Guía para el diseño de programas de intervención en población con obesidadDocumento de Posicionamiento del Grupo Ejercicio Físico de la Sociedad Española de Estudio de la Obesidad (SEEDO)

  1. Felipe Isidro Donate 1
  2. Sánchez-Oliver, Antonio J. 2
  3. Benito, Pedro J. 3
  4. Juan Ramon Heredia Elvar 4
  5. Walter Suárez-Carmona 5
  6. Javier Butragueño 3
  1. 1 Instituto Internacional Ciencias Ejercicio Físico y Salud (IICEFS)
  2. 2 Universidad de Sevilla
    info

    Universidad de Sevilla

    Sevilla, España

    ROR https://ror.org/03yxnpp24

  3. 3 Universidad Politécnica de Madrid
    info

    Universidad Politécnica de Madrid

    Madrid, España

    ROR https://ror.org/03n6nwv02

  4. 4 Universidad Alfonso X el Sabio
    info

    Universidad Alfonso X el Sabio

    Villanueva de la Cañada, España

    ROR https://ror.org/054ewwr15

  5. 5 Universidad Pablo de Olavide
    info

    Universidad Pablo de Olavide

    Sevilla, España

    ROR https://ror.org/02z749649

Revista:
Retos: nuevas tendencias en educación física, deporte y recreación

ISSN: 1579-1726 1988-2041

Año de publicación: 2023

Número: 50

Páginas: 33-49

Tipo: Artículo

Otras publicaciones en: Retos: nuevas tendencias en educación física, deporte y recreación

Repositorio institucional: lock_openAcceso abierto Editor

Resumen

El presente documento de posicionamiento del grupo de trabajo de ejercicio físico de la Sociedad Española de Estudios de la Obesidad tiene como objetivo establecer pautas claras para el diseño y aplicación de programas de ejercicio en población con obesidad. En el primer apartado, se identifican las limitaciones respecto a la investigación en intervención con programas de actividad física y ejercicio en población con obesidad, lo que justifica la necesidad de establecer un marco claro para la planificación y programación del entrenamiento en esta población. En el segundo apartado, se aborda la planificación del programa de ejercicio. En este sentido, se presentan los objetivos y procesos operativos en la planificación del programa, que incluyen desde la valoración del paciente con obesidad y la clasificación del nivel del paciente. Posteriormente, el posicionamiento se centra en la programación del entrenamiento estableciendo las pautas para la temporalización de los ciclos de intervención. el diseño de las sesiones de entrenamiento y los criterios generales para la selección de ejercicios, la frecuencia semanal, el volumen, la intensidad, la recuperación intrasesión y la organización y distribución de los ejercicios. El siguiente apartado se centra en las indicaciones y contraindicaciones (absolutas y relativas) de la actividad física y el ejercicio en pacientes con obesidad, lo que permite identificar las situaciones en las que es necesario extremar las precauciones y ajustar el programa de intervención. Por último, en el apartado de perspectivas de futuro en las intervenciones en obesidad y ejercicio, se destaca la importancia de la investigación continua en el área del ejercicio físico y la obesidad, incluyendo las nuevas tecnologías aplicadas al entrenamiento y los efectos del ejercicio junto con el tratamiento farmacológico. En definitiva, el documento de posicionamiento presentado constituye una guía esencial para los profesionales de la salud en el diseño y aplicación de programas de actividad física y ejercicio en población con obesidad.

