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Effects of a Physical Activity Educational Intervention on Upper-Body Abnormalities, BMI and Quality of Life among Female Obese Middle- School Students

Document Type : Research Article

Authors

1 Department of Physical Education, Farhangian University, Tehran, Iran

2 Department of Physical Education, Marand Branch, Islamic Azad University, Marand, Iran

3 Department of Physical Education, Shabestar Branch, Islamic Azad University, Shabestar, Iran

4 Department of Physical Education, Islamshahr Branch, Islamic Azad University, Islamshahr, Iran

Abstract

Background: Finding educational program for correcting skeletal abnormalities and improving quality of life among obese adolescents is of great importance. Therefore, the present study employed a protocol centered on physical activity and exercise to assess its effectiveness in rectifying upper body abnormalities (forward head posture and kyphosis), BMI, and the quality of life of female obese middle-school students.
Methods: This was a quasi-experimental investigation. The study participants were 42 female obese middle-school students in Tehran, Iran, during the 2023-2024 academic year, aged between 12 and 15 years, who were randomly assigned into the experimental or control groups. The intervention consisted of a 60 minutes program over a period of 12 weeks, including a structured corrective exercise regimen followed by a Pilates training. Upper-body abnormalities (forward head and kyphosis), BMI, and quality of life were measured using standard tools. Data were analyzed using ANCOVA.
Results: In the baseline, the results showed no significant differences between the groups concerning forward head posture (51.57 vs. 51.09, P=0.623), kyphosis (51.33 vs. 51.42, P=0.920), BMI (32.46 vs. 32.87, P=0.559), and quality of life (47.47 vs. 48.28, P=0.854). However, the results showed that the intervention had a significant impact on forward head posture (39.80 vs. 51.28, P<0.001), kyphosis (38.42 vs. 51.52, P<0.001), BMI (29.57 vs. 32.95, P<0.001), and quality of life (57.14 vs. 48.71, P<0.001).
Conclusions: Given the favorable impacts of corrective and Pilates exercise modality on physical well-being and life quality, it is plausible that such exercises could serve as a viable intervention for ameliorating obesity-related deformities in affected individuals.

Highlights

How to Cite: Bagheri S, HemayatTalab A, Sahranavard A, Ghorbani S. Effects of a Physical Activity Educational Intervention on Upper-Body Abnormalities, BMI and Quality of Life among Female Obese Middle-School Students. Women. Health. Bull. 2025;12(3):250-260. doi: 10.30476/whb.2025.105872.1338.

