Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women

Introduction: Obesity in middle-aged women markedly increases the risk for non-communicable diseases, neurodegenerative diseases, and physical and cognitive problems. Exercise, particularly combined physical-cognitive exercise, has been demonstrated to have beneficial effects on both physical and co...

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Main Authors: Puntarik Keawtep, Teerawat Kamnardsiri, Sirinun Boripuntakul, Wanachaporn Wichayanrat, Puangsoi Worakul, Somporn Sungkarat
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/21501319231189961
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author Puntarik Keawtep
Teerawat Kamnardsiri
Sirinun Boripuntakul
Wanachaporn Wichayanrat
Puangsoi Worakul
Somporn Sungkarat
author_facet Puntarik Keawtep
Teerawat Kamnardsiri
Sirinun Boripuntakul
Wanachaporn Wichayanrat
Puangsoi Worakul
Somporn Sungkarat
author_sort Puntarik Keawtep
collection DOAJ
description Introduction: Obesity in middle-aged women markedly increases the risk for non-communicable diseases, neurodegenerative diseases, and physical and cognitive problems. Exercise, particularly combined physical-cognitive exercise, has been demonstrated to have beneficial effects on both physical and cognitive health. However, middle-aged women often face barriers to engaging in exercise, which include time constraints, lack of motivation, and enjoyment. Incorporating an exercise program into a technology-based intervention in the home environment may help overcome these barriers and promote health benefits. Therefore, this study aimed to assess the feasibility of home-based, physical-cognitive internet-based exercise for middle-aged obese women. Methods: A total of 33 middle-aged obese women were enrolled in the study. Participants performed an intervention for 60 min/day, 3 days/week for 3 months. Feasibility outcomes (adherence, adverse events, physical performances, obesity parameters, and enjoyment of the program) were measured. Results: Average exercise adherence was 91.67%, and no adverse events were reported in this feasibility study. At the end of the training period, body weight and BMI were significantly decreased compared to baseline. As for physical performances, both cardiorespiratory fitness and lower limb muscle power were significantly improved at post-training when compared to baseline. Furthermore, the participants experienced a high level of exercise enjoyment, and it was maintained over the 3-month training period. Conclusion: These findings suggest that home-based, internet-based physical-cognitive exercise was safe and feasible for reducing obesity parameters, improving physical function, maintaining enjoyment over the course of training, and facilitating adherence to exercise in middle-aged obese women.
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spelling doaj.art-db376251955c48898391696f4e607ba52023-07-31T22:04:58ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272023-07-011410.1177/21501319231189961Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese WomenPuntarik Keawtep0Teerawat Kamnardsiri1Sirinun Boripuntakul2Wanachaporn Wichayanrat3Puangsoi Worakul4Somporn Sungkarat5Chiang Mai University, Chiang Mai, ThailandChiang Mai University, Chiang Mai, ThailandChiang Mai University, Chiang Mai, ThailandChiang Mai University, Chiang Mai, ThailandPrince of Songkla University, Pattani Campus, ThailandChiang Mai University, Chiang Mai, ThailandIntroduction: Obesity in middle-aged women markedly increases the risk for non-communicable diseases, neurodegenerative diseases, and physical and cognitive problems. Exercise, particularly combined physical-cognitive exercise, has been demonstrated to have beneficial effects on both physical and cognitive health. However, middle-aged women often face barriers to engaging in exercise, which include time constraints, lack of motivation, and enjoyment. Incorporating an exercise program into a technology-based intervention in the home environment may help overcome these barriers and promote health benefits. Therefore, this study aimed to assess the feasibility of home-based, physical-cognitive internet-based exercise for middle-aged obese women. Methods: A total of 33 middle-aged obese women were enrolled in the study. Participants performed an intervention for 60 min/day, 3 days/week for 3 months. Feasibility outcomes (adherence, adverse events, physical performances, obesity parameters, and enjoyment of the program) were measured. Results: Average exercise adherence was 91.67%, and no adverse events were reported in this feasibility study. At the end of the training period, body weight and BMI were significantly decreased compared to baseline. As for physical performances, both cardiorespiratory fitness and lower limb muscle power were significantly improved at post-training when compared to baseline. Furthermore, the participants experienced a high level of exercise enjoyment, and it was maintained over the 3-month training period. Conclusion: These findings suggest that home-based, internet-based physical-cognitive exercise was safe and feasible for reducing obesity parameters, improving physical function, maintaining enjoyment over the course of training, and facilitating adherence to exercise in middle-aged obese women.https://doi.org/10.1177/21501319231189961
spellingShingle Puntarik Keawtep
Teerawat Kamnardsiri
Sirinun Boripuntakul
Wanachaporn Wichayanrat
Puangsoi Worakul
Somporn Sungkarat
Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women
Journal of Primary Care & Community Health
title Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women
title_full Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women
title_fullStr Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women
title_full_unstemmed Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women
title_short Feasibility of Internet-Based Physical-Cognitive Exercise for Health Benefits of Middle-Aged Obese Women
title_sort feasibility of internet based physical cognitive exercise for health benefits of middle aged obese women
url https://doi.org/10.1177/21501319231189961
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