Referencias bibliográficas

  • strand, P. O., & Saltin, B. (1961). Maximal oxygen uptake and heart rate in various types of muscular activity. Journal of Applied Physiology, 16, 977–981. https://doi.org/10.1152/JAPPL.1961.16.6.977
  • Batrakoulis, A., ..., A., & Fatouros, I. G. (2022). Comparative Efficacy of 5 Exercise Types on Cardiometabolic Health in Overweight and Obese Adults: A Systematic Review and Network Meta-Analysis of 81 Randomized Controlled Trials. Circulation. Cardiovascular Quality and Outcomes, 15(6), E008243. https://doi.org/10.1161/CIRCOUTCOMES.121.008243
  • Bellido Guerrero, D., López de la Torre Casares, M., Monereo Megías, S., & Sociedad Española para el Estudio de la Obesidad. (2022). Obesidad: una enfermedad crónica. Panamericana.
  • Benito, P. J., Alfaro-Magallanes, V. M., Rael, B., Castro, E. A., Romero-Parra, N., Rojo-Tirado, M. A., & Peinado, A. B. (2023). Effect of Menstrual Cycle Phase on the Recovery Process of High-Intensity Interval Exercise-A Cross-Sectional Observational Study. International Journal of Environmental Research and Public Health, 20(4). https://doi.org/10.3390/IJERPH20043266
  • Benito, P. J., Bermejo, L. M., Peinado, A. B., López-Plaza, B., Cupeiro, R., Szendrei, B., Calderón, F. J., Castro, E. A., & Gómez-Candela, C. (2015). Change in weight and body composition in obese subjects following a hypocaloric diet plus different training programs or physical activity recommendations. Journal of Applied Physiology, 118(8), 1006–1013. https://doi.org/10.1152/japplphysiol.00928.2014
  • Benito Peinado, P. J., Álvarez Sánchez, M., Díaz Molina, V., Peinado Lozano, A. B., & Calderón Montero, F. J. (2010). Aerobic energy expenditure and intensity prediction during a specific circuit weight training: a pilot study. Journal of Human Sport and Exercise, ISSN-e 1988-5202, Vol. 5, No. 2, 2010, Págs. 134-145, 5(2), 134–145. https://dialnet.unirioja.es/servlet/articulo?codigo=3225283&info=resumen&idioma=ENG
  • Bianchettin, R. G., Lavie, C. J., & Lopez-Jimenez, F. (2023). Challenges in Cardiovascular Evaluation and Management of Obese Patients: JACC State-of-the-Art Review. Journal of the American College of Cardiology, 81(5), 490–504. https://doi.org/10.1016/J.JACC.2022.11.031
  • Bond, V., Curry, B. H., Kumar, K., Pemminati, S., Gorantla, V. R., Kadur, K., & Millis, R. M. (2017). Restricted blood flow exercise in sedentary, overweight African-American females may increase muscle strength and decrease endothelial function and vascular autoregulation. Journal of Pharmacopuncture, 20(1), 23–28. https://doi.org/10.3831/KPI.2017.20.002
  • Brame, J., Centner, C., Berg, N., Bartlam, M., Gollhofer, A., & König, D. (2022). Effects of a 12-Week Web-Based Weight Loss Program for Adults With Overweight and Obesity on COVIDAge and Lifestyle-Related Cardiometabolic Risk Factors: A Randomized Controlled Trial. Frontiers in Public Health, 10. https://doi.org/10.3389/FPUBH.2022.868255
  • Candón Liñán, Á., Sánchez Oliver, A., Galancho Reina, I., Suárez Carmona, W., & González Jurado, J. A. (2016). Ejercicio físico, obesidad e inflamación. EmásF: Revista Digital de Educación Física, ISSN 1989-8304, No. 41, 2016, Págs. 65-82, 41, 65–82. https://dialnet.unirioja.es/servlet/articulo?codigo=5558014
  • Davies, T. B., Tran, D. L., Hogan, C. M., Haff, G. G., & Latella, C. (2021). Chronic Effects of Altering Resistance Training Set Configurations Using Cluster Sets: A Systematic Review and Meta-Analysis. Sports Medicine (Auckland, N.Z.), 51(4), 707–736. https://doi.org/10.1007/S40279-020-01408-3
