title: The impact of strenuous group physical activity on mood states, personal views, body composition, and markers of myocardial damage in overweight/obese adults: the "Step-by-step Italy's coast to coast" trek.
abstract: It is clinically relevant to understand whether it is safe to recommend to trained overweight/obese people long-distance treks and whether these experiences could have a negative psychological impact or become even dangerous exposing the trekkers to the risk of clinically silent myocardial damage. To answer these questions we have performed a quantitative/qualitative study comparing the changes in mood profiles, personal views, body composition, and plasma troponin levels of 40 overweight/obese subjects with those of 36 healthy normal weight subjects after the participation in a trek of 388 km from the Adriatic to the Tyrrhenian seas trek: the "Step by step…Italy's coast to coast". The results of this study demonstrate that long-distance treks are a safe activity for trained overweight/obese people which should be recommended because they improve mood, health status, and the relationship of participants with themselves and with the regular practice of exercise with effects similar to those obtained by healthy normal weight subjects.
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Claudia
authors.initials: C
authors.lastname: Mazzeschi
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Natalia
authors.identifier: 0000-0002-3253-6200
authors.initials: N
authors.lastname: Piana
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Daniela
authors.identifier: 0000-0002-7269-7738
authors.initials: D
authors.lastname: Capezzali
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Antonella
authors.initials: A
authors.lastname: Mommi
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Cristina
authors.initials: C
authors.lastname: Aiello
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Gatti
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Giannermete
authors.initials: G
authors.lastname: Romani
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Livia
authors.initials: L
authors.lastname: Buratta
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Dalila
authors.identifier: 0000-0002-8997-3786
authors.initials: D
authors.lastname: Battistini
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Giovanni
authors.identifier: 0000-0003-1474-9226
authors.initials: G
authors.lastname: Nasini
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Reginato
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Lorena
authors.initials: L
authors.lastname: Urbani
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Chiara
authors.identifier: 0000-0001-8301-0439
authors.initials: C
authors.lastname: Pazzagli
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Carla
authors.initials: C
authors.lastname: Ferri
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ambrosio
authors.affiliation: Healthy Lifestyle Institute, CURIAMO, University of Perugia, Via Giuseppe Bambagioni 19, 06126 Perugia, Italy.
authors.forename: Pierpaolo
authors.identifier: 0000-0001-8968-7272
authors.initials: P
authors.lastname: De Feo
mesh_terms: D000328:Adult; D000339:Affect; D001823:Body Composition; D006801:Humans; D007558:Italy; D009043:Motor Activity; D009206:Myocardium / Q000473:pathology*; D009765:Obesity / Q000503:physiopathology*; D036301:Qualitative Research