Keywords

References
  1. Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism. 2022;133:155217. doi: 10.1016/j.metabol.2022.155217. PubMed PMID: 35584732; PubMed Central PMCID: PMC9107388. ##
  2. Panuganti KK, Nguyen M, Kshirsagar RK. Obesity. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. PubMed PMID: 29083734. ##
  3. World Health Organization. Obesity; 2016. Available from: https://www.who.int/topics/obesity/en. ##
  4. Hashemi S. The Effects of Twelve-Weeks of Aerobic Exercise on Body Composition, Physical Fitness and Happiness among Obese Adolescents. Phys Act Child. 2024;1(1):e472521. doi: 10.61186/pach.2024.472521.1024. ##
  5. Jeong SM, Jung JH, Yang YS, Kim W, Cho IY, Lee YB, et al. 2023 Obesity Fact Sheet: Prevalence of Obesity and Abdominal Obesity in Adults, Adolescents, and Children in Korea from 2012 to 2021. J Obes Metab Syndr. 2024;33(1):27-35. doi: 10.7570/jomes24012. PubMed PMID: 38531533; PubMed Central PMCID: PMC11000515. ##
  6. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. Lancet. 2024;403(10431):1027-1050. doi: 10.1016/S0140-6736(23)02750-2. PubMed PMID: 38432237; PubMed Central PMCID: PMC7615769. ##
  7. Adebanjo E. Effects of a Pilates Training Intervention on Mental Health, Adiposity and Self-Perceived Body-Image of Obese Children. Phys Act Child. 2024;1(2):e473810. doi: 10.61186/pach.2024.473810.1025. ##
  8. Jebeile H, Kelly AS, O'Malley G, Baur LA. Obesity in children and adolescents: epidemiology, causes, assessment, and management. Lancet Diabetes Endocrinol. 2022;10(5):351-365. doi: 10.1016/S2213-8587(22)00047-X. PubMed PMID: 35248172; PubMed Central PMCID: PMC9831747. ##
  9. Zehsaz F, Farhangi N. Effects of a 12-Week Body-Pump Training and Chamomile Consumption on the Lipid Profiles in Obese Adolescent Boys. Phys Act Child. 2024;1(2):e474162. doi: 10.61186/pach.2024.474162.1026. ##
  10. Alruwaili BF, Bayyumi DF, Alruwaili OS, Alsadun RS, Alanazi AS, Hadi A, et al. Prevalence and Determinants of Obesity and Overweight Among Children and Adolescents in the Middle East and North African Countries: An Updated Systematic Review. Diabetes Metab Syndr Obes. 2024;17:2095-2103. doi: 10.2147/DMSO.S458003. PubMed PMID: 38799280; PubMed Central PMCID: PMC11127655. ##
  11. Alsannan B, Alharmi J, Alrahal F, Al Mansoor S, Tulandi T. Prevalence and Quality of Life among Overweight and Obese Women with Different Severity and Types of Urinary Incontinence. Med Princ Pract. 2024;33(1):47-55. doi: 10.1159/000534651. PubMed PMID: 37848009; PubMed Central PMCID: PMC10896612. ##
  12. Farzanegi P. Effects of a Tabata Exercise on Lipid Profile and Body Composition Indices in Overweight Boys. Phys Act Child. 2024;1(1):e472195. doi: 10.61186/pach.2024.472195.1023. ##
  13. MacEwan JP, Chiu K, Ahmad NN, Sacks N, Shinde S, Poon JL, et al. Clinical, economic, and health-related quality of life outcomes in patients with overweight or obesity in the United States: 2016-2018. Obes Sci Pract. 2023;10(1):e726. doi: 10.1002/osp4.726. PubMed PMID: 38263999; PubMed Central PMCID: PMC10804324. ##
  14. World Health Organization. The WHO strategy on research for health; 2012. Available from: https://iris.who.int/handle/10665/77935. ##
  15. Bober A, Kopaczyńska A, Puk A, Chwałczyńska A. Occurrence of Body Posture Abnormalities in Overweight and Obese Children Aged 5-6 Years-Pilot Study. Children (Basel). 2024;11(7):849. doi: 10.3390/children11070849. PubMed PMID: 39062298; PubMed Central PMCID: PMC11274974. ##