  • de la Mata, I. (2018). European Commission action on digital health. European Journal of Public Health, 28(suppl_4), cky213-012.
  • do Nascimento, J. A., Silva, C. C., Dos Santos, H. H., de Almeida Ferreira, J. J., & de Andrade, P. R. (2017). A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance. Clinical Obesity, 7(6), 377–383. https://doi.org/10.1111/cob.12209
  • Dogra, S., Copeland, J. L., Altenburg, T. M., Heyland, D. K., Owen, N., & Dunstan, D. W. (2022). Start with reducing sedentary behavior: A stepwise approach to physical activity counseling in clinical practice. Patient Education and Counseling, 105(6), 1353–1361. https://doi.org/10.1016/J.PEC.2021.09.019
  • Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. In Medicine and Science in Sports and Exercise (Vol. 41, Issue 2, pp. 459–471). Med Sci Sports Exerc. https://doi.org/10.1249/MSS.0b013e3181949333
  • Faigenbaum, A. D., & McFarland, J. E. (2023). Developing Resistance Training Skill Literacy in Youth. Https://Doi.Org/10.1080/07303084.2022.2146610, 94(2), 5–10. https://doi.org/10.1080/07303084.2022.2146610
  • Frühbeck, G., Busetto, L., Dicker, D., Yumuk, V., Goossens, G. H., Hebebrand, J., Halford, J. G. C., Farpour-Lambert, N. J., Blaak, E. E., Woodward, E., & Toplak, H. (2019). The ABCD of Obesity: An EASO Position Statement on a Diagnostic Term with Clinical and Scientific Implications. Obesity Facts, 12(2), 131–136. https://doi.org/10.1159/000497124
  • Fukumoto, Y., Taniguchi, M., Hirono, T., Yagi, M., Yamagata, M., Nakai, R., Asai, T., Yamada, Y., Kimura, M., & Ichihashi, N. (2022). Influence of ultrasound focus depth on the association between echo intensity and intramuscular adipose tissue. Muscle & Nerve, 66(5), 568–575. https://doi.org/10.1002/MUS.27677
  • Fyfe, J. J., Hamilton, D. L., & Daly, R. M. (2022). Minimal-Dose Resistance Training for Improving Muscle Mass, Strength, and Function: A Narrative Review of Current Evidence and Practical Considerations. Sports Medicine (Auckland, N.Z.), 52(3), 463–479. https://doi.org/10.1007/S40279-021-01605-8
  • García Almeida, J. M., García García, C., Bellido Castañeda, V., Bellido Guerrero, D., García Almeida, J. M., García García, C., Bellido Castañeda, V., & Bellido Guerrero, D. (2018). Nuevo enfoque de la nutrición. Valoración del estado nutricional del paciente: función y composición corporal. Nutrición Hospitalaria, 35(SPE3), 1–14. https://doi.org/10.20960/NH.2027
  • Gellish, R. L., Goslin, B. R., Olson, R. E., McDonald, A., Russi, G. D., & Moudgil, V. K. (2007). Longitudinal modeling of the relationship between age and maximal heart rate. Medicine and Science in Sports and Exercise, 39(5), 822–829. https://doi.org/10.1097/mss.0b013e31803349c6
  • Gilmore, L. A., Duhé, A. F., Frost, E. A., & Redman, L. M. (2014). The technology boom: A new era in obesity management. In Journal of Diabetes Science and Technology (Vol. 8, Issue 3, pp. 596–608). Diabetes Technology Society. https://doi.org/10.1177/1932296814525189
  • Gonzalez-Badillo, J. J., & Ribas-Serna, J. (2019). Fuerza, velocidad y rendimiento físico y deportivo (1st ed.). Librerías deportivas Esteban Sanz S.L.
  • Gronwald, T., Törpel, A., Herold, F., & Budde, H. (2020). Perspective of Dose and Response for Individualized Physical Exercise and Training Prescription. Journal of Functional Morphology and Kinesiology, 5(3). https://doi.org/10.3390/JFMK5030048
