Aerobic Versus Resistance Exercises on Insulin Sensitivity in Obese Patients

The purpose of study is to compare the effect of different exercise modes on insulin resistance and body composition in obese patients.

Inclusion Criteria: * Sixty obese prediabetic patients from both sexes with ages ranging from 30 to 40 years old. * Body mass index (BMI) ranging from 30 to 34.9 kg/m². * Insulin resistance as assessed by the homeostasis model assessment for insulin resistance (HOMA-IR) levels above 1.9. * Blood glucose levels ranging from 100 to 125 mg/dL (5.6-6.9 mmol/L). * Patients will receive the same medical and diet regimen, with instructions not to change their physical activity during the study. * HbA1c levels between 6.0% and 6.5%, indicating high risk for diabetes and possible consideration for prevention interventions. Exclusion Criteria: * Uncontrolled diabetes. * Uncontrolled hypertension. * Cardiovascular disease. * Respiratory disease. * Hepatic disease. * Severe life-limiting illness (e.g., cancer). * Use of weight loss medications. * Orthopedic or neurological disorders that limit exercise participation. * Endocrine disorders. * Kidney disease.