Obese Middle-aged Women Research Articles

Biochemical Evaluation of Asymmetric and Symmetric Dimethylarginine in Obese Middle-Aged Women as anEarly Predictor of Cardiovascular and Renal Diseases: The Effect of Dietary Intervention

Biochemical Evaluation of Asymmetric and Symmetric Dimethylarginine in Obese Middle-Aged Women as anEarly Predictor of Cardiovascular and Renal Diseases: The Effect of Dietary Intervention

Effect of Progressive Balance Control Strategies on Chronic Ankle Instability in Middle-Aged Obese Women.

Chronic ankle instability (CAI) is a disease characterized by persistent feelings of instability in the ankle joint and a propensity for recurrent ankle sprains. It is often caused by ligamentous laxity or neuromuscular deficits. Middle-aged obese females represent a demographic subset at increased risk for CAI due to factors such as reduced proprioception and increased loading on the ankle joint. The gaps in the current evidence suggest that more research is needed on middle-aged obese females, who are particularly vulnerable to CAI due to physiological changes associated with poor balance. This study aims to determine the effect of progressive balance control strategies on CAI in middle-aged obese women. In this experimental study, 72 patients with CAI in middle-aged women were selected randomly using a simple random sampling method. Females aged 35-45 with a body mass index (BMI) greater than 27 kg/m2 and a history of ankle sprains greater than one and having residual symptoms. The experimental group (Group B) received progressive balance control strategies, and the conventional group (Group A) received conventional balance exercises. Foot and ankle ability measure (FAAM) scale, push-and-release test (PART), single-leg stance test (SLST), evaluations, and star excursion balance test (SEBT) were used for pre- and posttreatment. The experimental group post-intervention for static balance, dynamic balance, and postural control tests showed extremely significant improvement with a p-value of <0.0001. Between groups A and B, the dynamic balance was considered very significant, with a p-value of 0.0001. In the single-leg stance test, Group B's result was significantly greater than that ofGroup A's (63.4 + 16.1 and 63.4 + 16.1). PART results indicate that Group B is more significant than Group A (0.76 and 0.51, respectively). The study concluded that progressive balance control strategy training is effective in middle-aged obese women with CAI.

Obesity increases cardiovascular strain during passive heat stress in middle-aged women

Heat waves are becoming more frequent and severe, and cardiovascular events are a contributing cause in most heat-related deaths. Obesity is reported in over 40% of adults over the age of 40 yrs, and is associated with greater heat-related mortality, although the precise mechanisms are not well-understood. To determine whether obesity increases heat-related cardiovascular vulnerability in middle-aged women, this study examined cardiovascular responses to passive whole-body heat stress in four obese (54 ± 11 yr; BMI: 33.1 ± 2.8) and four non-obese (55 ± 5 yr; BMI: 23.6 ± 0.8) middle-aged women. Red cell flux was measured at each site by laser-Doppler flowmetry (LDF) while reflex vasodilation was induced via whole-body heating using a water-perfused suit. After a 1.0°C rise in gastrointestinal temperature (ΔTgi), local skin temperature was increased to 43°C to elicit a maximal vasodilation response. Cutaneous vascular conductance was calculated (CVC = LDF/mean arterial pressure) and expressed as a percentage of maximum (%CVCmax) for each ΔTgi of 0.1°C. Heart rate (HR) was measured continuously and blood pressure (BP) was measured at each ΔTgi of 0.1°C, and rate pressure product (RPP; HR x systolic BP) was calculated as an index of cardiac strain. Percent body fat was measured with dual x-ray absorptiometry (DXA). Time to reach a ΔTgi of 1.0°C was not different between groups (Obese: 65 ± 16 min; Non-obese: 63 ± 13 min; p = 0.85). There was no group difference in CVCmax (Obese: 2.5 ± 0.6; Non-obese: 2.01 ± 0.3; p = 0.19). Likewise, there were no group differences in %CVCmax at baseline or any point throughout local heating (all p ≥ 0.47). RPP was not different between groups at baseline (Obese: 8840 ± 1160; Non-obese: 7492 ± 1081; p &gt; 0.99), but increased to a greater degree in obese women such that there was a significant difference at ΔTgi of 1.0°C (Obese: 14162 ± 1910; Non-obese: 11393 ± 3448; p = 0.05). Further, %BF was directly related to peak RPP (p = 0.03; r = 0.75), but not resting RPP (p = 0.16). Obese women demonstrated an exaggerated RPP response for a given rise in %CVC (p &lt; 0.0001, r = 0.82) relative to non-obese women (p = 0.21, r = 0.19; difference between slopes = 0.002). These data suggest that although thermoregulatory responses are preserved in obese middle-aged women relative to their non-obese counterparts, cardiovascular strain may be exaggerated in obese women for a given magnitude of thermoregulatory response, potentially contributing to increased heat-related mortality. This work was supported by NIH F32 AG079581 (STW) and a seed grant from the University of Georgia Obesity Research Initiative (STW). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Effect of high dietary fiber intake on insulin resistance, body composition and weight, among overweight or obese middle-aged women: study protocol for a double-blinded randomized controlled trail.

