and mood. Psychiatry Pol 2004;38: 611-620. 5 7 . Scully,      D.,      Kremer,      J.,      Meade,      M.M.,      Graham,      R., Dudgeon,   K.   1998.   Physical   exercise   and   psychological well-being:      a      critical      review.      British     Journal  of  Sports Medicine.32; 111-120. 5 8 . Richardson   CR,   Faulkner   G,   Mc   Devitt   J,   Integrating physical   activity   into   mental   health   services   for   person with   serious   mental   illness.   Psychiatry Serv.2005; 56: 324-331. 5 9 . Callaghan P. Exercise a neglected intervention in mental health care. Psychiatry Ment Health Nurs, 2004; 11: 476- 483. 6 0 . James J 2008 Relations of mood with BM Ichanges in severely obese women. Obesity facts 2008;1:88-92 .  





International Journal of Physiotherapy and Research ISSN (O): 2321-1822  ISSN (P): 2321-8975 Volume 4 |Issue 6 |  2016 Date of Publication:  15 November 2016 http://ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com HOME ABOUT US EDITORIAL BOARD AUTHOR GUIDELINES SPECIAL SERVICES CONTACT US
DOWNLOAD PDF
TABLE OF CONTENTS