Effects of unsupervised aerobic and resistance training on fat mass reduction, physical function and quality of life in patients with sarcopenic obesity - a randomized clinical trial

Sarcopenic obesity, characterized by the coexistence of reduced muscle mass and increased fat mass, is an emerging health concern with significant implications for physical function, metabolic health, and quality of life in older adults. Its prevalence is steadily rising worldwide due to aging populations, sedentary lifestyles, and obesity epidemics. This dual burden not only increases the risk of disability but also limits independence and daily functioning.

Methodology: The present randomized clinical trial will evaluate the effects of unsupervised aerobic and resistance exercise on fat mass reduction, physical function, and quality of life in patients with sarcopenic obesity. Eligible participants will be recruited from physiotherapy clinics through screening based on diagnostic criteria for sarcopenic obesity, including assessment of body composition, strength, and functional capacity. After recruitment, participants will be randomly allocated into two intervention groups,with each group (n=20): Group A will be unsupervised group and Group B will be supervised group, both performing aerobic and resistance exercises. Both groups will be provided with structured, exercise protocols, to be performed for 5 times a week for 8 weeks.

Statistical analysis: The statistical analysis will be performed using SPSS software version 30.0. The primary analysis will be done using descriptive statistics to analyze demographic data. Pre ( baseline) and post ( 8 weeks) intervention data will be collected. Within-group changes will be evaluated using paired t-tests and between- group differences will be analyzed using independent t-tests. A p-value less than 0.05 will be considered statistically significant.