The Social Distance Impacts from COVID-19 Pandemic on the Development of Two Orders of a Concurrent Training Programme for Morbidly Obese Patients

Pedro Delgado-Floody, Luis Chirosa-Ríos, Iris Paola Guzmán-Guzmán, Claudia Andrea Vargas, Karina Sandoval-Aguilera, Felipe Caamaño-Navarrete, Francisco Guede-Rojas and Cristian Alvarez ()
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Pedro Delgado-Floody: Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4811230, Chile
Luis Chirosa-Ríos: Department Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain
Iris Paola Guzmán-Guzmán: Faculty of Chemical-Biological Sciences, Universidad Autónoma de Guerrero, Chilpancingo 39087, Mexico
Claudia Andrea Vargas: Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4811230, Chile
Karina Sandoval-Aguilera: Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4811230, Chile
Felipe Caamaño-Navarrete: Physical Education Career, Universidad Autónoma de Chile, Temuco 4780000, Chile
Francisco Guede-Rojas: Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile 7591538, Chile
Cristian Alvarez: Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile 7591538, Chile

IJERPH, 2022, vol. 19, issue 20, 1-15

Abstract: Background: Although there is relevant information regarding the consequences of the coronavirus SARS-CoV-2 (COVID-19), little is known about the impact of the imposed social confinement (at home) on the development of exercise training programmes in populations with morbid obesity. Aim: To describe the effects of the imposed COVID-19 confinement on the cardiometabolic health benefits acquired through a concurrent training programme that started before the pandemic in populations with morbid obesity. Methods: This was an experimental randomized clinical study, in which sedentary morbidly obese women were assigned 1:1 to a high-intensity interval training (HIIT) plus resistance training (RT) group (HIIT + RT; n = 11; BMI 42.1 ± 6.6) or to the same exercise dose, but in different order group of RT plus HIIT group (RT + HIIT; n = 7; BMI 47.5 ± 8.4). Both groups undertook two sessions/week. When COVID-19 confinement at home started, a post-test was applied in January 2020 (Post1) and after 20 months (Post2). The main outcomes were waist circumference (WC), systolic (SBP) and diastolic blood pressure (DBP), high-density lipids (HDL-c), triglycerides (Tg), and fasting plasma glucose (FPG). Results: In the HIIT + RT group, the WC showed significant increases from Post1 to Post2 (Δ + 3.1 cm, p = 0.035); in the RT + HIIT group, it decreased from Post1 to Post2 (Δ − 4.8 cm, p = 0.028). In the HIIT + RT group, SBP showed significant increases from Post1 to Post2 (Δ + 6.2 mmHg, p = 0.041); the RT + HIIT group decreased SBP from Pre0 to Post1 (Δ − 7.2 mmHg, p = 0.026) and increased DBP from Pre0 to Post1 (Δ + 8.1 mmHg, p = 0.015). Tg in the HIIT + RT group decreased from Pre0 to Post1 (Δ − 40.1 mg/dL, p = 0.023) but increased from Post1 to Post2 (Δ + 86.3 mg/dL, p < 0.0001). Conclusions: The COVID-19 social confinement worsened metabolic syndrome (MetS) outcomes that had improved from 20 weeks’ RT + HIIT during the training period, such as WC, SBP, and Tg from HIIT + RT, when, worryingly, SBP increased to another more serious clinical classification in both groups.

Keywords: concurrent training; morbid obesity; metabolic syndrome; cardiometabolic risk factor; high-intensity interval training; resistance training (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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