Background Obesity is a major consequence of malnutrition and significantly contributes to the global burden of chronic diseases. Currently, there are more overweight and obese individuals than underweight individuals. Increased fiber intake can increase insulin sensitivity and fat oxidation. According to research studies, the average dietary fiber consumption is below the recommended value, and the WHO anticipates that the worldwide obesity prevalence has increased in the past ten years. Aim To evaluate the effect of high dietary fiber intake on insulin resistance, body composition, and weight in overweight and obese middle-aged women. Method This hospital-based study evaluated 500 people during phase 1 to identify the prevalence of insulin resistance among overweight and obese middle-aged women. An RCT with intervention and control arms for 180 individuals is being conducted in Phase 2 to determine the effect of increased dietary fiber consumption on insulin resistance, body composition, and weight in overweight or obese middle-aged women. In the intervention group, women were counselled for 15 min and given a tailored food chart including 40 g of fiber. Women in the control arm will receive a typical food care plan with 25 g of fiber, based on their health status. Each engaged woman received fiber nutritional empowerment. Discussion Increasing dietary fiber consumption can improve insulin resistance, body composition, and weight in middle-aged overweight and obese women. Trial registration The Clinical Trials Registry of India (CTRI/2022/01/039074) has registered this study as a clinical trial on January 3, 2022 http://ctri.nic.in

Dose Weight loss and Core Exercise improve Oswestry disability index, Trunk Extensor and Flexor Muscle Strength in Obese Middle-Aged Women with Chronic Low Back Pain?

OBJECTIVES The purpose of this study was to investigate the weight loss and isotonic core exercise on oswestry disability index (ODI), trunk extensor and flexor muscle strength in obese middle-aged women with chronic low back pain.METHODS Eighteen obese middle-aged woman with chronic low back pain were randomly assigned into weight loss + core exercise group (WL+CE, n=6), core exercise group (CE, n=6), and control group (CON, n=6). The weight loss goal was set at approximately 0.5-1 kg per week, and core exercises were conducted for 60 minutes, three times a week, for 8 weeks. Body composition (weight, % body fat, muscle mass, WHR), ODI, trunk extensor and flexor muscle strength were measured before, 4 weeks, and 8 weeks after core exercise.RESULTS WHR and ODI significantly decreased at 4 and 8 weeks of exercise in both the WL+CE and CE groups compared to before exercise (p&lt;.05, respectively). Trunk extensor muscle strength significant increased at 8 weeks after exercise compared to before exercise at 146°, 158°, 170°, and 182° in the WL+CE (p&lt;.05, respectively), and significant increased at 8 weeks after exercise compared to before exercise at 146° and 158° in the CE (p&lt;.05, respectively). Trunk flexor muscle strength was a significant increase at 8 weeks after exercise compared to before exercise at 146°, 158°, and 182° in the WL+CE (p&lt;.05, respectively), and significant increase at 8 weeks after exercise compared to before exercise at 110°, 134°, 146°, and 170° in the CE (p&lt;.05, respectively).CONCLUSIONS The results of this study suggest that weight loss and core exercise improve WHR, ODI, and trunk extensor and flexor muscle strength in obese middle-aged women with chronic low back pain.

