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    Optimizing athletic engagement and performance of obese students: an adaptive approach through basketball in physical education
    (Frontiers Media Sa, 2025) Slimi, Oumayma; Muscella, Antonella; Marsigliante, Santo; Bahloul, Mourad; Badicu, Georgian; Alghannam, Abdullah F.; Yagin, Fatma Hilal
    Introduction Obesity in adolescents is associated with reduced physical activity and athletic engagement, highlighting the need for tailored physical education programs. This study evaluated the effects of a 7-week adapted basketball program on the performance and athletic engagement of students with obesity. Methods Sixty-two students with obesity (23 boys, 39 girls, aged 15-17) were randomly assigned to an experimental group (EG, n = 30; 11 boys, 19 girls) participating in adapted basketball sessions or a control group (CG, n = 32; 12 boys, 20 girls) attending standard basketball lessons. Both groups completed 52-minute sessions twice weekly. Pre- and post-intervention assessments included a questionnaire evaluating perceptions of physical education and athletic performance during final matches. Results The EG showed significant improvements in interest, motivation (p < 0.05), perceived competence (p < 0.001), and reduced exercise difficulty (p < 0.001). Perceived fitness levels increased significantly only in EG girls (p = 0.013). In contrast, no significant changes were observed in the CG before and after the intervention for any of the parameters. During matches, the EG outperformed the CG, with more successful shots (girls: p = 0.0004; boys: p = 0.012), fewer missed shots (girls: p = 0.033; boys: p = 0.046), and more successful passes (p = 0.032, eta(2) = 0.042). Discussion These results demonstrate that adapted physical education programs can serve as effective interventions for improving physical activity and promoting inclusion among adolescents with obesity while also serving as a preventive measure against obesity.