  • Halperin, I., & Emanuel, A. (2020). Rating of Perceived Effort: Methodological Concerns and Future Directions. Sports Medicine (Auckland, N.Z.), 50(4), 679–687. https://doi.org/10.1007/S40279-019-01229-Z
  • Hamasaki, H. (2018). Exercise and glucagon-like peptide-1: Does exercise potentiate the effect of treatment? World Journal of Diabetes, 9(8), 138–140. https://doi.org/10.4239/WJD.V9.I8.138
  • Heredia, J. R., Isidro, F., Moral, S., Roig, J., & Molins, A. (2011). Sobrepeso/obesidad y ejercicio físico. Wanceulen.
  • Heredia, J. R., & Peña, G. (2019). Entrenamiento de la fuerza para la mejora de la salud y la condición física. Círculo Rojo.
  • Hopps, E., & Caimi, G. (2011). Exercise in obesity management. The Journal of Sports Medicine and Physical Fitness, 51(2), 275–282.
  • Hsu, K. J., Liao, C. De, Tsai, M. W., & Chen, C. N. (2019). Effects of exercise and nutritional intervention on body composition, metabolic health, and physical performance in adults with sarcopenic obesity: A meta-analysis. In Nutrients (Vol. 11, Issue 9, p. 2163). MDPI AG. https://doi.org/10.3390/nu11092163
  • Issurin, V. B. (2010). New horizons for the methodology and physiology of training periodization. Sports Medicine (Auckland, N.Z.), 40(3), 189–206. https://doi.org/10.2165/11319770-000000000-00000
  • Jastreboff, A. M., Kotz, C. M., Kahan, S., Kelly, A. S., & Heymsfield, S. B. (2019). Obesity as a Disease: The Obesity Society 2018 Position Statement. Obesity (Silver Spring, Md.), 27(1), 7–9. https://doi.org/10.1002/OBY.22378
  • Julian, V., Thivel, D., Costes, F., Touron, J., Boirie, Y., Pereira, B., Perrault, H., Duclos, M., & Richard, R. (2018). Eccentric training improves body composition by inducing mechanical and metabolic adaptations: A promising approach for overweight and obese individuals. In Frontiers in Physiology (Vol. 9, Issue AUG). Frontiers Media S.A. https://doi.org/10.3389/fphys.2018.01013
  • Karabulut, M., & Garcia, S. D. (2017). Hemodynamic responses and energy expenditure during blood flow restriction exercise in obese population. Clinical Physiology and Functional Imaging, 37(1), 1–7. https://doi.org/10.1111/cpf.12258
  • Karvonen, M. J., Kentala, E., & Mustala, O. (1957). The effects of training on heart rate; a longitudinal study. Annales Medicinae Experimentalis et Biologiae Fenniae, 35(3), 307–315. https://europepmc.org/article/med/13470504
  • Kay, A. D., Baxter, B. A., Hill, M. W., & Blazevich, A. J. (2023). Effects of Eccentric Resistance Training on Lower-Limb Passive Joint Range of Motion: A Systematic Review and Meta-analysis. Medicine & Science in Sports & Exercise, 55(4), 710–721. https://doi.org/10.1249/MSS.0000000000003085
  • Kayser, B., & Verges, S. (2021). Hypoxia, energy balance, and obesity: An update. Obesity Reviews, 22(S2). https://doi.org/10.1111/obr.13192
  • Kenney, W. L., Wilmore, J. H., & Costill, D. L. (2019). Physiology of sport and exercise (7a Edición). Human Kinetics.
  • Kenney, W. L., Wilmore, J. H., & Costill, D. L. (2021). Physiology of Sport and Exercise (8o). Human Kinetics. https://books.google.es/books?hl=es&lr=&id=XoZGEAAAQBAJ&oi=fnd&pg=PP1&ots=uQ1hlguaZI&sig=KElD0-vPy-ujrNQ0pwk60Ys2PbM#v=onepage&q&f=false
  • Kluge, H. (2018). The WHO Europe initiative for digitalization of health systems: mobilizing action through digital health for Health2020 and the UN 2030 Agenda for Sustainable Development. European Journal of Public Health, 28(suppl_4), cky213-013.
