Group Aerobic Exercise Improves Body Composition and Lipid Profile in Young Women with Elevated BMI: A Randomized Controlled Trial

Sedentary behavior among young women is increasingly associated with adverse metabolic and cardiovascular outcomes. The aim of this randomized controlled trial was to evaluate and compare the effects of three structured group fitness programs on anthropometric parameters, body composition, and lipid profile in overweight young women (N = 111, age 18–25, BMI ≥ 25). Participants were assigned to mix aerobics (E1, n = 27), kickbox aerobics (E2, n = 28), step aerobics (E3, n = 27), or a control group (C, n = 29). Each intervention lasted 12 weeks, with sessions conducted three times per week, each lasting 60 min. The results were analyzed using repeated measures ANOVA. Significant reductions were observed in body weight (−4.8 kg in E1, p < 0.01), waist circumference (−5.3 cm in E1, p < 0.001), and body fat percentage (−3.6% in E1, p < 0.01). High-density lipoprotein (HDL) increased by 7.4 mg/dL (p < 0.01), while low-density lipoprotein (LDL), total cholesterol, and triglycerides decreased by 12.1 mg/dL, 18.6 mg/dL, and 19.4 mg/dL, respectively (all p < 0.01). The most pronounced overall improvements were found in the mix aerobics group. In contrast, the control group showed significant deterioration in most variables, including a 2.1 kg weight gain and a 6.3 mg/dL increase in total cholesterol (p < 0.05). These findings confirm the superior effectiveness of mix aerobics as a non-pharmacological intervention to improve body composition (notably through reductions in body weight, fat percentage, and waist circumference) and cardiovascular biomarkers (such as increased HDL and decreased LDL, total cholesterol, and triglycerides) in young overweight women. Compared to kickboxing and step aerobics, mix aerobics consistently achieved the greatest improvements across all measured parameters, making it the most comprehensive and effective option among the three programs tested.