[The weight loss effect of the "Five-in-One" comprehensive intervention for obese female college students]

To investigate the effects of the 'five-in-one' comprehensive intervention program on the fat reduction and physical exercise attitudes of obese female college students.

From March 2022 to May 2023, 46 obese female college students(body fat ratio(BFR) ≥30%) from Chongqing Water Resources and Electric Engineering College were selected as the subjects of the study. Using a random number table, the subjects were divided into a comprehensive intervention group(24 participants) and a general intervention group(22 participants). The general intervention group received three standard interventions: dietary control, high-intensity interval training, and behavioral therapy. In addition to these, the comprehensive intervention group underwent an additional two interventions: functional movement correction(including screening for functional movements, relief of physical discomfort, posture adjustment, and correction of movement patterns to reduce injuries, correct functional disorders, and enhance training experience) and breathing training(including in-body oxygen level testing, light breathing, correct breathing, and simulated high-altitude breathing exercises to reduce appetite, enhance physical fitness, and improve training experience). Both groups underwent a 12-week concentrated intervention. After the intervention, follow-up observations were conducted for one year. Physical indicators, including body oxygen level test(BOLT), functional movement screening(FMS), attitudes towards physical exercise, weight, body mass index(BMI), and BFR, were collected at the start of the study(T0), one day after the 12-week intervention(T1), and one day after the one-year observation period(T2).

At the T1 time point, compared to the general intervention group, the BOLT(22.68±5.95 vs.17.47±5.01), FMS(17.06±2.82 vs.15.08±3.31), and attitude towards physical exercise(230.69±19.73 vs.212.88±18.04) in the comprehensive intervention group were significantly higher(P<0.01). Compared to the T0 time point, the BOLT(24.23±7.57 vs.15.47±4.90), FMS(16.75±2.64 vs.13.03±3.93), and attitude towards physical exercise(213.78±23.12 vs.196.56±18.82) in the comprehensive intervention group at the T2 time point showed statistically significant differences(P<0.05). In contrast, the BOLT(16.62±3.97 vs.15.22±5.74), FMS(13.36±3.27 vs.13.32±3.79), and attitude towards physical exercise(201.41±15.24 vs.198.30±13.87) in the general intervention group did not show statistically significant differences between the T0 and T2 time points(P> 0.05). Compared to the general intervention group, the comprehensive intervention group showed a significant decrease in weight(66.97±4.59 vs.69.95±4.13), BMI(25.90±5.12 vs.28.41±2.44), and BFR(33.43±4.4 vs.36.35±2.55) at the end of the second year(P<0.01).

The "five-in-one" comprehensive intervention program can effectively regulate the energy compensation mechanism, improve the BOLT, FMS and attitude towards physical exercise of obese female college students, and effectively reduce their weight. In addition, it can effectively maintain the body shape indicators after the end of the dry period and inhibit the rebound of obesity.