physical therapy
old age
sarcopenic obesity
metabolic syndrome

How to Cite

Koval, N. P., & Aravitska, M. H. (2023). DYNAMICS OF KINESIOPHOBIA AND PHYSICAL FUNCTIONING PARAMETERS IN THE ELDERLY ADULTS WITH SARCOPENIC OBESITY UNDER THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM. Clinical and Preventive Medicine, (4), 88-95. https://doi.org/10.31612/2616-4868.4(26).2023.13


Aim: to determine the effectiveness of a physical therapy program for the elderly with sarcopenic obesity in terms of the kinesiophobia and physical functioning parameters.

Materials and methods: We examined 106 elderly people, who were divided into 3 groups. The control group consisted of individuals with normal body weight and they had no sarcopenia. The main group 1 consisted of individuals with sarcopenic obesity and a weak therapeutic alliance; they were given general recommendations for modifying the diet and expanding physical activity. The main group 2 included patients with a strong therapeutic alliance. A one-year physical therapy program with the use of kinesitherapy, massage, dietary intervention, patient education, the elements of cognitive training and occupation therapy was developed for them. The dynamics were assessed by Tampa Kinesiophobia Scale, Fullerton Fitness Test, Edmonton Frail Scale.

Results: Elderly people with sarcopenic obesity have a high level of kinesiophobia (Tampa Kinesiophobia Scale), their physical status (coordination, balance, strength, flexibility, endurance, agility) significantly lags behind that of their peers (Fullerton Fitness Test), they suffer from the frailty (Edmonton Frail Scale). After applying the developed physical therapy program, it was possible to state that the individuals of the main group 2 showed a statistically significant (p <0.05) improvement in their physical functioning parameters relative to the indicators of their peers and initial parameters, a reduction in the frailty, decreasing in the level of kinesiophobia. The low level of the therapeutic alliance, despite the awareness of the negative consequences for the health, led to unsatisfactory implementation or non-implementation of the recommendations provided for the elderly with sarcopenic obesity and was associated with no improvement in the physical status, signs of frailty, kinesiophobia.

Conclusions: The developed physical therapy program for elderly patients with sarcopenic obesity against a background of a high level of the therapeutic alliance showed a statistically significant improvement in all studied indicators of kinesiophobia and physical functioning parameters compared to the initial level and the indicators of people with low levels of the therapeutic alliance.



Cruz-Jentoft A.J., Bahat G., Bauer J., et al. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing, 48(1), 16-31. DOI: 10.1093/ageing/afy169.

Fernandes L. V., Paiva A. E. G., Silva A. C. B., et al. (2022). Prevalence of sarcopenia according to EWGSOP1 and EWGSOP2 in older adults and their associations with unfavorable health outcomes: a systematic review. Aging Clin. Exp. Res., 34 (3), 505-514. doi:10.1007/s40520-021-01951-7

Hoogendijk, E. O., Afilalo, J., Ensrud, K. E., Kowal, P., Onder, G., & Fried, L. P. (2019). Frailty: implications for clinical practice and public health. Lancet, 394(10206), 1365–1375. https://doi.org/10.1016/S0140-6736(19)31786-6.

Fried L.P., Tangen C.M., Walston J., et al. (2001). Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci., 56 (3), M146-56. DOI: 10.1093/gerona/56.3.m146.

Didokha I.V., Aravitska M.G., Yatsiv Ya.M., Hrecheskyi O.V. (2023). Effect of a physical therapeutic intervention on locomotive syndrome in the elderly patients with Parkinson’s disease and sarcopenia. Health, sport, rehabilitation, 9 (1), 55-68. DOI: https://doi.org/10.34142/HSR.2023.09.01.05

Morley J.E. (2008). Diabetes, sarcopenia, and frailty. Clin Geriatr Med., 24(3), 455-469, vi. DOI: 10.1016/j.cger.2008.03.004.

Kuk J.L., Ardern C.I. (2009). Influence of age on the association between various measures of obesity and all-cause mortality. J Am Geriatr Soc., 57, 2077–2084. DOI: 10.1111/j.1532-5415.2009.02486.x

Sinclair A. J., Abdelhafiz A.H. (2022). Multimorbidity, Frailty and Diabetes in Older People-Identifying Interrelationships and Outcomes. Journal of personalized medicine, 12(11), 1911. https://doi.org/10.3390/jpm12111911

George K., Alberti M.M., Zimmet P., Shaw J., IDF Epidemiology Task Force Consensus Group. (2005). The metabolic syndrome - a new worldwide definition. Lancet, 366 (9491), 1059-1062. DOI: 10.1016/S0140-6736(05)67402-8.

Stenholm S., Harris T.B., Rantanen T. еt al. (2008). Sarcopenic obesity: definition, cause and consequences. Curr Opin Clin Nutr Metab Care, 11, 693–700. DOI: 10.1097/MCO.0b013e328312c37d

Aravitska M.G. (2019). Zminy parametriv rukhovoyi diyezdatnosti osib z ozhyrinnyam pid vplyvom prohramy fizychnoyi terapiyi [Changes in the mobility of obese people under the influence of a physical therapy program]. Health, sport, rehabilitation, 5 (3), 9-14. DOI: https://doi.org/10.34142/HSR.2023.09.01.05

Koval N.P. (2020). Dynamika parametriv fizychnoho funktsionuvannya u osib pokhyloho viku zi starechoyu asteniyeyu ta insulinorezystentnistyu pid vplyvom prohramy fizychnoyi terapiyi [Dynamics of physical functioning parameters in elderly people with senile asthenia and insulin resistance under the influence of a physical therapy program]. Clinical and preventive medicine, 4(14), 79-87. DOI: https://doi.org/10.31612/2616-4868.4(14).2020.07

WHO. Healthy diet [web source]. Available from: https://www.who.int/news-room/fact-sheets/detail/healthy-diet

American College of Sports Medicine. (2018). ACSM's guidelines for exercise testing and prescription (10th ed.). Philadelhia, PA: Lippincott Williams & Wilkins.

Stessman J., Jacobs J.M., Ein-Mor E., Bursztyn M. (2009). Normal body mass index rather than obesity predicts greater mortality in elderly people: the Jerusalem longitudinal study. J Am Geriatr Soc., 57, 2232–2238. DOI: 10.1111/j.1532-5415.2009.02567.x.

Miller R.P., Kori S., Todd D. (1991). The Tampa Scale: a measure of kinesiophobia. Clin J Pain, 7 (1), 51–52.

Rikli R.E., Jones C.J. (2013). Senior Fitness Test Manual. Champaign, IL: Human Kinetics.

Rolfson D. B., Majumdar S. R., Tsuyuki R. T., Tahir A., Rockwood K. (2006). Validity and reliability of the Edmonton Frail Scale. Age and ageing, 35(5), 526–529. https://doi.org/10.1093/ageing/afl041

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