Effects of concurrent training in metabolic syndrome markers of morbidly obesity patients according muscle quality index and age

Objective: this study aimed to determine the effects of a concurrent training program on metabolic syndrome (MetS) markers, body mass, body fat, and fitness in patients with severe or morbid obesity, comparing two Muscle Quality Index (MQI)groups (High-MQI vs. Low-MQI) across different age categories (young adults [Y-ad, 18-29.9 years], middle-aged adults [MA-ad, 30-49.9 years], and intermediate adults [I-ad, 50-59.9 years]). Methods: twenty-seven patients with severe or morbid obesity (Low-MQI n = 15, High-MQI n = 12) participated in a 16-week exercise program. MetS markers, body composition, and fitness parameters were evaluated before and after the intervention. Results: low-MQI Group: middle-aged adults showed significant reductions in weight (107.5 ± 10.6 to 108.8 ± 12.9 kg, p = 0.029) and BMI (43.8 ± 3.4 to 42.4 ± 4.2 kg/m2, p = 0.0006). In intermediate adults (I-ad), there was a notable increase in diastolic blood pressure (78 ± 9 to 87 ± 5 mmHg, p = 0.012). High-MQI Group: young adults exhibited significant decreases in waist circumference (122.6 ± 11.4 to 115.9 ± 11.9 cm, p = 0.012) and BMI (43.8 ± 3.4 to 42.4 ± 4.2 kg/m2, p = 0.0006). Among middle-aged adults, systolic blood pressure declined significantly (139 ± 15.2 to 126 ± 8.3 mmHg, p = 0.025) and diastolic blood pressure improved (90 ± 4 to 82 ± 3 mmHg, p = 0.044). Conclusion: a 16-week concurrent training program led to positive changes in weight, BMI, and select MetS indicators among individuals with severe or morbid obesity.