Effects of concurrent training in metabolic syndrome markers of morbidly obesity patients according muscle quality index and age.

In the Low-MQI group, middle-aged adults showed significant reductions in weight and BMI following 16 weeks of concurrent training.

• Weight changed from 107.5 ± 10.6 to 108.8 ± 12.9 kg (p = 0.029)
• BMI changed from 43.8 ± 3.4 to 42.4 ± 4.2 kg/m² (p = 0.0006)
• Middle-aged adults were defined as 30–49.9 years of age
• The Low-MQI group comprised n = 15 patients with severe or morbid obesity

In the Low-MQI group, intermediate adults experienced a notable increase in diastolic blood pressure after the intervention.

• Diastolic blood pressure increased from 78 ± 9 to 87 ± 5 mmHg (p = 0.012)
• Intermediate adults were defined as 50–59.9 years of age
• This finding represents an adverse cardiovascular response in the older Low-MQI subgroup

In the High-MQI group, young adults demonstrated significant decreases in waist circumference and BMI following the concurrent training program.

• Waist circumference decreased from 122.6 ± 11.4 to 115.9 ± 11.9 cm (p = 0.012)
• BMI changed from 43.8 ± 3.4 to 42.4 ± 4.2 kg/m² (p = 0.0006)
• Young adults were defined as 18–29.9 years of age
• The High-MQI group comprised n = 12 patients with severe or morbid obesity

In the High-MQI group, middle-aged adults showed significant improvements in both systolic and diastolic blood pressure after the 16-week intervention.

• Systolic blood pressure declined from 139 ± 15.2 to 126 ± 8.3 mmHg (p = 0.025)
• Diastolic blood pressure improved from 90 ± 4 to 82 ± 3 mmHg (p = 0.044)
• Middle-aged adults were defined as 30–49.9 years of age
• Blood pressure improvements were observed only in the High-MQI middle-aged subgroup, not in the Low-MQI middle-aged subgroup

The study compared the effects of a 16-week concurrent training program across two Muscle Quality Index groups and three age categories in patients with severe or morbid obesity.

• Twenty-seven patients with severe or morbid obesity participated (Low-MQI n = 15, High-MQI n = 12)
• Age categories were: young adults (Y-ad, 18–29.9 years), middle-aged adults (MA-ad, 30–49.9 years), and intermediate adults (I-ad, 50–59.9 years)
• MetS markers, body composition, and fitness parameters were evaluated before and after the 16-week intervention
• The study design allowed comparison of training responses by both muscle quality and age