The Effect of TRX Training on Liver Enzymes in Middle-Aged Obese Women

Obesity is a global health concern leading to various chronic diseases, including alterations in liver enzymes. This study aimed to investigate the effect of TRX training program on liver enzymes in obese middle-aged women. In this quasi-experimental study, 30 obese women with a BMI above 30 and an average age of 50.00 ± 6.87 years were randomly divided into two groups: TRX (n=15) and control (n=15). The TRX group engaged in TRX training for eight weeks, while the control group maintained their usual lifestyle. Blood samples were collected before and after the intervention to measure liver enzymes. Anthropometric measurements were also taken before and after the intervention. Data were analyzed using ANCOVA to control for pre-test differences and determine post-test differences between groups. The ANCOVA results revealed significant differences in post-test liver enzyme levels between the TRX and control groups, after controlling for pre-test scores. For ALT, F(1, 27) = 12.94, p = 0.001, partial eta squared = 0.324; for AST, F(1, 27) = 10.12, p = 0.003, partial eta squared = 0.273; and for ALP, F(1, 27) = 25.62, p &lt; 0.001, partial eta squared = 0.487, indicating significant improvements in the TRX group compared to the control group. This study demonstrated that eight weeks of TRX training significantly improved liver enzymes ALT, AST, and ALP in obese women. Therefore, TRX training can be an effective intervention for enhancing liver enzyme health.

비만 중년 여성들의 스포츠 리듬트레이닝이 신체구성 및 기초체력에 미치는 영향

비만 중년 여성들의 스포츠 리듬트레이닝이 신체구성 및 기초체력에 미치는 영향

The Effects of a Stepmill Exercise on Isokinetic Strength and Aerobic Capacity in Obese Middle-aged Women

The Effects of a Stepmill Exercise on Isokinetic Strength and Aerobic Capacity in Obese Middle-aged Women

중년 비만 여성의 아바타 모델링을 위한 체형 연구

This study categorized and analyzed the body types of middle-aged obese women, aged 40-59, based on the characteristics of their shapes for the purpose of 3D avatar modeling. Data from 149 middle-aged obese women were utilized, as provided by the 'Size Korea 8th Body Measurement Survey,' consisting of 3D measurement data. Eleven body type factors were extracted. The data was analyzed through factor analysis and classified into four body types.Type 1 represents a curved body shape with pronounced curves, Type 2 is characterized by well-developed lower body and a stooped posture, Type 3 exhibits a straight body shape with minimal curves, and Type 4 features long legs and development of upper body with a leaning posture.

Effects of Isotonic Core Exercise with Weight Loss on Low Back Pain, Core Strength and Balance in Obese Middle-Aged Women

PURPOSE: This study aimed to investigate the effects of concurrent core exercises and weight loss on lower back pain, core muscle strength, and balance in middle-aged obese women.METHODS: Eighteen middle-aged obese women were randomly assigned to the core exercise with weight loss (CE+WL, n=6), core exercise (CE, n=6), and control (CON, n=6) groups. Moreover, CE was conducted for 60 minutes, three times a week for 8 weeks, with a weight loss goal of approximately 0.5-1 kg per week. All participants underwent measurements of body composition (weight, body mass index, percentage body fat, muscle mass, waist-to-hip ratio (WHR), low back pain (visual analogue scale [VAS]), core muscle strength (hip flexor), and balance (sensory organization, reaction time, and motor control)) before the experiment, at 4 and 8 weeks.RESULTS: A significant decrease in WHR was observed at 4 and 8 weeks of exercise compared to that before exercise in both the CE+WL and CE groups (&lt;i&gt;p&lt;/i&gt;&lt;.05). Additionally, VAS scores significantly decreased at 4 and 8 weeks compared to those before exercise in the CE+WL group and a decrease was observed at 8 weeks in the CE group (&lt;i&gt;p&lt;/i&gt;&lt;.05). Hip flexor strength significantly increased at 8 weeks of exercise compared to that before exercise in the CE+WL group (&lt;i&gt;p&lt;/i&gt;&lt;.05). Furthermore, hip flexor strength also significantly increased at 4 and 8 weeks in the CE group (&lt;i&gt;p&lt;/i&gt;&lt;.05). Sensory organization significantly increased at C2 after 8 weeks of exercise compared with that before exercise in the CE+WL group (&lt;i&gt;p&lt;/i&gt;&lt;.05).CONCLUSION: The results of this study suggested that combining CE with WL concurrently leads to improvements in WHR, back pain, hip flexor strength, and sensory organization in middle-aged obese women.

Effects of 12 Weeks of Resistance Training on Body Composition, Muscle Hypertrophy and Function, Blood Lipid Level, and Hemorheological Properties in Middle-Aged Obese Women.

