Hybrid neuromuscular training promotes musculoskeletal adaptations in inactive overweight and obese women: A training-detraining randomized controlled trial

Abstract

This study investigated the effects of a 10-month high-intensity interval-type neuromuscular training program on musculoskeletal fitness in overweight and obese women. Forty-nine inactive females (36.4±4.4 yrs) were randomly assigned to either a control (N=21), a training (N=14, 10 months) or a training-detraining group (N=14, 5 months training followed by 5 months detraining). Training used progressive loaded fundamental movement patterns with prescribed work-to-rest intervals (1:2, 1:1, 2:1) in a circuit fashion (2-3 rounds). Muscular strength and endurance, flexibility, passive range of motion (PRoM), static balance, functional movement screen (FMS) and bone mass density (BMD) and content (BMC) were measured at pre-, mid-, and post-intervention. Ten months of training induced greater changes than the controls in (i) BMD (+1.9%, p<0.001) and BMC (+1.5%, p=0.023) ii) muscular strength (25%-53%, p=0.001-0.005); iii) muscular endurance (103%-195%, p<0.001); and iv) mobility (flexibility: 40%, p<0.001; PRoM [24%-53%, p=0.001-0.05;]; balance: 175%, p=0.058; FMS: +58%, p<0.001). The response rate to training was exceptionally high (86-100%). Five months of detraining reduced but not abolished training-induced adaptations. These results suggest that a hybrid-type exercise approach integrating endurance-based bodyweight drills with resistance-based alternative modes into a real-world gym setting may promote musculoskeletal fitness in overweight or obese women.