Guide for designing intervention programs for populations with obesity: Positioning Document by the Physical Exercise Group of the Spanish Society for the Study of Obesity (SEEDO)

The aim of this position statement paper of the exercise working group of the Spanish Society for the Study of Obesity (SEEDO for its initials in Spanish) aims to establish clear guidelines for the design and application of exercise programs in the obese population. In the first section, we identify the limitations regarding intervention research with physical activity and exercise programs in the obese population, which justifies the need to establish a clear framework for the planning and programming of training in this population. In the second section, the planning of the exercise program is addressed. In this sense, the objectives, and operative processes in the planning of the program are presented, which include the assessment of the patient with obesity and the classification of the patient's level. Subsequently, the positioning focuses on the training programming, establishing the guidelines for the timing of the intervention cycles, the design of the training sessions and the general criteria for the selection of exercises, weekly frequency, volume, intensity, intrasession recovery and the organization and distribution of the exercises. The following section focuses on the indi-cations and contraindications (absolute and relative) of physical activity and exercise in patients with obesity, which allows us to identify the situations in which it is necessary to take extreme precautions and adjust the intervention program. Finally, in the section on future perspectives on obesity and exercise interventions, the importance of continuous research in the area of physical exercise and obesity is highlighted, including new technologies applied to training and the effects of exercise together with pharmacological treatment. In short, the position paper presented is an essential guide for health in the and of and exercise in the obese