Results of the implementation of a structured program of physical exercise in an obesity consultation

Although it is known as a health benefit, physical exercise is usually prescribed without a structured therapeutic program. In order to get a correct prescription, it's necessary to rely on a professional direction. We evaluate anthropometrically and with markers of cardiovascular strength and endurance, the results of the implementation of a physical exercise program in a specialized obesity clinic. 84 patients with obesity were recruited (BMI 32.9 ± 5.9 Kg / m2), average age 50.8 ± 29.2 years. A prospective study of overweight or obese subjects who participated in a program of progressive exercise of hypertrophy and aerobic resistance combined for 6 months, the study of their body composition; power, coordination, muscle rhythm and measurement of cardiovascular resistance. The dietary plan was -500 Kcal / day. There were 47 dropouts during the first month (56%) and we obtained the final data of 23 (27.4%). We found a greater weight loss (5.2 kg), (p <0.05), a loss of BMI (1.67 kg / m2), (p <0.05) and a decrease in fat mass (4.65 kg), (p <0.05); in the patients who completed the study, and also a significant intra subject improvement in power (W) (p <0.001), rhythm (p <0.001) and variation between repetitions (p <0.05). No significant differences were found in cardiovascular resistance markers. A prescribed exercise program shows changes in body composition, with total weight loss, especially at the expense of the fatty compartment. There is a clear improvement in muscle performance (dynapenia). However, there is a high dropout rate.