The global prevalence of pediatric overweight/obesity has dramatically increased in recent years. The overweight/obesity during childhood has been associated with neuromusculoskeletal impairments and physical complications including muscular imbalance, impaired balance, lower physical activity level, and poorer functional movement performance. Childhood overweight/obesity affect children\\\'s health which increases the risk of disorders and diseases in adulthood. Thus, the tackling pediatric overweight/obesity through effective strategies are critical in promoting active and healthy lifestyle among this population. This study aimed to examine the effectiveness of a 12-week supervised exercise program comprising dynamic neuromuscular stability (DNS) exercises with creative multi-skill games on functional movement performance and physical activity level in overweight/obese adolescent girls. Using a single-blinded parallel-group randomized controlled trial design, 30 overweight or obese adolescent girls aged 14 to 17 were randomly allocated to two exercise groups. The exercise group 1 performed DNS exercises along with creative multi-skills games whereas the exercise group 2 engaged in a moderate to vigorous intensity walking program. Functional movement performance and physical activity level were assessed using Functional Movement Screen (FMS) test, and the International Physical Activity Questionnaire, respectively. Data were analyzed using repeated measures analysis of variance using SPSS24. Following 12 weeks of the exercise program, participants in the DNS exercises along with creative multi-skills games showed significant improvements (P≤0.05) in the FMS composite score and physical activity level, compared to the walking exercise program alone. These findings support the combination of dynamic neuromuscular stabilization exercises with creative multi-skills games as part of tackling pediatric overweight/obesity program.

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