This study investigated the effects of 12-week resistance training on body composition, blood pressure, blood lipid levels, muscle cross-sectional area (CSA), isokinetic muscle function, and hemorheological properties in middle-aged obese women. Twenty-eight obese women with a mean age of 50.79 5.80 years were randomly assigned to the control (CON, n = 13) or experimental (EXP, n = 15) group. The EXP group underwent a resistance training program composed of warm-up, main resistance exercise (deadlift, barbell squat, seated leg extension, and lying leg curl, bench press, preacher bench biceps curl, barbell rowing, and dumbbell shoulder press), and cool-down. The resistance exercise consisted of three sets of 8-10 repetitions (reps) performed with 70-80% of 1-rep maximum, and reps and sets were increased every 3 weeks. The training frequency was 80 min, 3 days per week for 12 weeks. The CON group maintained their daily lifestyle without training. All participants underwent measurements of body composition (weight, body mass index, lean body mass, fat mass, and % body fat), blood pressure (systolic blood pressure, diastolic blood pressure, mean arterial pressure, and pulse pressure), blood lipid levels (triglycerides, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol), CSA of the muscles (quadriceps, hamstring, and total thigh muscle), isokinetic muscle function (peak torque [PT], relative PT, mean power, and total work [TW]), and hemorheological properties (erythrocyte deformability and aggregation) before and after 12 weeks of training. The EXP group showed a significant improved muscle function, including PT (p 0.001), relative PT (p 0.001) in extension 60°/s, TW (p 0.001) in extension 180°/s, and TW (p = 0.018) in flexion 180°/s. Regarding hemorheological properties, the EXP group showed significant improvement in erythrocyte aggregation (p 0.001) and deformability (p 0.001). The present study verified that our resistance training program resulted in greater muscle function, decreased fat mass, and improved hemorheological properties. This study was registered with cris.nih.go.kr (No. KCT0007412).

The Effect of Eight Weeks of Pilates Exercises on Anthropometric Indices and Subjective Well-being in Obese Middle-aged Women

Background: Exercise is one of the most effective means of enhancing subjective well-being, preventing obesity, and maintaining good health. Aim: This study aimed to investigate the impact of eight weeks of Pilates training on anthropometric indices and subjective well-being in obese middle-aged women. Methods: In this quasi-experimental study, 40 eligible obese middle-aged women of Khaf Fitness Plus Sports Club were voluntarily recruited and randomly assigned to Pilates and control groups. The Pilates group participated in eight weeks of Pilates exercises performed three times weekly. The subjective well-being survey and a checklist of anthropometric indices were completed for all individuals 24 hours before and 72 hours after the intervention. Data were analyzed in SPSS-15 statistical software using Kolmogorov-Smirnov, independent t-test, paired t-test, chi-square, and Fisher exact tests. The significance level was set at p &lt;0.05. Results: After the intervention, the experimental group had significantly lower mean weight, body mass index, and waist-to-hip ratio than the control group (p &lt;0.05). The mean scores of emotional, psychological, and social well-being in the experimental group increased significantly after the intervention compared to baseline (p &lt;0.01). Conclusion: The results reveal that eight weeks of Pilates exercises significantly reduce anthropometric indices and increase subjective well-being dimensions (emotional, psychological, and social well-being) in obese middle-aged women.

The Clinical Exercise Physiologists Interview Series: Barry A. Franklin, PhD, ACSM-CEP, ACSM-PD, FACSM, FAHA, MAACVPR, FASPC, FPCNA (Hon)

The Clinical Exercise Physiologists Interview Series: Barry A. Franklin, PhD, ACSM-CEP, ACSM-PD, FACSM, FAHA, MAACVPR, FASPC, FPCNA (Hon)

중장년 비만 여성의 하반신 체형 분류에 관한 연구

This study aims to provide basic data for the development of lower garment patterns for clothes designed to fit middle-aged obese women. Data on 264 obese middle-aged women (aged 40 to 64) from the 8th Korean Size Survey of 33 lower body measurements were used as research data. As a result of a factor analysis, five factors were derived: lower body circumference and volume, lower body height and leg length, waist volume, hip length, and calf and ankle circumference. As a result of a type analysis based on the results of the factor analysis, the lower body types of middle-aged obese women were classified into three categories, and the characteristics of each type are as follows. Type 1 (41.3%) had the smallest stature and weight, BMI, lower body circumference and volume, lower body height, and leg length, and was relatively small compared to other obesity groups. Type 2 (14%) had the most obese body type overall and the largest circumference, depth, width, lower body circumference, and volume of the waist and hips. Type 3 (44.7%) had the longest leg length and lower body height including stature and hip length. Based on this study, it is considered necessary to conduct follow-up research to develop a prototype of a suitable lower garment pattern, considering the physical characteristics of the lower body of middle-aged obese women.

