Periodization method of physical exercise for obese people

Chikih Chikih, Universitas Indonesia, Indonesia
Angelica Anggunadi, Universitas Indonesia, Indonesia


During the COVID-19 pandemic, The Centers for Disease Control and Prevention CDC, stated that obesity prevalence increased by 52%. In Indonesia, the prevalence of obesity is 21.8%. Obesity triggers an increase in pro-inflammatory cytokines, which induces chronic inflammation both locally and systemically, which can cause health problems, such as cardiovascular disease, diabetes mellitus, metabolite syndrome, and an increased risk of infection. One of the components of obesity management is increasing physical activity. One of the domains of physical activity is exercise. Exercise with the appropriate frequency, duration, intensity, type, and periodization can influence cytokine modulation so that it can reduce systemic inflammation and increase physical fitness. This evidence-based case report (EBCR) aims to determine the type of exercise periodization in obesity management and its effect on health-related fitness. The process of searching for literature on EBCR uses the PRISMA method on 3 databases, namely: PubMed, EBSCOhost, and ProQuest. From the search results, it was found that the combination of endurance and strength training exercises with linear periodization 3 times a week, was found to be better in improving fitness in obese people. Linear periodization increases cardiopulmonary fitness with a relative mean difference of 17.8(0.3 to 35.3) %, maximal strength with 1 RM bench press and 1 RM leg press test also increased, and also reduce body fat percentage about 2.1(-4.8 to 0.5) %. Thus, the combination of strength and cardiorespiratory exercise with linear periodization gives a positive response to the components of health-related fitness in obese people.


exercise training; exercise periodization; obesity; physical activity intervention

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Artemniak-wojtowicz, D., Kucharska, A. M., & Pyrżak, B. (2020). Obesity and chronic inflammation crosslinking. Central European Journal of Immunology, 45(4), 461–468.

Baillot, A., Chenail, S., Polita, N. B., Simoneau, M., Libourel, M., Nazon, E., Riesco, E., Bond, D. S., & Romain, A. J. (2021). Physical activity motives, barriers, and preferences in people with obesity: A systematic review. PLoS ONE, 16(6 June), 1–21.

Bennett, G., Young, E., Butler, I., & Coe, S. (2021). The Impact of Lockdown During the COVID-19 Outbreak on Dietary Habits in Various Population Groups: A Scoping Review. Frontiers in Nutrition, 8, 53.

Chikih, C., Sudarsono, N. C., Widiastuti, E., & Prathama Nasution, A. (2021). Prognostic of Recurrence of Ankle Sprain Injury in Athletes who Return to Sports Early. EJournal Kedokteran Indonesia, 9(2), 137.

Clemente-Suárez, V. J., Ramos-Campo, D. J., Tornero-Aguilera, J. F., Parraca, J. A., & Batalha, N. (2021). The Effect of Periodization on Training Program Adherence. International Journal of Environmental Research and Public Health, 18(24).

Collado-Mateo, D., Lavín-Pérez, A. M., Peñacoba, C., Del Coso, J., Leyton-Román, M., Luque-Casado, A., Gasque, P., Fernández-Del-olmo, M. Á., & Amado-Alonso, D. (2021). Key factors associated with adherence to physical exercise in patients with chronic diseases and older adults: An umbrella review. International Journal of Environmental Research and Public Health, 18(4), 1–24.

Evans, J. W. (2019). Periodized Resistance Training for Enhancing Skeletal Muscle Hypertrophy and Strength: A Mini-Review. Frontiers in Physiology, 10(JAN).

Gallagher, J., Needleman, I., Ashley, P., Sanchez, R. G., & Lumsden, R. (2017). Self-Reported Outcome Measures of the Impact of Injury and Illness on Athlete Performance: A Systematic Review. Sports Medicine, 47(7), 1335–1348.

Gonzalo-Encabo, P., Maldonado, G., Valadés, D., Ferragut, C., & Pérez-López, A. (2021). The role of exercise training on low-grade systemic inflammation in adults with overweight and obesity: A systematic review. International Journal of Environmental Research and Public Health, 18(24).

Hoffmann, K., Kopciuch, D., Michalak, M., Bryl, W., Kus, K., Marzec, K., Raakow, J., Pross, M., Berghaus, R., Nowakowska, E., Kostrzewska, M., Zaprutko, T., Ratajczak, P., & Paczkowska, A. (2022). Adherence of Obese Patients from Poland and Germany and Its Impact on the Effectiveness of Morbid Obesity Treatment. Nutrients, 14(18), 1–18.

Hung, T. H., Liao, P. A., Chang, H. H., Wang, J. H., & Wu, M. C. (2014). Examining the relationship between cardiorespiratory fitness and body weight status: Empirical evidence from a population-based survey of adults in Taiwan. Scientific World Journal, 2014.

Jonas, S., & Phillips, E. m. (2009). ACSM Exercise Is Medicine : A Clinician’s Guide to Exercise Prescription (S. Jonas & E. m. Phillips (eds.)). Lippincott Williams & Wilkins, a Wolters Kluwer business.

Kasper, K. (2019). Sports Training Principles. Current Sports Medicine Reports, 18(4), 95–96.

Kurniarobbi, J., Chikih, C., Andeansah, M., Lestari, R., & Sukendar, I. (2022). Athletes sleep duration during COVID-19 pandemic and its relationship with health condition. International Journal of Public Health Science (IJPHS), 11(1), 61–68.

