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OverweightDANCE-PILNCT07745166

Dance-Based Exercise Versus Clinical Pilates in Women With Overweight or Obesity

A study testing Dance-Based Exercise Program and Clinical Pilates Program in people with Overweight and Obesity, run by Pamukkale University at 1 site in Turkey (Türkiye).

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Purpose of the Study: Regular physical activity is key in managing overweight and obesity, but keeping up with a program can be challenging. The main purpose of this study is to compare how well women with overweight or obesity stick to (adhere to) a 10-week dance-based exercise program versus a clinical Pilates… Read more about this study

Who is it for?
Ages 18 to 60 years, women only
Conditions the study is for
Overweight, Obesity
What is being tested?
Dance-Based Exercise Program and Clinical Pilates Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteTurkey (Türkiye)
Study dates
26 Sep 2026to May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Female gender
  • Aged 18 to 60 years
  • Body Mass Index (BMI) between 25 and 35 kg/m²
  • Clinically stable
  • Able to participate regularly in the exercise program
  • Volunteering to participate and providing written informed consent

Who cannot join

  • Being pregnant or breastfeeding
  • Currently on an active weight loss diet
  • Receiving pharmacological treatment for obesity
  • History of bariatric surgery
  • Uncontrolled hypertension, uncontrolled diabetes, unstable cardiac disease, or serious cardiovascular risk for exercise
  • Chronic respiratory system disease significantly affecting exercise tolerance
Show all 12Show fewer
  • Cancer, cerebrovascular disease, or severe systemic disease preventing safe exercise
  • Musculoskeletal injury, neurological disease, or significant balance/vestibular/visual problems affecting exercise participation
  • Uncontrolled psychiatric illness
  • Acute infection
  • Participating in a structured exercise program within the last 6 months
  • Transport, time, or health barriers preventing regular attendance

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ummuhan Baş Aslan, Prof. contact

+902582964295

umbaslan@pau.edu.tr

Turkey (Türkiye)1 site, 1 recruiting
  • Pamukkale University Faculty of Physical Therapy and Rehabilitation

    Denizli

    Raziye Şavkın, Assoc. Prof., +902582964253, raziyesavkin@hotmail.com

    Negar NAKHLI, PT

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of Dance-Based Exercise and Clinical Pilates in Terms of Exercise Adherence, Acceptability, and Clinical Outcomes in Women With Overweight or Obesity: A Randomized Active-Comparator Trial

Purpose of the Study:

Regular physical activity is key in managing overweight and obesity, but keeping up with a program can be challenging. The main purpose of this study is to compare how well women with overweight or obesity stick to (adhere to) a 10-week dance-based exercise program versus a clinical Pilates program. The study also aims to explore how enjoyable, acceptable, and tolerable both programs are, and how they affect participants' quality of life, physical activity levels, body measurements, and physical performance.

Read more

What the Study Involves:

Female volunteers aged 18 to 60 with a body mass index (BMI) between 25 and 35 kg/m² will be randomly assigned to one of two groups:

  1. Dance-Based Exercise Group: Participants will join group dance sessions designed with low-impact, rhythmic movements to avoid joint strain.
  2. Clinical Pilates Group: Participants will join group Pilates sessions on mats, focusing on core stability, posture, breathing, and muscle control.

Both programs will run for 10 weeks, with face-to-face sessions held twice a week for about 45 to 60 minutes under the supervision of a physiotherapist. Participants will be evaluated before starting the exercise programs and immediately after completing the 10-week intervention.

Read the detailed description

Background and Rationale:

While physical activity is a cornerstone of lifestyle management in overweight and obesity, the clinical success of any exercise intervention relies heavily on the participant's adherence, enjoyment, and the perceived acceptability of the program. According to Self-Determination Theory, physical activity behavior is more sustainable when driven by intrinsic motivation, enjoyment, and autonomy, rather than external factors alone. Utilizing the Theoretical Framework of Acceptability (TFA) described by Sekhon et al., this study aims to evaluate multi-component acceptability (affective attitude, burden, ethical fit, intervention coherence, opportunity costs, perceived effectiveness, and self-efficacy) alongside adherence to determine the feasibility of group-based exercise modalities. This trial compares a dance-based exercise program, which leverages rhythm, music, and group interaction, with clinical Pilates, which focuses on core stabilization, postural control, and mind-body integration.

