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Exercise Guidelines for Enhancing Mobility and Stability in Individuals with Severe Obesity.

Hae Sung Lee1, Min-Hwa Suk2, Hee Seung Jang2

  • 1Department of Physical Education, College of Education, Wonkwang University, Iksan, Korea.

Journal of Obesity & Metabolic Syndrome
|October 23, 2025
PubMed
Summary

Individuals with severe obesity can improve mobility and reduce pain with accessible, low-impact exercises like yoga and core training. These methods enhance function and support sustained physical activity engagement.

Keywords:
ExerciseMobilityMovementSevere obesityStability

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Area of Science:

  • Exercise Science
  • Obesity Research
  • Rehabilitation Medicine

Background:

  • Severe obesity often leads to joint mobility issues and chronic pain, reducing quality of life and independence.
  • Exercise is beneficial for severe obesity management, but adherence is low due to physical limitations and discomfort.

Purpose of the Study:

  • To identify physical limitations in severe obesity and propose accessible, evidence-based exercise interventions.
  • To review existing literature on exercise's impact on mobility, stability, and pain in severely obese individuals.

Main Methods:

  • Systematic literature search across Scopus, PubMed, Web of Science, and Google Scholar.
  • Included ten studies on exercise interventions for mobility, stability, and pain in severe obesity.
  • Analyzed findings on low-impact modalities like yoga, core training, and stabilization exercises.

Main Results:

  • Low-impact exercises significantly improve mobility, enhance postural stability, and reduce musculoskeletal pain within 4 weeks.
  • Core muscle stretching and instability-based training showed particular effectiveness in improving functional outcomes and balance.
  • Exercise interventions are feasible in clinical and home settings.

Conclusions:

  • Severe obesity presents significant musculoskeletal and neuromuscular challenges, with core musculature playing a key role.
  • Accessible, low-complexity exercise strategies can effectively improve physical function and reduce pain.
  • Recommendations support sustainable physical activity engagement for individuals with severe obesity.