Nine-Month Interdisciplinary Physical Rehabilitation in Female University Students with Class I Obesity and Cardiometabolic Risk Factors: A Descriptive Report of Pre-Post Findings
DOI:
https://doi.org/10.68191/spora.v1i2.51Keywords:
female university students, physical activity, physical rehabilitation, quality of life, cardiometabolic risk, descriptive report, obesity phenotypeAbstract
Obesity in young women is associated with cardiometabolic, functional, and psychosocial limitations. This descriptive report summarizes verified pre-post findings from an underlying nine-month interdisciplinary physical rehabilitation study in 42 female university students aged 21-22 years with class I obesity at Uzhhorod National University, Ukraine. Twenty-four participants had been clinically classified with abdominal obesity and 18 with gluteofemoral obesity. The program combined structured exercise, daily walking, dietary behavior modification, motivational and psychological support, health education, and self-monitoring. At baseline, the abdominal group had a higher atherogenic coefficient (3.30 ± 0.35 vs. 2.56 ± 1.54) and Ruffier index (13.75 ± 1.93 vs. 11.59 ± 2.31), both documented as p < .05 in the original analysis. During the program, documented changes included a 7.42 cm reduction in waist circumference in the abdominal group, a 3.72 cm reduction in hip circumference in the gluteofemoral group, and fat-mass reductions of 2.52 kg and 2.14 kg, respectively. Mean self-esteem increased by approximately 12.5% in both groups, and SF-36 physical and mental component scores increased. The available study documentation did not include the individual-level raw dataset, complete adherence records, or full inferential outputs for reanalysis. Because the underlying study had no non-intervention control group, the findings are presented as descriptive within-sample changes and do not establish causal effectiveness.
Keywords:cardiometabolic risk; descriptive report; female university students; obesity phenotype; physical rehabilitation; quality of life.
References
Alberti, K. G. M. M., Eckel, R. H., Grundy, S. M., Zimmet, P. Z., Cleeman, J. I., Donato, K. A., Fruchart, J.-C., James, W. P. T., Loria, C. M., & Smith, S. C., Jr. (2009). Harmonizing the metabolic syndrome: A joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation, 120(16), 1640-1645. https://doi.org/10.1161/CIRCULATIONAHA.109.192644
Alves, R., Petitjean, H., & Druzhinenko-Silhan, D. (2024). Psychological approaches to obesity in young adults: State of the art. Frontiers in Nutrition, 11, 1328386. https://doi.org/10.3389/fnut.2024.1328386
Bakholdina, V. Y., Movsesian, A. A., & Stupina, K. S. (2014). On certain aspects of Dembo-Rubinstein method of self-esteem measurement. Procedia - Social and Behavioral Sciences, 140, 547-552. https://doi.org/10.1016/j.sbspro.2014.04.468
Centers for Disease Control and Prevention. (2024, March 19). Adult BMI categories. https://www.cdc.gov/bmi/adult-calculator/bmi-categories.html
Chomiuk, T., Niezgoda, N., Mamcarz, A., & Śliż, D. (2024). Physical activity in metabolic syndrome. Frontiers in Physiology, 15, 1365761. https://doi.org/10.3389/fphys.2024.1365761
Cook, G., Burton, L., & Hoogenboom, B. (2006a). Pre-participation screening: The use of fundamental movements as an assessment of function. Part 1. North American Journal of Sports Physical Therapy, 1(2), 62-72. https://pmc.ncbi.nlm.nih.gov/articles/PMC2953313/
Cook, G., Burton, L., & Hoogenboom, B. (2006b). Pre-participation screening: The use of fundamental movements as an assessment of function. Part 2. North American Journal of Sports Physical Therapy, 1(3), 132-139. https://pmc.ncbi.nlm.nih.gov/articles/PMC2953359/
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35(8), 1381-1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
Davis, M. E., Blake, C., & O’Donoghue, G. (2024). Comparison of time-matched aerobic, resistance or combined exercise training in women living with obesity: The EXOFFIT study. Obesity Science & Practice, 10(2), e749. https://doi.org/10.1002/osp4.749
Guo, Y., Bian, J., Li, Q., Leavitt, T., Rosenberg, E. I., Buford, T. W., Smith, M. D., Vincent, H. K., & Modave, F. (2018). A 3-minute test of cardiorespiratory fitness for use in primary care clinics. PLOS ONE, 13(7), e0201598. https://doi.org/10.1371/journal.pone.0201598
Hao, Z., Liu, K., Qi, W., Zhang, X., Zhou, L., & Chen, P. (2023). Which exercise interventions are more helpful in treating primary obesity in young adults? A systematic review and Bayesian network meta-analysis. Archives of Medical Science, 19(4), 865-883. https://doi.org/10.5114/aoms/153479
McHorney, C. A., Ware, J. E., Jr., & Raczek, A. E. (1993). The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247-263. https://doi.org/10.1097/00005650-199303000-00006
Minick, K. I., Kiesel, K. B., Burton, L., Taylor, A., Plisky, P., & Butler, R. J. (2010). Interrater reliability of the Functional Movement Screen. Journal of Strength and Conditioning Research, 24(2), 479-486. https://doi.org/10.1519/JSC.0b013e3181c09c04
Pfisterer, J., Rausch, C., Wohlfarth, D., Bachert, P., Jekauc, D., & Wunsch, K. (2022). Effectiveness of physical-activity-based interventions targeting overweight and obesity among university students: A systematic review. International Journal of Environmental Research and Public Health, 19(15), 9427. https://doi.org/10.3390/ijerph19159427
Poon, E. T.-C., Li, H.-Y., Wong, P.-S., Sum, W. M.-K., Little, J. P., & Sabag, A. (2026). Efficacy of exercise-based interventions for metabolic syndrome: An umbrella review with meta-analyses. Obesity Reviews, e70144. Advance online publication. https://doi.org/10.1111/obr.70144
Smart, N. A., Downes, D., van der Touw, T., Hada, S., Dieberg, G., Pearson, M. J., Wolden, M., King, N., & Goodman, S. P. J. (2025). The effect of exercise training on blood lipids: A systematic review and meta-analysis. Sports Medicine, 55(1), 67-78. https://doi.org/10.1007/s40279-024-02115-z
Song, S., Wei, Y., Zhang, H., & Soundy, A. (2026). Effects of different exercise interventions on body composition in women with overweight and obesity: A systematic review and network meta-analysis. BMJ Open, 16, e113206. https://doi.org/10.1136/bmjopen-2025-113206
Valenzuela, P. L., Carrera-Bastos, P., Castillo-García, A., Lieberman, D. E., Santos-Lozano, A., & Lucia, A. (2023). Obesity and the risk of cardiometabolic diseases. Nature Reviews Cardiology, 20(7), 475-494. https://doi.org/10.1038/s41569-023-00847-5
Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6), 473-483. https://doi.org/10.1097/00005650-199206000-00002
World Health Organization. (2001). International Classification of Functioning, Disability and Health (ICF). https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health
World Health Organization. (2011). Waist circumference and waist-hip ratio: Report of a WHO expert consultation, Geneva, 8-11 December 2008. https://www.who.int/publications/i/item/9789241501491
World Health Organization. (2025, December 8). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
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