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Introdução: O aumento da adiposidade abdominal provoca alterações do centro de gravidade, podendo levar a déficits de equilíbrio postural e da capacidade funcional durante a realização de tarefas cotidianas. A ativação dos músculos lombo-pélvicos, por meio do fortalecimento e conscientização postural, pode reduzir a sobrecarga mecânica aplicada sobre as estruturas passivas da coluna vertebral, melhorando a estabilidade do tronco e, consequentemente, o equilíbrio e a funcionalidade. Objetivo: Investigar os efeitos de três diferentes intervenções sobre a estabilidade lombo-pélvica, equilíbrio dinâmico, funcionalidade e mobilidade de tornozelos em mulheres adultas com obesidade. Materiais e métodos: A amostra foi composta por 60 mulheres obesas com idade de 30 a 50 anos e com IMC entre 30 e 39,9 kg/m2. As voluntárias foram randomizadas em três grupos: Grupo Exercício Físico, Grupo Interdisciplinar e Grupo Educação em Saúde. As voluntárias foram avaliadas nos momentos Basal, após 16 e 32 semanas, quanto à capacidade funcional, equilíbrio dinâmico e mobilidade dos tornozelos, IMC, perímetro de pescoço e cintura. Resultados: Houve redução da massa corporal e perímetro da cintura apenas no grupo interdisciplinar. Observou-se que a terapia interdisciplinar foi mais efetiva, quando comparada com o grupo Exercício ou com o grupo Educação em Saúde, para controle/prevenção de disfunções e alterações biomecânicas relacionadas ativação do músculo transverso do abdome, equilíbrio dinâmico, funcionalidade e mobilidade de tornozelos. Conclusão: Portanto, estratégias de intervenção interdisciplinares/interprofissionais devem ser estimuladas, visando a melhora de aspectos funcionais, em mulheres com obesidade.

Abstract Objective This is a mixed-methodology controlled clinical study that assessed the effect of the Health Lifestyle Deck of cards as a Cognitive-Behavioral Group Therapy tool for obese adults. Method The sample was divided into two groups: Intervention group and Intervention+Deck. The therapy was interdisciplinary handled by psychology, nutrition and physical education professionals, along 12 sessions. The following measures were performed: anthropometric assessment, indicators of binge eating, depression, anxiety and stress, quality of life, self-efficacy for eating habits, and physical activity at the beginning and the end of the intervention. Participants’ written and verbal reports’ content was analyzed. Results The results were: a reduction in body mass, binge eating, and improvement of self-efficacy to regulate eating habits in both groups. There was an improvement in the psychological domain of quality of life only in the Intervention+Deck group. Conclusion The study concluded that the intervention favored participants’ cognitive and behavioral changes.

Our aim was to analyze and compare the effects of three different long-term treatments on anthropometric profiles, eating behaviors, anxiety and depression levels, and quality of life of groups of adults with obesity.Methods: The 43 participants in the study were randomly assigned to one of three groups: the education and health group (EH, n = 12), which received lectures on health topics; the physical exercise group (PE, n = 13), which underwent physical training; and the interdisciplinary therapy plus cognitive behavioral therapy (IT + CBT) (n = 18) group, which received physical training, nutritional advice, and physical and psychological therapy.Results: Total quality of life increased significantly in the EH group (△ = 2.00); in the PE group, body weight significantly decreased (△ = −1.42) and the physical domain of quality of life improved (△ = 1.05). However, the most significant changes were seen in the IT + CBT group, in which the anthropometric profile improved; there were an increase in quality of life in all domains (physical, psychological, social, and environmental), an improvement in eating behaviors [Dutch Eating Behavior Questionnaire (DEBQ), total △ = −8.39], and a reduction in depression [Beck Depression Inventory (BDI), △ = −10.13).Conclusion: The IT + CBT program was more effective than the PE and EH programs.Clinical Trial Registration Number:NCT02573688.