Lange, S. J., Kompaniyets, L., Freedman, D. S., Kraus, E. M., Porter, R., Blanck, H. M., & Goodman, A. B. (2021). Longitudinal Trends in Body Mass Index Before and During the COVID-19 Pandemic Among Persons Aged 2–19 Years — United States, 2018–2020. MMWR. Morbidity and Mortality Weekly Report, 70(37), 1278–1283.

López-Valenciano, A., Suárez-Iglesias, D., Sanchez-Lastra, M. A., & Ayán, C. (2021). Impact of COVID-19 Pandemic on University Students’ Physical Activity Levels: An Early Systematic Review. Frontiers in Psychology, 11(January), 1–10.

Lorenz, D., & Morrison, S. (2015). Current Concepts in Periodization of Strength and Conditioning for The Sports Physical Therapist. The International Journal of Sports Physical Therapy, 10(6), 734–747.

Loturco, I., & Nakamura, F. (2016). Training Periodisation. In Sport Medicine Journal (Vol. 5, Issue 1, pp. 110–115).

Ministry of Health of the Republic of Indonesia. (2018). Indonesian Basic Health Research 2018. In Indonesian Basic Health Research 2018 (2018th ed.). Ministry of Health of the Republic of Indonesia.

Mujika, I., Halson, S., Burke, L. M., Balagué, G., & Farrow, D. (2018). An integrated, multifactorial approach to periodization for optimal performance in individual and team sports. International Journal of Sports Physiology and Performance, 13(5), 538–561.

Naclerio, F., Moody, J., & Chapman, M. (2013). Applied periodization: A methodological approach. Journal of Human Sport and Exercise, 8(2 SUPPL), 350–366.

Nasrulloh, A., Yuniana, R., & Pratama, K. W. (2021). The effect of skipping combination with body weight training on cardiorespiratory endurance and body mass index (BMI) as a covid-19 prevention effort for overweight adolescents. Jurnal Keolahragaan, 9(2), 220–230.

Nurhadi, F. I., Suherman, W. S., Prasetyo, Y., & Nasrulloh, A. (2022). Pengaruh latihan beban kombinasi dengan latihan aerobik terhadap berat badan dan persentase lemak tubuh pada remaja overweight The effect of weight training combined with aerobic exercise on body weight and body fat percentage in overweight adolescents. 18(2), 8–17.

Nylén, E. S., Gandhi, S. M., & Lakshman, R. (2019). Cardiorespiratory Fitness, Physical Activity, and Metabolic Syndrome. Cardiorespiratory Fitness in Cardiometabolic Diseases: Prevention and Management in Clinical Practice, 207–215.

Oktay, A. A., Lavie, C. J., Kokkinos, P. F., Parto, P., Pandey, A., & Ventura, H. O. (2017). The Interaction of Cardiorespiratory Fitness With Obesity and the Obesity Paradox in Cardiovascular Disease. Progress in Cardiovascular Diseases, 60(1), 30–44.

Pertiwi, K. R., Yulianti, E., & Rustiasari, U. J. (2022). Physical exercise as cytokine modulator in inflammatory immune response: a systematic review. Jurnal Keolahragaan, 10(2), 247–257.

Sideli, L., Lo Coco, G., Bonfanti, R. C., Borsarini, B., Fortunato, L., Sechi, C., & Micali, N. (2021). Effects of COVID‐19 lockdown on eating disorders and obesity: A systematic review and meta‐analysis. European Eating Disorders Review, 29(6), 826.

Streb, A. R., dos Santos Leonel, L., Delevatti, R. S., Cavaglieri, C. R., & Del Duca, G. F. (2021). Effects of Non-periodized and Linear Periodized Combined Exercise Training on Insulin Resistance Indicators in Adults with Obesity: A Randomized Controlled Trial. Sports Medicine - Open, 7(1), 1–7.

Tayefi, M., Tayefi, B., Darroudi, S., Mohammadi-Bajgiran, M., Mouhebati, M., Heidari-Bakavoli, A., Ebrahimi, M., Ferns, G. A., Esmaily, H., Dabaghian, M., & Ghayour-Mobarhan, M. (2019). There is an association between body fat percentage and metabolic abnormality in normal weight subjects: Iranian large population. Translational Metabolic Syndrome Research, 2(1), 11–16.

Vuurberg, G., Altink, N., Rajai, A., Blankevoort, L., & Kerkhoffs, G. M. M. J. (2019). Weight, BMI and stability are risk factors associated with lateral ankle sprains and chronic ankle instability: A meta-analysis. Journal of ISAKOS, 4(6), 313–327.

Wharton, S., Lau, D. C. W., Vallis, M., Sharma, A. M., Biertho, L., Campbell-Scherer, D., Adamo, K., Alberga, A., Bell, R., Boulé, N., Boyling, E., Brown, J., Calam, B., Clarke, C., Crowshoe, L., Divalentino, D., Forhan, M., Freedhoff, Y., Gagner, M., … Wicklum, S. (2020). Obesity in adults: A clinical practice guideline. Cmaj, 192(31), E875–E891.

WHO Regional Office for Europe. (2022). WHO European Regional Obesity Report 2022 (World Health Organization (ed.); 1st ed.). World Health Organization.

Yuniana, R., Tomoliyus, Kushartanti, B. M. W., Nasrulloh, A., Pratama, K. W., Rosly, M. M., Karakauki, M., & Ali, S. K. S. (2023). The Effectiveness of the Weight Training Method and Rest Interval on VO2 max, Flexibility, Muscle Strength, Muscular Endurance, and Fat Percentage in Students. International Journal of Human Movement and Sports Sciences, 11(1), 213–223.



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