About this trial
Purpose of the Study:
Regular physical activity is key in managing overweight and obesity, but keeping up with a program can be challenging. The main purpose of this study is to compare how well women with overweight or obesity stick to (adhere to) a 10-week dance-based exercise program versus a clinical Pilates program. The study also aims to explore how enjoyable, acceptable, and tolerable both programs are, and how they affect participants' quality of life, physical activity levels, body measurements, and physical performance.
What the Study Involves:
Female volunteers aged 18 to 60 with a body mass index (BMI) between 25 and 35 kg/m² will be randomly assigned to one of two groups:
1. Dance-Based Exercise Group: Participants will join group dance sessions designed with low-impact, rhythmic movements to avoid joint strain. 2. Clinical Pilates Group: Participants will join group Pilates sessions on mats, focusing on core stability, posture, breathing, and muscle control.
Both programs will run for 10 weeks, with face-to-face sessions held twice a week for about 45 to 60 minutes under the supervision of a physiotherapist. Participants will be evaluated before starting the exercise programs and immediately after completing the 10-week intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female gender
Aged 18 to 60 years
Body Mass Index (BMI) between 25 and 35 kg/m²
Clinically stable
Disqualifiers
Being pregnant or breastfeeding
Currently on an active weight loss diet
Receiving pharmacological treatment for obesity
History of bariatric surgery
Trial design
Parallel
Treatments tested in this trial
Dance-Based Exercise Program
BehavioralA supervised, low-impact dance-based exercise program tailored specifically for women with overweight and obesity. To minimize joint loading, the program strictly avoids high-impact movements such as jumping, running, sudden direction changes, and rapid pivoting. The sessions are designed and conducted in a group format by an experienced physical therapist. The program is structured for 10 weeks, 2 sessions per week, with each session lasting 45-60 minutes. Each session consists of: 1. Warm-up (8-10 minutes): Rhythmic breathing, joint mobilization, and postural awareness. 2. Main Dance Section (30-40 minutes): Low-impact, structured choreographies involving rhythmic stepping, weight shifting, multi-directional steps, controlled trunk movements, and upper extremity coordination. 3. Cool-down (8-10 minutes): Low-intensity stretching and relaxation. Progression is systematically advanced based on participant tolerance by increasing movement duration, choreography complexity, and tempo.
Clinical Pilates Program
BehavioralA supervised, mat-based clinical Pilates program focusing on core stabilization, postural control, and muscle strength. Conducted in a group format by a physical therapist for 10 weeks (2 sessions/week, 45-60 minutes/session). Each session consists of: 1. Warm-up (8-10 mins): Breathing and postural awareness. 2. Main Section (30-40 mins): Mat exercises targeting core and extremity control. 3. Cool-down (8-10 mins): Stretching and relaxation. Progression is advanced based on participant tolerance by modifying exercise difficulty, repetitions, and introducing auxiliary equipment when required. Target intensity is kept at light-to-moderate and monitored using Borg RPE scores.
Treatment groups
Trial outcomes
Primary outcomes
Exercise Adherence Rate
The percentage of planned exercise sessions attended by each participant among those who attend at least one session of the assigned exercise program. It is calculated using the formula: (Number of sessions attended / 20 planned sessions) × 100.
Secondary outcomes
Intervention Initiation Rate
The percentage of randomized participants who attend at least one exercise session. Calculated as: (Number of participants attending at least one session / Total randomized participants) x 100.
Exercise Program Completion Rate
The percentage of participants starting the program who complete at least 15 of the 20 planned exercise sessions. Calculated as: (Participants attending ≥15 sessions / Participants starting the program) x 100.
Study Retention Rate
The percentage of randomized participants who complete the final 10-week assessment. Calculated as: (Participants completing the final assessment / Total randomized participants) x 100.
Physical Activity Enjoyment
Assessed using the Turkish version of the 8-item Physical Activity Enjoyment Scale. Each item is scored on a 7-point scale. The mean of the eight item scores will be calculated, resulting in a score ranging from 1 to 7, with higher scores indicating greater enjoyment of physical activity. At both baseline and Week 10, participants will be instructed to respond based on their general experience while engaging in physical activity.
Sponsors and contacts
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