Brief summary describing the background
and objectives of the trial
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BACKGROUND
Excess body weight is an important risk factor for mortality and morbidity from cardiovascular diseases, diabetes, cancers, and musculoskeletal disorders, causing nearly three million annual deaths worldwide. Currently, overweight and obesity are the most significant public health challenges, affecting more than 1.9 billion adults worldwide (Chávez-Guevara et al., 2020). Obesity is a growing risk to the health of people in developed nations, and has been described as an epidemic that has become a global health concern (Goettler, Grosse, & Sonntag, 2017).
Obesity/overweight is an emerging problem in Africa (Adom, Puoane, De Villiers, & Kengne, 2017). In 2014, more than 1.9 billion adults aged 18 years and older were overweight. In Ethiopia, the prevalence of being overweight and obese in the urban setting is 12.1% and 2.8% respectively. Also, a study on adults in Addis Abeba found that 25.7% and 24.7% of women and men respectively were overweight. There has been a widespread recommendation of all people to participate in physical activity to maintain a healthy life. As one of the most effective ways against these problems is exercise most specifically aerobic exercise, which can help reduce fat, lose weight, and change appearance. Aerobic exercise is a physical exercise that is performed when the body is fully supplied with oxygen (Sarojini, Priya, & Devi, 2019).
Multiple studies prove that machine based exercise specifically the Arc trainer outperforms elliptical in important areas like calorie burn, muscular endurance, and work capacity and running on a treadmill generally burns calories faster than most other forms of in-home exercise (Kisan, Kisan, Anitha, & Chandrakala, 2012). As stated by (Taye, 2016), floor aerobic exercise should not be recommended during rapid weight loss. But, the results of (Biswas & Bose, 2019) study indicate that, both step aerobics training and floor aerobics training improved body composition in overweight and obese |