  16. Moore THM, Tomlinson E, Spiga F, Higgins JPT, Gao Y, Caldwell DM, et al. Interventions to prevent obesity in children aged 5 to 11 years old. Cochrane Database Syst Rev. 2022;2022(7):CD015328. doi: 10.1002/14651858.CD015328. PubMed Central PMCID: PMC9268556. ##
  17. Almurdi MM. Postural balance and functional mobility in relation to BMI and body composition among female students at a College of Applied Medical Sciences: A cross-sectional study. Clinics (Sao Paulo). 2024;79:100401. doi: 10.1016/j.clinsp.2024.100401. PubMed PMID: 38843678; PubMed Central PMCID: PMC11214372. ##
  18. Bagheri S, Ranjbari S, Shafaei H, Ghorbani S. Associations between Smartphone Usage with Upper-Body Abnormalities, Obesity, Mental Wellbeing and Physical Fitness of High-School Male Students. Int J School Health. 2025;12(1):24-32. doi: 10.30476/intjsh.2024.103802.1434. ##
  19. Koźlenia D, Kochan-Jacheć K. The Impact of Interaction between Body Posture and Movement Pattern Quality on Injuries in Amateur Athletes. J Clin Med. 2024;13(5):1456. doi: 10.3390/jcm13051456. PubMed PMID: 38592302; PubMed Central PMCID: PMC10932373. ##
  20. Jorgić BM, Đorđević SN, Hadžović MM, Milenković S, Stojiljković NĐ, Olanescu M, et al. The Influence of Body Composition on Sagittal Plane Posture among Elementary School-Aged Children. Children (Basel). 2023;11(1):36. doi: 10.3390/children11010036. PubMed PMID: 38255350; PubMed Central PMCID: PMC10814759. ##
  21. Calcaterra V, Marin L, Vandoni M, Rossi V, Pirazzi A, Grazi R, et al. Childhood Obesity and Incorrect Body Posture: Impact on Physical Activity and the Therapeutic Role of Exercise. Int J Environ Res Public Health. 2022;19(24):16728. doi: 10.3390/ijerph192416728. PubMed PMID: 36554608; PubMed Central PMCID: PMC9779104. ##
  22. Chen R, Armamento-Villareal R. Obesity and Skeletal Fragility. J Clin Endocrinol Metab. 2024;109(2):e466-e477. doi: 10.1210/clinem/dgad415. PubMed PMID: 37440585; PubMed Central PMCID: PMC10795939. ##
  23. Zhang Y, Chai T, Weng H, Liu Y. Pelvic rotation correction combined with Schroth exercises for pelvic and spinal deformities in mild adolescent idiopathic scoliosis: A randomized controlled trial. PLoS One. 2024;19(7):e0307955. doi: 10.1371/journal.pone.0307955. PubMed PMID: 39078854; PubMed Central PMCID: PMC11288462. ##
  24. Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3. doi: 10.1186/s13013-017-0145-8. PubMed PMID: 29435499; PubMed Central PMCID: PMC5795289. ##
  25. Gheitasi M, Bayattork M, Kolur MK. Adding corrective exercises along with bracing for postural hyperkyphosis among adolescents: A randomized controlled trial. PM R. 2023;15(7):872-880. doi: 10.1002/pmrj.12877. PubMed PMID: 36197728. ##
  26. Yang S, Yi YG, Chang MC. The Effectiveness of Exercise Programs in Adolescents with Thoracic Kyphosis: A Narrative Review. Healthcare (Basel). 2024;12(15):1503. doi: 10.3390/healthcare12151503. PubMed PMID: 39120206; PubMed Central PMCID: PMC11312307. ##
  27. De la Corte-Rodriguez H, Roman-Belmonte JM, Resino-Luis C, Madrid-Gonzalez J, Rodriguez-Merchan EC. The Role of Physical Exercise in Chronic Musculoskeletal Pain: Best Medicine-A Narrative Review. Healthcare (Basel). 2024;12(2):242. doi: 10.3390/healthcare12020242. PubMed PMID: 38255129; PubMed Central PMCID: PMC10815384. ##
  28. Bullo V, Favro F, Pavan D, Bortoletto A, Gobbo S, De Palma G, et al. The Role of Physical Exercise in the Prevention of Musculoskeletal Disorders in Manual Workers: A Systematic Review and Meta-Analysis. Med Lav. 2024;115(1):e2024008. doi: 10.23749/mdl.v115i1.15404. PubMed PMID: 38411976; PubMed Central PMCID: PMC10915677. ##