Methodology and Interventions:

This is a two-arm, parallel-group, assessor-blinded, randomized active-comparator feasibility trial. Eligible participants will be randomized in a 1:1 ratio using block randomization (managed by an independent researcher) to either the Dance-Based Exercise Group or the Clinical Pilates Group.

Both interventions will be conducted in a face-to-face, group format at Pamukkale University Faculty of Physical Therapy and Rehabilitation, supervised by an experienced physiotherapist, 2 days a week for 10 weeks (total of 20 sessions; 45-60 minutes per session).

  1. Dance-Based Exercise Program: Structurally designed to incorporate low-impact steps, rhythmic pacing, and multidirectional movements while strictly avoiding high-impact actions (such as jumping or rapid turning) to protect joints. It comprises a warm-up (8-10 min), main dance phase (30-40 min), and a cool-down/relaxation phase (8-10 min).
  2. Clinical Pilates Program: Focuses on mat-based core stabilization, postural control, breathing awareness, flexibility, and muscle control. It comprises postural awareness/warm-up (8-10 min), main Pilates exercises (30-40 min), and stretching/cool-down (8-10 min).

Intensity and Monitoring:

Exercise intensity for both groups will be aimed at a low-to-moderate level, targeting a Borg Rating of Perceived Exertion (RPE, 6-20) score of 12-14. RPE, exercise-related complaints or undesirable events, session completion, and individual exercise modifications will be recorded at the end of each session.

Statistical Analysis:

Statistical analyses will be performed using IBM SPSS Statistics. Feasibility outcomes will be summarized using counts, percentages, means or medians, and 95% confidence intervals, as appropriate. Exercise adherence rates will be compared between groups using an independent-samples t-test or Mann-Whitney U test depending on distributional assumptions. Intervention initiation, program completion, study retention, loss to follow-up, program discontinuation, and exercise-related complaint rates will be compared exploratorily using the chi-square test or Fisher's exact test. Physical activity enjoyment and continuous exploratory clinical outcomes will be analyzed using analysis of covariance, with the Week 10 score as the dependent variable, group as the independent variable, and the corresponding baseline score as a covariate. Acceptability and satisfaction items will be summarized individually. Borg RPE scores across weeks will be explored using a linear mixed-effects model. Effect sizes and 95% confidence intervals will be reported, and exploratory clinical outcomes will be interpreted as hypothesis-generating.

Conditions
Overweight, Obesity
Being tested
Dance-Based Exercise Program, Clinical Pilates Program
Keywords
Overweight, Obesity, Exercise Adherence, Clinical Pilates, Dance-Based Exercise, Acceptability, Women's Health, Physical Performance, Quality of Life
Medical subject headings
Overweight, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dance-Based Exercise ProgramBehavioural

    A supervised, low-impact dance-based exercise program tailored specifically for women with overweight and obesity. To minimize joint loading, the program strictly avoids high-impact movements such as jumping, running, sudden direction changes, and rapid pivoting.

    The sessions are designed and conducted in a group format by an experienced physical therapist. The program is structured for 10 weeks, 2 sessions per week, with each session lasting 45-60 minutes. Each session consists of:

    1. Warm-up (8-10 minutes): Rhythmic breathing, joint mobilization, and postural awareness.
    2. Main Dance Section (30-40 minutes): Low-impact, structured choreographies involving rhythmic stepping, weight shifting, multi-directional steps, controlled trunk movements, and upper extremity coordination.
    3. Cool-down (8-10 minutes): Low-intensity stretching and relaxation.

    Progression is systematically advanced based on participant tolerance by increasing movement duration, choreography complexity, and tempo.

  • Clinical Pilates ProgramBehavioural

    A supervised, mat-based clinical Pilates program focusing on core stabilization, postural control, and muscle strength. Conducted in a group format by a physical therapist for 10 weeks (2 sessions/week, 45-60 minutes/session).

