Effects of different interventions on lumbo- pelvic stability, dynamic balance, functionality and mobility of ankles in women with obesity of obese women

Introduction: Increased abdominal adiposity causes changes in the center of gravity, which can lead to deficits in postural balance and functional capacity when performing daily tasks. Activation of the lumbopelvic muscles, through strengthening and postural awareness, can reduce the mechanical overload applied to the passive structures of the spine, improving trunk stability and, consequently, balance and functionality. Objective: To investigate the effects of three different interventions on lumbopelvic stability, dynamic balance, functionality, and ankle mobility in adult women with obesity. Methods: The initial sample was composed of 60 obese women aged 30 to 50 years and with a BMI between 30 and 39.9 kg/m2. The volunteers were randomized into three groups: Physical Exercise Group, Interdisciplinary Group and Health Education Group. The volunteers were evaluated at baseline, after 16 and 32 weeks, regarding BMI, neck, and waist perimeter, functional capacity, dynamic balance, mobility of the ankles and lumbar segmental stabilization. Results: There were reduction in body mass and waist circumference, at the end of 32 weeks of intervention, only in the interdisciplinary group. Furthermore, significant changes in the activation of the lumbar-pelvic muscles, dynamic balance, functionality, and mobility of the ankles also occurred only in the interdisciplinary group, at the end of the intervention. Conclusion: Interdisciplinary/ interprofessional intervention strategies should be encouraged, aiming at controlling obesity and improving functional aspects in women with obesity.