Comparison of Technology-Assisted Progressive Neuromuscular Stabilization Versus Aerobic Exercise on Body Composition and Balance in Obese Children Aged 12 to 18

What this Trial Is About

Childhood obesity can negatively affect balance, postural control, and motor skills, limiting physical activity in children. This research compares technology-assisted Progressive Neuromuscular Stabilization PNS exercises with traditional aerobic exercise to assess their effects on body composition, balance, and functional abilities in children aged 12 to 18 with obesity. The trial aims to find better ways to improve physical health and exercise adherence in this population. Participants will be randomly assigned to one of three groups PNS exercise, aerobic exercise, or a control group. Both exercise groups will attend supervised sessions twice weekly for 12 weeks, with additional home-based exercises guided by the BeCure4 mobile app providing weekly updated exercise videos. The PNS group focuses on core stability, balance, and neuromuscular coordination, while the aerobic group engages in age-appropriate cardiovascular activities. The control group receives a single counseling session on healthy lifestyle habits. Participants will be assessed at the start and after the 12-week program. Evaluations include balance and postural control using the Biodex Balance System, body composition measures like BMI and body fat percentage, core muscle endurance tests, functional performance tests such as the 6-Minute Walk Test, and questionnaires on physical activity, self-perception, quality of life, fatigue, and posture. Exercise adherence will be monitored through the mobile app, and the study is conducted under the sponsorship of Istanbul University - Cerrahpasa.

Effects of Progressive Neuromuscular Stabilization Exercises Versus Aerobic Exercises on Body Composition and Postural Balance in Children With Obesity