Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Case Report

Functional exercises improve quality of life of obese depressed women: a case report study

João Francisco Barbieri, Daniela Picerno, Débora Tomazelli, Jamile Baptista Palamedi, Vanessa Érika Guitte, Shirko Ahmadi

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Background: Depression is characterized by abnormal affective manifestations. This pathology is more frequent among women and is aggravated with the overweight/obesity. Regular exercises have been shown to combat the manifestations of depression, as well as to increase active behavior and improve the morphology. Objectives: This study aimed to evaluate the effect of functional training on morphology, physical activity level and quality of life of obese women with depression. Methods: Four women with mean aged 32.5 ± 10.6 underwent 2 months of functional training, which performed twice a week, each session 1-hour training. Participants were evaluated in 3 times (T): T1) pre-test; T2) at the end of first month (mid-test); and T3) at the end of the second month (post-test). Results: We observed significant changes for the waist circumference variable, and presented a reduction in mid-test and post-test, in relation to the pre-test (p<0.05). No changes were observed for the variables weight and BMI. It was observed a significant increase in the level of physical activity, with the mid-test and post-test in relation to the pre-test (mid-test: p<0.05; post-test: p<0.01). All the indices evaluated by the SF-36 questionnaire showed improvement at mid-test and post-test relative to the pre-test (p<0.05). Conclusions: The present study suggests that engagement in functional training programs provides a significant improvement in aspects related to quality of life and depression, as well as an increase in the level of physical activity, even in the absence of weight reduction.


Physical Exercise; Depression; Functional Training; Obesity.


1. Lehtinen V, Joukamaa M. Epidemiology of depression: prevalence, risk factors and treatment situation. Acta psychiatrica Scandinavica Supplementum. 1994;377:7-10.

2. Ahmadi S, Heyrani A, Yoosefy B. Prevalence of body shape dissatisfaction and body weight dissatisfaction between female and male students. Journal of Physical Education and Sport. 2018;18(4):2264-2271.

3. Ahmadi S, Jabari N, Jamali M, Moradi J, Sadeghi A. Body dissatisfaction and mental health of competitive and recreational male bodybuilders. World Applied Sciences Journal. 2013;21(1):58-62.

4. Rozenthal M, Laks J, Engelhardt E. Aspectos neuropsicológicos da depressão. Revista de Psiquiatria. 2004;26(2):204-12.

5. Seligman ME. Desamparo: sobre depressão, desenvolvimento e morte. São Paulo: Hucitec. 1977.

6. Weissman MM, Olfson M. Depression in women: implications for health care research. Science. 1995;269(5225):799-801.

7. Pimenta AM, Sánchez-Villegas A, Bes-Rastrollo M, López CN, MartínezGonzález MÁ. Relationship between body image disturbance and incidence of depression: the SUN prospective cohort. BMC public health. 2009;9(1):1.

8. Darvishi M, Ahmadi S, Hierani A, Jabari N. Effects of motor imagery and maximal isometric action on grip strength of elderly men. World Applied Sciences Journal. 2013;24(4):556-560.

9. Hryhorczuk C, Sharma S, Fulton SE. Metabolic disturbances connecting obesity and depression. Frontiers in neuroscience. 2013;7:177.

10. Yektayar M, Saham M, Ahmadi S, Khodamoradpoor M. Effect of Rhythmic Aerobic Training on Mood Status Profile and Salivary Alpha Amylase in Non-athlete Students. Archives of Applied Science Research. 2012;4(5):2184–2190.

11. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Jama. 1995;273(5):402-7.

12. Bruffaerts R, Vilagut G, Demyttenaere K, Alonso J, AlHamzawi A, Andrade LH, et al. Role of common mental and physical disorders in partial disability around the world. The British Journal of Psychiatry. 2012;200(6):454-61.

13. Edwards MK, Loprinzi PD, editors. Effects of a sedentary behavior–inducing randomized controlled intervention on depression and mood profile in active young adults. Mayo Clinic Proceedings; 2016: Elsevier.

14. Ahmadi S, Uchida MC, Gutierrez GL. Physical performance tests in male and female sitting volleyball players: pilot study of Brazilian national team. Asian Journal of Sports Medicine. 2019;10(2):e85984.

15. Ahmadi S, Brietzke C, Silveira R, do Prado RCR, Brietzke R, Aguiar SS, Asano RY, Coelho-Júnior HJ. Aspects of physical training related with upper respiratory tract infections: a review. Manual Therapy, Posturology & Rehabilitation Journal. 2018;16(568):1-8.

