Effects of integration of Pilates exercise in dual task training on cognition in midlife obesity A Randomized control trial

Midlife Obesity has shown direct effects on cognition decline, which could predispose to dementia and Alzheimer disease later in life. Specific correlations with p300 amplitude and latency have been seen in cognition decline in this population. Along with cognition obese individuals have decreased lower limb functional strength. Various strategies have been effective in treating cognitive decline of which dual task training has shown significant differences, but as  dual task involve strength training or aerobic exercise as a motor component along with cognitive task, middle age group show less adherence to these exercise. Whereas Pilates have shown increased adherence in these population along with significant individual effects on cognition level and lower limb strength improvement. Thus integrating Pilates exercise as a motor task in dual task paradigm may result in significant improvements. To the best of my Knowledge no such study has evaluated the effects of pilates with dual task paradigm in obese population.

All the subjects will be informed about the nature, purpose, and possible risks involved in the study and an informed written consent will be taken from them prior to participation. All the subjects will be selected based on the inclusion criteria. Subjects will be familiarised  with the intervention after dividing into either of three groups, Pilates -cog, General physical -cog exercise and control group. Pre and post measures will be taken after two months of intervention. Overall the study will provide the effects of pilates in dual task paradigm compared with general physical-cog exercise and control group on cognition and lower limb functional strength.