The effect of empowerment program to reduce Sugar Consumption based on the Multi-Theory Model on Body Mass Index and abdominal obesity in Iranian women

BackgroundConsidering the prevalence of overweight and abdominal obesity in middle-aged women, this study was conducted to determine the effect of empowerment program to reduce sugar consumption based on the Multi-Theory Model (MTM) on Body Mass Index (BMI) and abdominal obesity in women aged 30–60 in Joven.MethodsThis quasi-experimental study (include descriptive and interventional sections) was conducted on the Joven city, Khorasan Razavi province, Iran country from October 2020 to August 2021. Sampling was performed as a multi-stage cluster. First, a descriptive study was performed among 400 women, and then 128 people who were eligible to enter the interventional phase of the study were selected. In the control group, 63 people and in the intervention group, 65 people were eligible to enter the study. The educational intervention was performed in five 60-minute sessions for groups of 12 people. The instruments included the demographic questionnaire, sugar consumption checklist and researcher-made questionnaire based on MTM constructs. Before the intervention, one, three and six months after the intervention, the questionnaire was completed by both intervention and control groups also measurement of waist circumference and BMI were performed using standard instruments. The obtained data were analyzed by SPSS 17.ResultsAfter the educational intervention, there was a significant difference between the intervention and control groups in all the MTM constructs. Also, six months after the educational intervention, BMI, waist circumference and amount of consumption of sugary substances decreased significantly in the intervention group (p < 0.05).ConclusionEducational intervention based on the MTM can be effective in reducing the consumption of sugary substances and shaping behaviors related to healthy lifestyle in women.

Picturing asthma in Turkey: results from the Turkish adult asthma registry

Introduction National data on asthma characteristics and the factors associated with uncontrolled asthma seem to be necessary for every country. For this purpose, we developed the Turkish Adult Asthma Registry for patients with asthma aiming to take a snapshot of our patients, thereby assigning the unmet needs and niche areas of intervention. Methods Case entries were performed between March 2018 and March 2022. A web-based application was used to record data. Study outcomes were demographic features, disease characteristics, asthma control levels, and phenotypes. Results The registry included 2053 patients from 36 study centers in Turkey. Female subjects dominated the group (n = 1535, 74.8%). The majority of the patients had allergic (n = 1158, 65.3%) and eosinophilic (n = 1174, 57.2%) asthma. Six hundred nineteen (32.2%) of the patients had obese asthma. Severe asthma existed in 670 (32.6%) patients. Majority of cases were on step 3–5 treatment (n: 1525; 88.1%). Uncontrolled asthma was associated with low educational level, severe asthma attacks in the last year, low FEV1, existence of chronic rhinosinusitis and living in particular regions. Conclusion The picture of this registry showed a dominancy of middle-aged obese women with moderate-to-severe asthma. We also determined particular strategic targets such as low educational level, severe asthma attacks, low FEV1, and chronic rhinosinusitis to decrease uncontrolled asthma in our country. Moreover, some regional strategies may also be needed as uncontrolled asthma is higher in certain regions. We believe that these data will guide authorities to reestablish national asthma programs to improve asthma service delivery.

Effects of a 12-week Equipment-based Pilates Training on Physical Fitness, Cardiovascular Function, and Vascular Endothelial Function in Middle-aged Obese Women

PURPOSE This study aims to investigate the effects of a 12-week equipment-based Pilates training on physical fitness, cardiovascular function, and vascular endothelial function in obese middle-aged women. METHODS Twenty-four women, aged 30-40 years with a body mass index ≥ 25 and percent body fat ≥ 30% were randomly assigned to one of two groups: the Pilates training group (TR; n=12); and control group (CON; n=12). The TR participants underwent three 50-minute equipmentbased Pilates training sessions per week for 12 weeks. Participants in the CON maintained their normal life patterns for the same intervention period. Variables regarding physical fitness, cardiovascular function, and vascular endothelial function were measured and compared pre-test and post-test u a two-way ANOVA with repeated measures. RESULTS The main results of the study were as follows: 1) Regarding physique and body composition, participants’ body weight, body mass index, fat mass, percent body fat, waist circumference, hip circumference, and waist-to-hip ratio decreased significantly in the TR. 2) Regarding physical fitness, muscle strength, muscular endurance, flexibility, and cardiorespiratory endurance increased significantly in the TR. 3) Regarding cardiovascular response, SV increased significantly in the TR. 4) Regarding vascular endothelial function, blood vessel diameter at rest and during vasodilation as well as blood flow volume during vasodilation decreased significantly in the CON, resulting in a significant interaction between group and test in FMD percentage. CONCLUSIONS It was concluded that the 12-week equipment-based Pilates program improved the physical fitness and vascular endothelial function in obese middle-aged women.