    Each session consists of:

    1. Warm-up (8-10 mins): Breathing and postural awareness.
    2. Main Section (30-40 mins): Mat exercises targeting core and extremity control.
    3. Cool-down (8-10 mins): Stretching and relaxation.

    Progression is advanced based on participant tolerance by modifying exercise difficulty, repetitions, and introducing auxiliary equipment when required. Target intensity is kept at light-to-moderate and monitored using Borg RPE scores.

Study groups in NCT07745166
Study groupRoleWhat they receive
Dance-Based Exercise GroupExperimentalParticipants in this arm will perform a supervised, structured, group-format, dance-based exercise program 2 days a week for 10 weeks (a total of 20 sessions, 45-60 minutes per session). The program focuses on low-impact, rhythmic, and multidirectional movements to avoid excessive joint strain. Each session includes a warm-up, a main dance phase, and a cool-down/relaxation phase.
Receives: Behavioral: Dance-Based Exercise Program
Clinical Pilates GroupActive comparatorParticipants in this arm will perform a supervised, structured, group-format, mat-based clinical Pilates program 2 days a week for 10 weeks (a total of 20 sessions, 45-60 minutes per session). The program focuses on core stabilization, postural control, breathing awareness, flexibility, and muscle control. Each session includes a warm-up/postural awareness phase, main Pilates exercises, and stretching/cool-down.
Receives: Behavioral: Clinical Pilates Program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Exercise Adherence Rate

    The percentage of planned exercise sessions attended by each participant among those who attend at least one session of the assigned exercise program. It is calculated using the formula: (Number of sessions attended / 20 planned sessions) × 100.

    Measured: Up to 10 weeks (evaluated at the end of the intervention period)

Secondary outcomes (21)
  1. Intervention Initiation Rate

    The percentage of randomized participants who attend at least one exercise session. Calculated as: (Number of participants attending at least one session / Total randomized participants) x 100.

    Measured: Up to 10 weeks

  2. Exercise Program Completion Rate

    The percentage of participants starting the program who complete at least 15 of the 20 planned exercise sessions. Calculated as: (Participants attending ≥15 sessions / Participants starting the program) x 100.

    Measured: Up to 10 weeks

  3. Study Retention Rate

    The percentage of randomized participants who complete the final 10-week assessment. Calculated as: (Participants completing the final assessment / Total randomized participants) x 100.

    Measured: Week 10

  4. Physical Activity Enjoyment

    Assessed using the Turkish version of the 8-item Physical Activity Enjoyment Scale. Each item is scored on a 7-point scale. The mean of the eight item scores will be calculated, resulting in a score ranging from 1 to 7, with higher scores indicating greater enjoyment of physical activity. At both baseline and Week 10, participants will be instructed to respond based on their general experience while engaging in physical activity.

    Measured: Baseline and Week 10

  5. Intervention Acceptability and Satisfaction

    Assessed using the study-specific Exercise Program Acceptability and Satisfaction Form (based on the Theoretical Framework of Acceptability). It consists of 13 items covering domains such as general satisfaction, perceived safety, tolerability, and self-efficacy, each scored from 0 (most negative) to 10 (most positive).

    Measured: Week 10 (or at the time of early discontinuation)

  6. Perceived Exertion

    Evaluated at the end of each session using the Borg Rating of Perceived Exertion (RPE) 6-20 Scale. Scores range from 6 (no exertion) to 20 (maximal exertion), used to monitor the overall session intensity.

    Measured: Up to 10 weeks (monitored after every exercise session)

  7. Intervention Protocol Fidelity

    Measured using a structured intervention checklist completed for each session, evaluating session duration, completion of the warm-up, main exercise and cool-down phases, delivery of planned exercise components, exercise intensity, individual modifications, and protocol deviations. Calculated as: (Total fidelity score obtained / Maximum planned fidelity score) × 100.

    Measured: Up to 10 weeks (monitored after every exercise session)

  8. Health-Related Quality of Life

    Assessed using the Nottingham Health Profile (NHP) Part I. It measures 6 domains: pain, emotional reactions, sleep, social isolation, physical activity, and energy. Scores for each domain range from 0 to 100, with a total profile score of 0 to 600. Higher scores indicate a worse health status.

