Fibromyalgia (FM) affects millions of people around the world, causing widespread physical pain, exhaustion, and psychological disorders. Through this study, we aim to observe the effectiveness of two different rehabilitation programs in reducing the impact of FM on daily functioning and psychological factors. Specifically, we compare a complex conservative program that combines physical therapy and hydrokinetotherapy in a hospital setting with a therapy focused on intrinsic relaxation. Methods: This comparative study involved 63 patients aged between 19 and 69 years diagnosed with FM, divided into two groups: the study group (SG, 32 participants) and the control group (CG, 31 participants). Over 90% of participants are female, 30 in the study group and 28 in the control group. SG followed a conservative physiotherapy combined with thermal water therapy, and CG followed a recovery program through intrinsic relaxation. Participants were evaluated on the first and last day of the rehabilitation program using the Revised Fibromyalgia Impact Questionnaire (FIQR) and the Hamilton Anxiety Rating Scale (Ham—A). The rehabilitation program consisted of 10 sessions conducted over a period of two weeks. Results: After the two-week recovery period, the results showed a significant improvement in both FIQR and Ham—A scores in the study group (p < 0.001). In the control group, there were no significant changes in FIQR variables (p > 0.05), while a significant improvement was observed on the anxiety scale (p < 0.001). Conclusions: The combination of hydrokineto-therapy and physical therapy is more effective in improving the overall condition of patients with FM compared to relaxation.

Introduction: Although the body mass index (BMI) has been widely used as a measure of adiposity, in fact, it is a measure of excess weight relative to height, rather than excess body fat. Other measurements of adiposity, such as waist circumference, waist-hip ratio (WHR) and skinfold thickness supplement information regarding the body fatness. In order to counteract some of the limits of BMI, it has been suggested the introduction of a new way of calculating the percentage of body fat, namely the body adiposity index (BAI). Objectives: This study was conducted to analyze the relevance and relationships between BMI, IAC, waist circumference, waist-hip ratio and the percentage of adiposity in adult women. Subjects and methods: This study involved 95 adult women, who practiced physical activities in two gyms in Oradea, for 12 months, between February 2015 and June 2016. Anthropometric measurements were performed: height, weight, girths, skinfolds. It was calculated the BMI, BAI, WHR, body composition, body fat percentage (BF%) based on the five skinfolds measures. Data were statistically analyzed with SPSS, version 20.0 (descriptive analysis, comparison of means and correlations). Results: The effect of the workouts in the gyms was the significant reduction of the values of the adiposity parameters of the analyzed subjects, except for the waist-hip ratio. The relationship between BMI, BAI, waist circumference and waist-hip ratio with BF% was statistically significant, both at initial and at final evaluation, but the correlations of BF% with BMI (initially r = 0.824, final r = 0.750) and waist circumference (initial r = 0.812, final r = 0.737) were stronger than those with IAC (initial r = 0.739, final r = 0.688) and the waist-hip ratio (initial r = 0.445, final r = 0.484). Conclusions: The physical activities performed by adult women in gyms had the effect of reducing body fat. The present study shows the relevance of anthropometric parameters: current BMI-based classifications for overweight and obesity are superior to the BAI-based measurements for determining overweight and obesity; BAI overestimates body fat in individuals with a low BF%; the waist-hip ratio does not reflect the degree of overweight. REZUMAT. Relevanța indicatorilor antropometrici în evaluarea adipozității la femei adulte. Introducere: Cu toate că indicele de masă corporală (IMC) a fost utilizat pe scară largă ca o măsură a adipozităţii, de fapt, este mai degrabă o măsură a excesului de greutate în raport cu înălțimea, decât a excesului de grăsime corporală. Alte măsurători de adipozitate, cum ar fi circumferința taliei, raportul talie-șold sau plicile subcutanate suplimentează informațiile privind grăsimea corpului. Pentru a contracara unele limite ale IMC-lui s-a sugerat introducerea unui nou mod de calculare a procentului de adipozitate, și anume indicele de adipozitate corporală (IAC). Scopul: Acest studiu a fost făcut cu scopul analizei relevanței și relațiilor dintre IMC, IAC, circumferinței taliei, raportul talie-șold și procentul de adipozitate la femei adulte. Subiecţi şi metode: La acest studiu au participat 95 de femei adulte, care au practicat activităţi fizice în două săli de fitness din Oradea, timp de 12 luni, în perioada februarie 2015 – iunie 2016. Au fost efectuate măsurători antropometrice: înălţimea, greutatea, circumferinţele, plicile subcutanate. A fost calculat IMC-ul, IAC-ul, raportul talie-şold (RTŞ), compoziţia corporală, ţesutul adipos procentual (ŢA%) pe baza a cinci plici cutanate. Datele obţinute au fost analizate statistic cu programul SPSS 20 (analiza descriptivă, compararea mediilor, corelaţii). Rezultate: Efectul antrenamentelor din sălile de fitness a fost reducerea semnificativă a valorilor parametrilor adipozității subiecților analizați, cu excepția raportului talie/șold. Legătura dintre IMC, IAC, circumferinţa taliei şi raportul talie-şold cu ŢA% au fost semnificativă statistic, atât la evaluare iniţială, cât şi la evaluare finală, însă corelațiile ŢA% cu IMC (iniţial r = 0,824, final r = 0,750) şi circumferinţa taliei (iniţial r = 0,812, final r = 0,737) au fost mai puternice decât cele cu IAC (iniţial r = 0,739, final r = 0,678) şi raportul talie-şold (iniţial r = 0,445, final r = 0,484). Concluzii: Activitățile fizice desfășurate de femei adulte în săli de fitness au avut ca efect reducerea adipozității corporale. Studiul de faţă arată relevanța parametrilor antropometrici: clasificările actuale bazate pe IMC pentru supraponderalitate şi obezitate sunt superioare măsurătorilor bazate pe IAC pentru determinarea supraponderalităţii şi obezității; IAC supraestimează grăsimea corporală la indivizii cu un ŢA% scăzut; raportul talie-şold nu reflectă gradul de supraponderalitate. Cuvinte cheie: indicele de adipozitate corporală, indicele de masă corporală, circumferinţa taliei, raportul talie-şold, ţesut adipos procentual, femei adulte.