Implementation of a Community-Based Mind–Body (Tae-Bo) Physical Activity Programme on Health-Related Physical Fitness in Rural Black Overweight and Obese Women with Manifest Risk Factors for Multimorbidity

Musa Mathunjwa, Ina Shaw, Jason Moran, Gavin R. Sandercock, Gregory A. Brown and Brandon S. Shaw ()
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Musa Mathunjwa: Department of Human Movement Science, University of Zululand, KwaDlangezwa 3886, South Africa
Ina Shaw: School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Wivenhoe Park, Colchester CO4 3SQ, UK
Jason Moran: School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Wivenhoe Park, Colchester CO4 3SQ, UK
Gavin R. Sandercock: School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Wivenhoe Park, Colchester CO4 3SQ, UK
Gregory A. Brown: Physical Activity and Wellness Laboratory, Department of Kinesiology and Sports Science, University of Nebraska Kearney, Kearney, NE 68849, USA
Brandon S. Shaw: School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Wivenhoe Park, Colchester CO4 3SQ, UK

IJERPH, 2023, vol. 20, issue 15, 1-17

Abstract: Non-communicable diseases (NCDs) are the leading cause of death globally, particularly impacting low- and middle-income countries and rural dwellers. Therefore, this programme aimed to investigate if a community-based mind–body PA programme implemented in a low-resource setting could improve health-related physical fitness outcomes. Black overweight or obese adult women (25 ± 4.7 years) with a body mass index (BMI) > 25 kg·m −2 recruited from a rural settlement in South Africa with manifest risk factors for multimorbidity were assigned to a 10-week waiting-to-treat non-exercising control group ( n = 65) or a community-based mind–body programme ( n = 60) consisting of 45–60 min, thrice-weekly Tae-Bo. The intervention resulted in significant ( p ≤ 0.05) improvements in body weight ( p = 0.043), BMI ( p = 0.037), and waist ( p = 0.031) and hip circumferences ( p = 0.040). Flexibility was found to be significantly increased at mid- and post-programme ( p = 0.033 and p = 0.025, respectively) as was static balance (mid: p = 0.022; post: p = 0.019), hand grip strength (mid: p = 0.034; post: p = 0.029), sit-up performance (mid: p = 0.021; post: p = 0.018), and cardiorespiratory endurance (mid: p = 0.017; post: p = 0.011). No significant change was found in sum of skinfolds following the programme ( p = 0.057). Such a community-based mind–body programme presents an opportunity to level health inequalities and positively improve health-related physical fitness in low-resource communities irrespective of the underlying barriers to participation.

Keywords: exercise; intervention study; obesity; obesity management; overweight (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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