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Background: Overweight is a major public health concern that increases the risk of cardiovascular diseases, reduced functional capacity, and poor quality of life. Regular aerobic exercise is an effective physiotherapy intervention that improves cardiovascular fitness, physical function, and overall well-being. Community-based group exercise provides supervision, motivation, and social support, whereas home-based tele-exercise offers greater accessibility and flexibility through digital technology. However, evidence comparing the effectiveness of these two exercise approaches in overweight female adults remains limited. Therefore, this study investigates the effect of community-based group aerobic exercise versus home-based tele-exercise on exercise adherence, functional capacity, and quality of life in overweight female adults. Objectives: To compare the effect of community-based group aerobic exercise and home-based tele-exercise programs on exercise adherence, functional capacity, and quality of life in overweight female adults. Study Design: Randomized Experimental Comparative Study. Place And Duration Of Study: College of Physiotherapy, Sri Venkateswara Institute of Medical Sciences (SVIMS Hospital), Tirupati, over a period of 12 weeks. Methodology: The study is conducted on 30 overweight female adults aged 18-35 years with a BMI of 25-29 kg/m2. Participants are randomly allocated into two groups: Community-Based Group Aerobic Exercise (n = 15) and Home-Based Tele-Exercise Program (n = 15). Baseline and post-intervention assessments are performed after 12 weeks using the Exercise Adherence Rating Scale (EARS), Six-Minute Walk Test (6MWT), and WHOQOL-BREF questionnaire to evaluate exercise adherence, functional capacity, and quality of life. Results: The findings of the study demonstrated that both the community-based group aerobic exercise program and the home-based tele-exercise program significantly improved exercise adherence, functional capacity, and quality of life in overweight female adults following the 12-week intervention (p < 0.05). However, participants in the community-based group exhibited significantly greater improvements than those in the home-based tele-exercise group. The community-based intervention resulted in higher exercise adherence scores, greater enhancement in six-minute walk distance, and superior quality of life outcomes, indicating that supervised group exercise provided additional clinical benefits beyond those achieved through remote exercise delivery. Conclusion: The present study concludes that both community-based group aerobic exercise and home-based tele-exercise programs are effective physiotherapy interventions for improving exercise adherence, functional capacity, and quality of life among overweight female adults. Nevertheless, the community-based group aerobic exercise program demonstrated significantly greater effectiveness across all outcome measures. The findings suggest that supervised, group-based rehabilitation enhances participant motivation, adherence, and functional improvement, making it a preferred rehabilitation strategy for overweight female adults. Home-based tele-exercise remains a practical and accessible alternative, particularly for individuals with limited access to supervised rehabilitation services.
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Sanghavi et al. (2026) studied this question.
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