16. Williams DM. Exercise, affect, and adherence: an integrated model and a case for self-paced exercise. Journal of Sport and Exercise Psychology. 2008;30(5):471-96.

17. Byrne A, Byrne D. The effect of exercise on depression, anxiety and other mood states: a review. Journal of psychosomatic research. 1993;37(6):565-74.

18. Aguiar SS, Ahmadi S, Silveira R, do Prado RCR, Castro HO, Asano RY, CoelhoJúnior HJ. Nitric oxide and physical exercise: modulations in physiological systems during elderly. Manual Therapy, Posturology & Rehabilitation Journal. 2018;16(614):1-8.

19. Eyigor S, Karapolat H, Durmaz B. Effects of a group-based exercise program on the physical performance, muscle strength and quality of life in older women. Archives of Gerontology and Geriatrics. 2007;45(3):259-71.

20. Palmer AK, Duncan KC, Ayalew B, Zhang W, Tzemis D, Lima V, et al. “The way I see it”: the effect of stigma and depression on self-perceived body image among HIV-positive individuals on treatment in British Columbia, Canada. AIDS care. 2011;23(11):1456-66.

21. Da Silva DTC, Silva KDS, Ahmadi S, Teixeira LFM. Indoor-cycling classes: Is there a difference between what instructors predict and what practitioners practice? Journal of Physical Education and Sport. 2019;19(1):772–780.

22. Beckham SG, Harper M. Functional training: fad or here to stay? ACSM’s Health & Fitness Journal. 2010;14(6):24-30.

23. Weiss T, Kreitinger J, Wilde H, Wiora C, Steege M, Dalleck L, et al. Effect of functional resistance training on muscular fitness outcomes in young adults. Journal of Exercise Science & Fitness. 2010;8(2):113-22.

24. Dobbelsteyn C, Joffres M, MacLean DR, Flowerdew G. A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian Heart Health Surveys. International journal of obesity. 2001;25(5):652.

25. Lean M, Han T, Morrison C. Waist circumference as a measure for indicating need for weight management. Bmj. 1995;311(6998):158-61.

26. Lee PH, Macfarlane DJ, Lam T, Stewart SM. Validity of the international physical activity questionnaire short form (IPAQ-SF): A systematic review. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):115.

27. Bushman BA. How can I use METs to quantify the amount of aerobic exercise?: LIPPINCOTT WILLIAMS & WILKINS 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA; 2012.

28. Lins L, Carvalho FM. SF-36 total score as a single measure of health-related quality of life: Scoping review. SAGE open medicine. 2016;4:2050312116671725.

29. Borresen J, Lambert MI. The quantification of training load, the training response and the effect on performance. Sports medicine. 2009;39(9):779-95.

30. Heirani A, Ahmadi S. Evaluation and Measurement in Physical Education. Kermanshah: Razi University Press. 2012.

31. Grant S, Todd K, Aitchison T, Kelly P, Stoddart D. The effects of a 12-week group exercise programme on physiological and psychological variables and function in overweight women. Public Health. 2004;118(1):31-42.

32. Stavres J, Zeigler MP, Pasternostro Bayles M. Six Weeks of Moderate Functional Resistance Training Increases Basal Metabolic Rate in Sedentary Adult Women. International Journal of Exercise Science. 2018;11(2):32-41.

33. Thøgersen-Ntoumani C, Ntoumanis N. The role of self-determined motivation in the understanding of exercise-related behaviours, cognitions and physical self-evaluations. Journal of sports sciences. 2006;24(4):393-404.

34. Barrett C, Smerdely P. A comparison of community-based resistance exercise and flexibility exercise for seniors. Australian Journal of Physiotherapy. 2002;48(3):215-9.

35. Ahmadi S, Heirani A, Jabari N. Physical education and gender influence the mental health. World Applied Sciences Journal. 2013;28(3):408- 410.

36. Asbury EA, Chandrruangphen P, Collins P. The importance of continued exercise participation in quality of life and psychological well-being in previously inactive postmenopausal women: a pilot study. Menopause. 2006;13(4):561-7.

37. Heesch KC, van Gellecum YR, Burton NW, van Uffelen JG, Brown WJ. Physical activity, walking, and quality of life in women with depressive symptoms. American Journal of Preventive Medicine. 2015;48(3):281-91.

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