  • Kraemer, W. J., & Ratamess, N. A. (2004). Fundamentals of Resistance Training: Progression and Exercise Prescription. In Medicine and Science in Sports and Exercise (Vol. 36, Issue 4, pp. 674–688). Med Sci Sports Exerc. https://doi.org/10.1249/01.MSS.0000121945.36635.61
  • Le-Cerf Paredes, L., Valdés-Badilla, P., & Muñoz, E. G. (2021). Effects of strength training on the fitness in boys and girls with overweight and obesity: A systematic review. Retos, 43, 233–242. https://doi.org/10.47197/RETOS.V43I0.87756
  • Lee, J. (2020). Associations between handgrip strength and disease-specific mortality including cancer, cardiovascular, and respiratory diseases in older adults: A meta-analysis. Journal of Aging and Physical Activity, 28(2), 320–331. https://doi.org/10.1123/JAPA.2018-0348
  • Lim, J. J. H., & Barley, C. I. (2016). Complex Training for Power Development: Practical Applications for Program Design. Strength and Conditioning Journal, 38(6), 33–43. https://doi.org/10.1519/SSC.0000000000000265
  • Marins, J. C. B., Marins, N. M. O., & Fernándezb, M. D. (2010). Aplicaciones de la frecuencia cardiaca máxima en la evaluación y prescripción de ejercicio. Apunts. Medicina de l’Esport, 45(168), 251–258. https://doi.org/10.1016/J.APUNTS.2010.04.003
  • Marqueta, P. M., ... & Redondo, R. B. (2018). Contraindicaciones para la práctica deportiva. Documento de consenso de la Sociedad Española de Medicina del Deporte (SEMED-FEMEDE). Archivos de Medicina Del Deporte Organo de Expresion de La Sociedad Española de Medicina Del Deporte, 32, 6–45.
  • Mendes, R., Sousa, N., Almeida, A., Subtil, P., Guedes-Marques, F., Reis, V. M., & Themudo-Barata, J. L. (2016). Exercise prescription for patients with type 2 diabetes A synthesis of international recommendations: Narrative review. In British Journal of Sports Medicine (Vol. 50, Issue 22, pp. 1379–1381). BMJ Publishing Group. https://doi.org/10.1136/bjsports-2015-094895
  • Mengeste, A. M., Rustan, A. C., & Lund, J. (2021). Skeletal muscle energy metabolism in obesity. Obesity (Silver Spring, Md.), 29(10), 1582–1595. https://doi.org/10.1002/OBY.23227
  • Nagatani, T., Haff, G. G., Guppy, S. N., & Kendall, K. L. (2022). Practical Application of Traditional and Cluster Set Configurations Within a Resistance Training Program. Strength and Conditioning Journal, 44(5), 87–101. https://doi.org/10.1519/SSC.0000000000000700
  • Navarro Valdivielso, F. (1998). La resistencia. Gymnos. https://dialnet.unirioja.es/servlet/libro?codigo=97491
  • Norton, K., Norton, L., & Sadgrove, D. (2010). Position statement on physical activity and exercise intensity terminology. Journal of Science and Medicine in Sport, 13(5), 496–502. https://doi.org/10.1016/J.JSAMS.2009.09.008
  • O’Donoghue, G., Blake, C., Cunningham, C., Lennon, O., & Perrotta, C. (2021). What exercise prescription is optimal to improve body composition and cardiorespiratory fitness in adults living with obesity? A network meta-analysis. In Obesity Reviews (Vol. 22, Issue 2). Blackwell Publishing Ltd. https://doi.org/10.1111/obr.13137
  • Olszanecka-Glinianowicz, M., ... & Tomiak, E. (2023). Obesity in Adults: Position Statement of Polish Association for the Study on Obesity, Polish Association of Endocrinology, Polish Association of Cardiodiabetology, Polish Psychiatric Association, Section of Metabolic and Bariatric Surgery of the Association of Polish Surgeons, and the College of Family Physicians in Poland. Nutrients, 15(7). https://doi.org/10.3390/NU15071641
