{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T15:50:39Z","timestamp":1791993039954,"version":"4.4.0"},"reference-count":43,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T00:00:00Z","timestamp":1671580800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diseases"],"abstract":"<jats:p>Various mind\u2013body fitness modalities such as Pilates, yoga, Tai Chi, and Qigong have become an accepted part of the physical activity, exercise, and leisure sector, serving several populations eligible for meditative movement activities. However, no robust evidence is present in the current literature supporting the efficacy of these meditative movement activities on health, fitness, and well-being markers among obese adults. Interestingly, the feasibility and safety of mind\u2013body fitness programs in this cohort are still questionable. However, the limited available data show the beneficial role of such alternative exercise options in improving numerous physical fitness and cardiometabolic health-related indicators. The major role of mind\u2013body fitness in obese individuals is to promote muscle control, body functionality, flexibility, and balance while reducing physical limitations, chronic pain, and stress through sessions integrating body postures, efficient breathing patterns, meditation, and relaxation. Such a bodily movement-based approach may be associated with increased physical performance and improved cardiometabolic as well as mental health. However, data on anthropometric characteristics, body composition and cardiovascular disease risk factors modification are somewhat equivocal. Future studies are needed to investigate a wider spectrum of physical fitness and cardiometabolic health parameters, since obese people are likely to demonstrate poor functional capacity, impaired glucose control, lipid disorder, and abnormal blood pressure levels.<\/jats:p>","DOI":"10.3390\/diseases11010001","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T01:33:12Z","timestamp":1671672792000},"page":"1","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Role of Mind\u2013Body Fitness in Obesity"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0844-1284","authenticated-orcid":false,"given":"Alexios","family":"Batrakoulis","sequence":"first","affiliation":[{"name":"Department of Physical Education and Sport Science, University of Thessaly, 42100 Trikala, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2021, June 09). Overweight and Obesity. WHO Fact Sheet N\u00b0311 Website. Available online: https:\/\/www.who.int\/en\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40608-018-0183-7","article-title":"Association between cardiorespiratory fitness and metabolic risk fac6tors in a population with mild to severe obesity","volume":"5","author":"Do","year":"2018","journal-title":"BMC Obes."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"De Wit, L.M., van Straten, A., van Herten, M., Penninx, B.W., and Cuijpers, P. (2009). Depression and body mass index, a u-shaped association. BMC Public Health, 9.","DOI":"10.1186\/1471-2458-9-14"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1002\/oby.20514","article-title":"Effects of Obesity on Functional Capacity","volume":"22","author":"Pataky","year":"2014","journal-title":"Obesity"},{"key":"ref_5","first-page":"37","article-title":"Long-term weight loss maintenance for obesity: A multidisciplinary approach","volume":"9","author":"Montesi","year":"2016","journal-title":"Diabetes Metab. Syndr. Obes."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1249\/FIT.0000000000000737","article-title":"2022 Fitness Trends from around the Globe","volume":"26","author":"Kercher","year":"2022","journal-title":"ACSMs Health Fit. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/j.jsams.2021.07.009","article-title":"Physical activity in the management of obesity in adults: A position statement from Exercise and Sport Science Australia","volume":"24","author":"Johnson","year":"2021","journal-title":"J. Sci. Med. Sport"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e008243","DOI":"10.1161\/CIRCOUTCOMES.121.008243","article-title":"Comparative efficacy of five exercise types on cardiometabolic health in overweight and obese adults: A systematic review and network meta-analysis of randomized controlled trials","volume":"15","author":"Batrakoulis","year":"2022","journal-title":"Circ. Cardiovasc. Qual. Outcomes"},{"key":"ref_9","first-page":"1","article-title":"Use of yoga, meditation, and chiropractors among U.S. adults aged 18 and older","volume":"325","author":"Clarke","year":"2018","journal-title":"NCHS Data Brief"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"17","DOI":"10.17761\/ijyt.15.1.p501l33535230737","article-title":"The yoga of healing: Exploring yoga\u2019s holistic model for health and well-being","volume":"15","author":"Desikachar","year":"2005","journal-title":"Int. J. Yoga Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.jbmt.2005.10.005","article-title":"Who are the people looking for the Pilates method?","volume":"10","year":"2006","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/00005082-199704000-00006","article-title":"Mind-Body Fitness: Encouraging Prospects for Primary and Secondary Prevention","volume":"11","year":"1997","journal-title":"J. Cardiovasc. Nurs."},{"key":"ref_13","first-page":"881","article-title":"Health benefits of tai chi: What is the evidence?","volume":"62","author":"Huston","year":"2016","journal-title":"Can. Fam. Physician"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1249\/FIT.0000000000000703","article-title":"High-Intensity Interval Training in Metabolic Diseases: Physiological Adaptations","volume":"25","author":"Batrakoulis","year":"2021","journal-title":"ACSMs Health Fit. J."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Batrakoulis, A., and Fatouros, I.G. (2022). Psychological adaptations to high-intensity interval training in overweight and obese adults: A topical review. Sports, 10.","DOI":"10.3390\/sports10050064"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.ctim.2012.02.005","article-title":"Defining Pilates exercise: A systematic review","volume":"20","author":"Wells","year":"2012","journal-title":"Complement. Ther. Med."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Batrakoulis, A. (2022). Psychophysiological Adaptations to Pilates Training in Overweight and Obese Individuals: A Topical Review. Diseases, 10.","DOI":"10.3390\/diseases10040071"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Batrakoulis, A. (2022). Psychophysiological Adaptations to Yoga Practice in Overweight and Obese Individuals: A Topical Review. Diseases, 10.","DOI":"10.3390\/diseases10040107"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1111\/j.1552-6909.1998.tb02623.x","article-title":"Yoga: Intuition, preventive medicine, and treatment","volume":"27","author":"Collins","year":"1998","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jsams.2017.08.026","article-title":"Injuries and other adverse events associated with yoga practice: A systematic review of epidemiological studies","volume":"21","author":"Cramer","year":"2017","journal-title":"J. Sci. Med. Sport"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1002\/osp4.552","article-title":"The impact of yoga on components of energy balance in adults with overweight or obesity: A systematic review","volume":"8","author":"Caldwell","year":"2021","journal-title":"Obes. Sci. Pract."