Vagus nerve stimulation group Group:~Each participant signed a consent form after receiving a detailed explanation about the procedure.~Patients rested on their sides in a sitting position.~Disinfection of the stimulation locations.~Ear clips were placed in the ear region (auricular concha) at the stimulation site.~Emotional eating was assessed by Emotional Eating Scale. 5. Patient satisfaction was assessed by The Short Assessment of Patient Satisfaction (SAPS).~Cortisol was assessed in lab. 7. After one month all the assessment procedure will be repeated again.~Circuit training group Group:~Each participant will signed a consent form after receiving a detailed explanation about the procedure.~The training regimen included ten different forms of resistance and aerobic exercises.~Emotional eating was assessed by Emotional Eating Scale.~Patient satisfaction was assessed by The Short Assessment of Patient Satisfaction (SAPS).~5 Cortisol was assessed in lab. 6. After one month all the assessment procedure will be repeated again.
Participants were randomly assigned to two groups prior to their second visit: the Vagus nerve stimulation group (VNS) and the circuit training program. The randomization processes were conducted in Excel utilizing a random-number generator. Prior to the second visit, each participants' target exercise heart rate ranges were determined. Vagus nerve stimulation group(VNS) Patients rested on their sides in a sitting position. Following regular disinfection of the stimulation locations, ear clips were placed in the ear region (auricular concha) at the stimulation site. The training regimen included ten different forms of resistance and aerobic exercises.