  • Oppert, J.-M., ... & Busetto, L. (2021). Exercise training in the management of overweight and obesity in adults: Synthesis of the evidence and recommendations from the European Association for the Study of Obesity Physical Activity Working Group. Obesity Reviews, 22(S4), e13273. https://doi.org/10.1111/OBR.13273
  • Orange, S. T., Marshall, P., Madden, L. A., & Vince, R. V. (2020). Effect of home‐based resistance training performed with or without a high‐speed component in adults with severe obesity. Translational Sports Medicine, 3(1), 34–45.
  • Pallarés, J. G. (*), & Morán Navarro, R. J. (2012). Propuesta metodológica para el entrenamiento de la resistencia cardiorrespiratoria. Journal of Sport and Health Research, ISSN-e 1989-6239, Vol. 4, No. 2, 2012, 136 Págs., 4(2), 119–136. https://dialnet.unirioja.es/servlet/articulo?codigo=4184895
  • Pataky, Z., Armand, S., Müller-Pinget, S., Golay, A., & Allet, L. (2014). Effects of obesity on functional capacity. Obesity, 22(1), 56–62. https://doi.org/10.1002/oby.20514
  • Pelliccia, A., … Wijns, W. (2021). 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. In European Heart Journal (Vol. 42, Issue 1, pp. 17–96). Oxford University Press. https://doi.org/10.1093/eurheartj/ehaa605
  • Pescatello, L. S., Riebe, D., & Thompson, P. D. (2014). ACSM’s guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
  • Ponti, F., de Cinque, A., Fazio, N., Napoli, A., Guglielmi, G., & Bazzocchi, A. (2020). Ultrasound imaging, a stethoscope for body composition assessment. Quantitative Imaging in Medicine and Surgery, 10(8), 1699–1722. https://doi.org/10.21037/QIMS-19-1048
  • Power, S., Rowley, N., Flynn, D., Duncan, M., & Broom, D. (2022). Home-based exercise for adults with overweight or obesity: A rapid review. Obesity Research & Clinical Practice, 16(2), 97–105. https://doi.org/10.1016/J.ORCP.2022.02.003
  • Robertson, R. J., Goss, F. L., Rutkowski, J., Lenz, B., Dixon, C., Timmer, J., Frazee, K., Dube, J., & Andreacci, J. (2003). Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Medicine and Science in Sports and Exercise, 35(2), 333–341. https://doi.org/10.1249/01.MSS.0000048831.15016.2A
  • Rojo-Tirado, M. A., Benito, P. J., Atienza, D., Rincón, E., & Calderón, F. J. (2013). Effects of age, sex, and treatment on weight-loss dynamics in overweight people. Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition et Metabolisme, 38(9), 967–976. https://doi.org/10.1139/APNM-2012-0441
  • Rubio Hererra, ... & Vidal, J. (2007). Consenso SEEDO 2007 para la evaluación del sobrepeso y la obesidad y el establecimiento de criterios de intervención terapéutica. Revista Espanola de Obesidad, 5(3), 135–175. https://doi.org/10.1016/s0025-7753(07)72531-9
  • Saatmann, N., Zaharia, O. P., Loenneke, J. P., Roden, M., & Pesta, D. H. (2021). Effects of Blood Flow Restriction Exercise and Possible Applications in Type 2 Diabetes. In Trends in Endocrinology and Metabolism (Vol. 32, Issue 2, pp. 106–117). Elsevier Inc. https://doi.org/10.1016/j.tem.2020.11.010
  • Salas-Salvadó, J., Rubio, M. A., Barbany, M., & Moreno, B. (2007). Consenso SEEDO 2007 para la evaluación del sobrepeso y la obesidad y el establecimiento de criterios de intervención terapéutica. Medicina Clínica, 128(5), 184–196. https://doi.org/10.1016/S0025-7753(07)72531-9