    Measured: Baseline and Week 10

  9. Physical Activity Level

    Assessed using the International Physical Activity Questionnaire-Short Form. Walking, moderate-intensity activity, vigorous-intensity activity, and total physical activity will be calculated as MET-minutes/week. Daily sitting time will be recorded as minutes/day, and participants will be classified as having low, moderate, or high physical activity levels.

    Measured: Baseline and Week 10

  10. Body Mass Index (BMI)

    Calculated using the formula: weight in kilograms divided by height in meters squared (kg/m²).

    Measured: Baseline and Week 10

  11. Functional Mobility

    Assessed using the Timed Up and Go (TUG) test, recording the time (in seconds) taken by the participant to stand from a chair, walk 3 meters, turn, walk back, and sit down.

    Measured: Baseline and Week 10

  12. Lower Extremity Functional Strength and Endurance

    Assessed using the 30-Second Chair Stand Test, recording the number of correct and complete stand-ups achieved within 30 seconds.

    Measured: Baseline and Week 10

  13. Dynamic Balance

    Assessed using the Y-Balance Test. Maximum reach distances in anterior, posteromedial, and posterolateral directions will be recorded to calculate a composite reach score percentage.

    Measured: Baseline and Week 10

  14. Aerobic and Functional Capacity

    Assessed using the 2-Minute Step Test, recording the number of times the participant raises their right knee to the required mid-thigh height within a 2-minute period.

    Measured: Baseline and Week 10

  15. Exercise Program Discontinuation Rate

    The percentage of participants who attend at least one exercise session but discontinue the assigned exercise program before the end of the 10-week intervention. Calculated as: (Number of participants who discontinue the exercise program / Number of participants who start the program) × 100.

    Measured: Up to 10 weeks

  16. Loss to Follow-up Rate

    The percentage of randomized participants who do not complete the Week 10 final assessment. Calculated as: (Number of randomized participants without Week 10 assessment data / Total number of randomized participants) × 100.

    Measured: Week 10

  17. Exercise-Related Complaints or Undesirable Events

    The number and percentage of participants reporting at least one exercise-related complaint or undesirable event during or after the exercise sessions. The type of complaint, whether an exercise modification or interruption was required, and the participant's program continuation status will be recorded.

    Measured: Up to 10 weeks

  18. Body Weight

    Body weight will be measured in kilograms using a digital scale, with participants wearing light clothing and no shoes.

    Measured: Baseline and Week 10

  19. Waist Circumference

    Waist circumference will be measured in centimeters at the midpoint between the lowest rib and the iliac crest using a non-stretchable measuring tape.

    Measured: Baseline and Week 10

  20. Hip Circumference

    Hip circumference will be measured in centimeters at the widest part of the gluteal region using a non-stretchable measuring tape.

    Measured: Baseline and Week 10

  21. Waist-to-Hip Ratio

    Calculated by dividing waist circumference by hip circumference. Higher values indicate greater central fat distribution.

    Measured: Baseline and Week 10

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Aug 2026
  2. Study start26 Sep 2026
  3. Primary completionMay 2027 (estimated)
  4. Study completionMay 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a two-arm, parallel-group, assessor-blinded, randomized active-comparator feasibility trial with a 1:1 allocation ratio. Eligible participants are randomized into either the Dance-Based Exercise Group or the Clinical Pilates Group using block randomization managed by an independent researcher. Both groups receive supervised, face-to-face, group-format physical exercise interventions 2 days a week for 10 weeks. Outcomes are assessed at baseline (prior to the interventions) and at the end of the 10-week intervention period by an assessor who is blinded to the group assignments.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07745166
Sponsor's protocol ID
E-60116787-020-906310
Acronym
DANCE-PIL
Status last verified
Nov 2026
First submitted
29 Jul 2026
Last updated
4 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Dance-Based Exercise Program and Clinical Pilates Program in people with Overweight and Obesity, run by Pamukkale University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ummuhan Baş Aslan, Prof. (+902582964295, umbaslan@pau.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Exercise Adherence Rate (time frame: Up to 10 weeks (evaluated at the end of the intervention period)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2026.

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