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jbmt.2011.06.001","article-title":"The effect of Pilates exercises on body composition: A systematic review","volume":"16","year":"2012","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"643455","DOI":"10.3389\/fphys.2021.643455","article-title":"Pilates for Overweight or Obesity: A Meta-Analysis","volume":"12","author":"Wang","year":"2021","journal-title":"Front. Physiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1007\/s12529-018-9725-0","article-title":"Body Composition Outcomes of Tai Chi and Qigong Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"25","author":"Larkey","year":"2018","journal-title":"Int. J. Behav. Med."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Shin, S. (2021). Meta-Analysis of the Effect of Yoga Practice on Physical Fitness in the Elderly. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182111663"},{"key":"ref_27","first-page":"864","article-title":"Effect of the Pilates method on physical conditioning of healthy subjects: A systematic review and meta-analysis","volume":"56","author":"Campos","year":"2016","journal-title":"J. Sports Med. Phys. Fit."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.joim.2020.09.002","article-title":"Yoga as a complementary therapy for metabolic syndrome: A narrative review","volume":"19","author":"Khoshnaw","year":"2021","journal-title":"J. Integr. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"641968","DOI":"10.3389\/fphys.2021.641968","article-title":"Effect of Pilates on Glucose and Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"12","author":"Chen","year":"2021","journal-title":"Front. Physiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"101445","DOI":"10.1016\/j.ctcp.2021.101445","article-title":"Effects of Tai Chi on health outcomes among community-dwelling adults with or at risk of metabolic syndrome: A systematic review","volume":"44","author":"Chau","year":"2021","journal-title":"Complement. Ther. Clin. Pract."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e8517","DOI":"10.1097\/MD.0000000000008517","article-title":"Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors: A systematic review with meta-analysis","volume":"96","author":"Lauche","year":"2017","journal-title":"Medicine"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.ctim.2011.07.004","article-title":"Is yoga effective for pain? A systematic review of randomized clinical trials","volume":"19","author":"Posadzki","year":"2011","journal-title":"Complement. Ther. Med."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Wong, C.M., Rugg, B., and Geere, J.A. (2022). The effects of Pilates exercise in comparison to other forms of exercise on pain and disability in individuals with chronic non-specific low back pain: A systematic review with meta-analysis. Musculoskelet. Care, online ahead of print.","DOI":"10.1016\/j.physio.2021.12.093"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1089\/acm.2016.0334","article-title":"The Effects of Yoga on Positive Mental Health among Healthy Adults: A Systematic Review and Meta-Analysis","volume":"23","author":"Hendriks","year":"2017","journal-title":"J. Altern. Complement. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.ctim.2018.02.003","article-title":"The effects of pilates on mental health outcomes: A meta-analysis of controlled trials","volume":"37","author":"Fleming","year":"2018","journal-title":"Complement. Ther. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"102618","DOI":"10.1016\/j.ctim.2020.102618","article-title":"Is yoga considered exercise within systematic reviews of exercise interventions? A scoping review","volume":"56","author":"Brinsley","year":"2021","journal-title":"Complement. Ther. Med."},{"key":"ref_37","first-page":"1","article-title":"Trends in the use of complementary health approaches among adults: United States, 2002\u20132012","volume":"79","author":"Clarke","year":"2015","journal-title":"Natl. Health Stat. Rep."},{"key":"ref_38","first-page":"40","article-title":"Create an inclusive experience for special populations","volume":"13","author":"Luque","year":"2016","journal-title":"IDEA Fit. J."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"De Souza, F., Lanzendorf, F.N., de Souza, M.M.M., Schuelter-Trevisol, F., and Trevisol, D.J. (2020). Effectiveness of martial arts exercise on anthropometric and body composition parameters of overweight and obese subjects: A systematic review and meta-analysis. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09340-x"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.7326\/M20-7014","article-title":"Effects of Tai Chi or Conventional Exercise on Central Obesity in Middle-Aged and Older Adults: A Three-Group Randomized Controlled Trial","volume":"174","author":"Siu","year":"2021","journal-title":"Ann. Intern. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1996","DOI":"10.1097\/00005768-200212000-00020","article-title":"Correlates of adults\u2019 participation in physical activity: Review and update","volume":"34","author":"Trost","year":"2002","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/cob.12180","article-title":"Behavioural treatment strategies improve adherence to lifestyle intervention programmes in adults with obesity: A systematic review and meta-analysis","volume":"7","author":"Burgess","year":"2017","journal-title":"Clin. Obes."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e002218","DOI":"10.1161\/JAHA.117.002218","article-title":"Meditation and Cardiovascular Risk Reduction: A Scientific Statement from the American Heart Association","volume":"6","author":"Levine","year":"2017","journal-title":"J. Am. Heart Assoc."}],"container-title":["Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2079-9721\/11\/1\/1\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:46:56Z","timestamp":1760147216000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2079-9721\/11\/1\/1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,21]]},"references-count":43,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["diseases11010001"],"URL":"https:\/\/doi.org\/10.3390\/diseases11010001","relation":{},"ISSN":["2079-9721"],"issn-type":[{"value":"2079-9721","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,21]]}}}