  • Sandsdal, R. M., Juhl, C. R., Jensen, S. B. K., Lundgren, J. R., Janus, C., Blond, M. B., Rosenkilde, M., Bogh, A. F., Gliemann, L., Jensen, J. E. B., Antoniades, C., Stallknecht, B. M., Holst, J. J., Madsbad, S., & Torekov, S. S. (2023). Combination of exercise and GLP-1 receptor agonist treatment reduces severity of metabolic syndrome, abdominal obesity, and inflammation: a randomized controlled trial. Cardiovascular Diabetology, 22(1). https://doi.org/10.1186/S12933-023-01765-Z
  • Seo, Y. G., Noh, H. M., & Kim, S. Y. (2019). Weight loss effects of circuit training interventions: A systematic review and meta-analysis. Obesity Reviews : An Official Journal of the International Association for the Study of Obesity, 20(11), 1642–1650. https://doi.org/10.1111/OBR.12911
  • Simón-Mora, R. M., Sánchez-Oliver, A. J., Carmona, W., & González-Jurado, J. A. (2020). Effect of a physical exercise program on physical fitness and visceral fat in people with obesity. Retos, 2041(39), 723–730. https://doi.org/10.47197/retos.v0i39.78997
  • Sizoo, D., de Heide, L. J. M., Emous, M., van Zutphen, T., Navis, G., & van Beek, A. P. (2020). Measuring Muscle Mass and Strength in Obesity: a Review of Various Methods. In Obesity Surgery (Vol. 31, Issue 1). Springer. https://doi.org/10.1007/s11695-020-05082-2
  • Suárez-Carmona, W., & Sánchez-Oliver, A. J. (2018). Índice de masa corporal: ventajas y desventajas de su uso en la obesidad. Relación con la fuerza y la actividad física. Nutricion Clínica En Medicina, XII(3), 128–139. https://doi.org/10.7400/NCM.2018.12.3.5067
  • Suárez Carmona, W., Sánchez Oliver, A., & González Jurado, J. (2017). Fisiopatología de la obesidad: Perspectiva actual. Revista Chilena de Nutrición, 44(3), 226–233. https://doi.org/10.4067/S0717-75182017000300226
  • Tanaka, H., Monahan, K. D., & Seals, D. R. (2001). Age-predicted maximal heart rate revisited. Journal of the American College of Cardiology, 37(1), 153–156. https://doi.org/10.1016/S0735-1097(00)01054-8
  • Tee, C. C. L., Cooke, M. B., Chong, M. C., Yeo, W. K., & Camera, D. M. (2023). Mechanisms for Combined Hypoxic Conditioning and Divergent Exercise Modes to Regulate Inflammation, Body Composition, Appetite, and Blood Glucose Homeostasis in Overweight and Obese Adults: A Narrative Review. Sports Medicine (Auckland, N.Z.), 53(2), 327–348. https://doi.org/10.1007/S40279-022-01782-0
  • Tiggemann, C. L., Pietta-Dias, C., Schoenell, M. C. W., Noll, M., Alberton, C. L., Pinto, R. S., & Kruel, L. F. M. (2021). Rating of Perceived Exertion as a Method to Determine Training Loads in Strength Training in Elderly Women: A Randomized Controlled Study. International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/IJERPH18157892
  • Tufano, J. J., Brown, L. E., & Haff, G. G. (2017). Theoretical and Practical Aspects of Different Cluster Set Structures: A Systematic Review. Journal of Strength and Conditioning Research, 31(3), 848–867. https://doi.org/10.1519/JSC.0000000000001581
  • Verboven, K., & Hansen, D. (2021). Critical Reappraisal of the Role and Importance of Exercise Intervention in the Treatment of Obesity in Adults. In Sports Medicine (Vol. 51, Issue 3, pp. 379–389). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s40279-020-01392-8
  • Weakley, J., Mann, B., Banyard, H., McLaren, S., Scott, T., & Garcia-Ramos, A. (2021). Velocity-based training: From theory to application. Strength and Conditioning Journal, 43(2), 31–49. https://doi.org/10.1519/SSC.0000000000000560