Selenium as a Factor Moderating Depression and Obesity in Middle-Aged Women

The aim of this study was to evaluate the effect of serum selenium on PPAR-γ and the selected proinflammatory cytokines (IL-1β, IL-6, TNF-α) in relation to depressive symptoms and obesity in middle-aged women. The research procedure was as follows: a survey was performed using the authors' questionnaire and the BDI, anthropometric measurements, and the analysis of blood for the levels of selenium, cytokines, and genetic analysis of the PPAR-γ polymorphism (n = 443). It was found that the BMI increased along with the concentration of IL-6. No moderating effect of selenium was observed, although the cut-off values for "p" were established for IL-β*Se (p = 0.068) and IL-6*Se (p = 0.068), so there was a potential association with these two markers. At high selenium levels, the effect of higher IL-β levels on a decrease in BMI was stronger, as was the effect of an increase in IL-6 levels on an increase in BMI. No effect of selenium on PPAR-γ was found in relation to depressive symptoms and obesity. Higher selenium levels may have a beneficial effect on BMI even at high IL-β concentrations, however, at high IL-6 concentrations, this effect was not observed. Selenium levels had no impact on depressive symptoms.

Nonlinear Relationship Between C-Reactive Protein and Depression Among Obese Middle-Aged Adults.

Despite the agreement on the significance of the relationship between the C-reactive protein (CRP) and depression, research results have been discrepant by gender. We attempted to address this uncertainty via a generalized additive model and more carefully analyzed the shape of the CRP-depression relationship in terms of sex. This is a secondary data analysis using the National Health and Nutrition Examination Survey (2017-2020) data targeting 1,581 obese middle-aged adults (40-70 years, 51.4% women) with CRP ≤ 10 mg/L. The study outcome was depression severity, assessed by the nine-item Patient Health Questionnaire. Several models were built, adjusting for relevant sociodemographic, lifestyle, and clinical covariates. The value of the effective degree of freedom (EDF) quantifies curvature of the relationship. The threshold effect was investigated using a two-piecewise linear regression model, when needed. Among men, an increasing linear pattern was found (EDF ≈ 1). Contrastingly among women, the EDF value was > 2 in all unadjusted and adjusted models, indicating the smooth (curved) association. The threshold level affected the association pattern particularly for women, among whom the depression severity related to CRP significantly increased as the CRP level increased to an inflection point of 3.6 mg/L but decreased thereafter. Assuming linearity for the CRP association with depression may not be appropriate for middle-aged obese women. Although we do not claim to provide a definite method of assessing the CRP-depression relationship, we hope to offer a different perspective when exploring this relationship. Thus, the results should be interpreted cautiously, and future studies on this topic should replicate this approach with generalized additive models.

Opportunities for physical activity within clinical care: positive healthcare effects of exercise interventions delivered via telehealth services with evidence-based fitness resources.

This article is an overview of the scientific research on the effectiveness of the original weight management program delivered via telehealth services for middle-aged overweight women - the summary of three original scientific studies that complement each other (N.=55, N.=105, N.=62). The manuscript presents theoretical analysis of special scientific and methodological literature, anthropometric and pedagogical methods and methods of mathematical statistics. The physical fitness profile of the middle-aged overweight and obese women was assessed by factor analysis. The pilot feasibility study involving women with an average age of 37.2 years (N.=55) was designed to explore the possibility of remote implementation of primary and ongoing measurement for main anthropometric indicators characterizing excessive body weight. The cross-sectional study involving overweight and obese women (via the Body Mass Index [BMI] from 25.00 to 32.10 kg/m2) with an average age of 38.9 years (N.=105) explored the data with factor analysis and identified the major factors, which determined the structure of physical condition in middle-aged obese women and selected the most informative criteria for designing self-training exercise programs. These criteria were used to evaluate the effectiveness of the original weight management program delivered via telehealth services for middle-aged overweight women in interventional cohort study (N.=62). Participation in the weight management program resulted in significant changes in the morpho-functional status of the women. This article consisting of three blocks presents the original weight management program whose detailed description and proved effectiveness make this article valuable from a practical point of view for health care professionals who consider telemedicine tools possible for implantation in their practice with obese people.