  29. Rojas G, Orozco-Chavez I. Physical activity level and physical fitness in subjects with chronic musculoskeletal pain: a cross-sectional study. PeerJ. 2024;12:e16880. doi: 10.7717/peerj.16880. PubMed PMID: 38344293; PubMed Central PMCID: PMC10854395. ##
  30. Cheshomi S, Alizadeh MH, Barati AH, Akochakian M. The Effect of Six Weeks Corrective Exercise on Upper-Crossed Syndrome of Overhead Athletes. Journal of Applied Exercise Physiology. 2018;14(27):153-166. doi: 10.22080/jaep.2018.1803. Persian. ##
  31. Smyth M, Jacobson K. Pediatric Quality of Life InventoryTMversion 4.0 short form generic core scale across pediatric populations review data. Data Brief. 2021;39:107599. doi: 10.1016/j.dib.2021.107599. PubMed PMID: 34901340; PubMed Central PMCID: PMC8639391. ##
  32. Bourdier P, Simon C, Bessesen DH, Blanc S, Bergouignan A. The role of physical activity in the regulation of body weight: The overlooked contribution of light physical activity and sedentary behaviors. Obes Rev. 2023;24(2):e13528. doi: 10.1111/obr.13528. PubMed PMID: 36394185; PubMed Central PMCID: PMC10910694. ##
  33. Rotunda W, Rains C, Jacobs SR, Ng V, Lee R, Rutledge S, et al. Weight Loss in Short-Term Interventions for Physical Activity and Nutrition Among Adults with Overweight or Obesity: A Systematic Review and Meta-Analysis. Prev Chronic Dis. 2024;21:E21. doi: 10.5888/pcd21.230347. PubMed PMID: 38573796; PubMed Central PMCID: PMC10996390. ##
  34. Cox CE. Role of Physical Activity for Weight Loss and Weight Maintenance. Diabetes Spectr. 2017;30(3):157-160. doi: 10.2337/ds17-0013. PubMed PMID: 28848307; PubMed Central PMCID: PMC5556592. ##
  35. Zhang Y, Wang R, Liu T, Wang R. Exercise as a Therapeutic Strategy for Obesity: Central and Peripheral Mechanisms. Metabolites. 2024;14(11):589. doi: 10.3390/metabo14110589. PubMed PMID: 39590824; PubMed Central PMCID: PMC11596326. ##
  36. Lee H, Kim Y. Effects of an Obesi2ty Intervention Integrating Physical Activity and Psychological Strategy on BMI, Physical Activity, and Psychological Variables in Male Obese Adolescents. Behav Med. 2015;41(4):195-202. doi: 10.1080/08964289.2014.914463. PubMed PMID: 24766554. ##
  37. Nezondet C, Gandrieau J, Bourrelier J, Nguyen P, Zunquin G. The Effectiveness of a Physical Literacy-Based Intervention for Increasing Physical Activity Levels and Improving Health Indicators in Overweight and Obese Adolescents (CAPACITES 64). Children (Basel). 2023;10(6):956. doi: 10.3390/children10060956. PubMed PMID: 37371188; PubMed Central PMCID: PMC10297512. ##
  38. Robbins LB, Ling J, Pfeiffer KA, Kerver JM, Resnicow K, McCaffery H, et al. Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol. BMJ Open. 2024;14(1):e080437. doi: 10.1136/bmjopen-2023-080437. PubMed PMID: 38171630; PubMed Central PMCID: PMC10773393. ##
  39. Farzane A, Koushkie Jahromi M. The effect of pilates training on hormonal and psychophysical function in older women. J Sports Med Phys Fitness. 2022;62(1):110-121. doi: 10.23736/S0022-4707.21.12089-4. PubMed PMID: 33555671. ##
  40. Matei B, Winters-Stone KM, Raber J. Examining the Mechanisms behind Exercise's Multifaceted Impacts on Body Composition, Cognition, and the Gut Microbiome in Cancer Survivors: Exploring the Links to Oxidative Stress and Inflammation. Antioxidants (Basel). 2023;12(7):1423. doi: 10.3390/antiox12071423. PubMed PMID: 37507961; PubMed Central PMCID: PMC10376047. ##
Women’s Health Bulletin
Volume 12, Issue 4 - Serial Number 47
October 2025
Pages 250-260
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