Relief of Cardiorespiratory Symptoms and Increased Physical Activity After Surgically Induced Weight Loss

The epidemic of both obesity and type 2 diabetes is due to environmental factors, but the individuals developing the conditions possess a strong genetic predisposition. Observational surveys and intervention studies have shown that excess body fatness is the major environmental cause of type 2 diabetes, and that even a minor weight loss can prevent its development in high-risk subjects. Maintenance of a healthy body weight in susceptible individuals requires 45–60 minutes physical activity daily, a fat-reduced diet with plenty of fruit, vegetables, whole grain, and lean meat and dairy products, and moderate consumption of calorie containing beverages. The use of table values to predict the glycemic index of meals is of little – if any – value, and the role of a low-glycemic index diet for body weight control is controversial. The replacement of starchy carbohydrates with protein from lean meat and lean dairy products enhances satiety, and facilitate weight control. It is possible that dairy calcium also promotes weight loss, although the mechanism of action remains unclear. A weight loss of 5–10% can be induced in almost all obese patients providing treatment is offered by a professional team consisting of a physician and dieticians or nurses trained to focus on weight loss and maintenance. Whereas increasing daily physical activity and regular exercise does not significantly effect the rate of weight loss in the induction phase, it plays an important role in the weight maintenance phase due to an impact on daily energy expenditure and also to a direct enhancement of insulin sensitivity.

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Weight loss "maintainers" vs. "regainers": Posttreatment physical activity facilitates weight maintenance in obese women

PsycEXTRA Dataset ◽

10.1037/e546872013-114 ◽

2013 ◽

Author(s):

Renee T. Degener ◽

Melissa H. Laitner ◽

Danielle M. Lespinasse ◽

Kristen E. Medina ◽

Stacey N. Maurer ◽

...

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Weight Maintenance ◽

Obese Women

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Effects of weight loss combined with physical activity on intramyocellular lipids

Diabetologie und Stoffwechsel ◽

10.1055/s-2006-943761 ◽

2006 ◽

Vol 1 (S 1) ◽

Author(s):

C Thamer ◽

J Machann ◽

A Niess ◽

M Haap ◽

C Claussen ◽

...

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Intramyocellular Lipids

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A systematic review of the evidence for interventions to increase levels of physical activity in patients following weight loss surgery

Obesity Abstracts ◽

10.1530/obabs.01.oc1.4 ◽

2019 ◽

Author(s):

Jennifer James ◽

Victoria Sprung ◽

Wendy Hardeman ◽

Mark Goodall ◽

Helen Eborall ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Weight Loss ◽

Weight Loss Surgery

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Fad Diets: Dietary Dilemmas, Predicaments, and Recommendations for its Use

Current Nutrition & Food Science ◽

10.2174/1573401316999200407092922 ◽

2020 ◽

Vol 16 (9) ◽

pp. 1362-1380

Author(s):

Jyoti Singh ◽

Prasad Rasane ◽

Vidisha Tomer ◽

Sawinder Kaur ◽

Yogesh Gat ◽

...

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Health Care Expenditures ◽

Overweight And Obesity ◽

Lifestyle Changes ◽

Health Issues ◽

Lifestyle Modifications ◽

Treatment Measures ◽

Long Time ◽

Extra Weight

The health issues, mainly overweight and obesity are the growing concerns nowadays due to the associated factors and lifestyle changes which significantly have increased the individual’s health care expenditures. Fad diets are promoted as the easiest and simplest way of shedding the extra weight despite the availability of several treatments available. The prevention and treatment measures, including modification in lifestyle, dietary pattern, and physical activity, are the foundation of weight loss. However, the standard treatment measures are not effective for certain populations as they require long time adherence, which leads to the search for other approaches like fad diet. We steered a comprehensive literature review to present the facts related to fad diets to their efficacy and sustainability. Although fad diets have yielded tremendous positive results in weight loss and cardiovascular risk prevention, the studies reported death in long-term interventions and the results and some of them show side effects too. Randomized controlled trials have significantly reported weight loss in comparison with the popular fad diets; however, persisting on the same diet has also reported kidney problems, ketosis, and other metabolic related problems. The conclusion of this critical review reported that gradual weight loss could be attained by the combination of lifestyle modifications, physical activity, and recommended dietary approaches.

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Enrolling Caregivers in Obesity Interventions to Improve Obesity-Related Outcomes in Children

Western Journal of Nursing Research ◽

10.1177/01939459211037057 ◽

2021 ◽

pp. 019394592110370

Author(s):

Hannah Bessette ◽

MinKyoung Song ◽

Karen S. Lyons ◽

Sydnee Stoyles ◽

Christopher S. Lee ◽

...

Keyword(s):

Physical Activity ◽

Body Mass Index ◽

Weight Loss ◽

Linear Regression ◽

Body Mass ◽

Sedentary Time ◽

Vigorous Physical Activity ◽

Weight Loss Program ◽

Weight Loss Programs ◽

Obesity Interventions

In this study, we assessed the influences of change in moderate-to-vigorous physical activity (MVPA)/sedentary time (ST) of caregivers participating in a commercial weight-loss program on their children’s change in MVPA/ST. Data from 29 caregivers and their children were collected over 8 weeks. We used multivariable linear regression to assess associations of changes in caregiver’s percent of time spent in MVPA/ST and changes in their child’s percent of time spent in MVPA/ST. For caregivers that decreased body mass index (BMI) over 8 weeks, changes in caregivers’ MVPA was strongly associated with the change in children’s MVPA (β = 2.61 [95% CI: 0.45, 4.77]) compared to caregivers who maintained/increased BMI (β = 0.24 [–2.16, 2.64]). Changes in caregivers’ ST was strongly associated with changes in children’s ST (β = 2.42 [1.02, 3.81]) compared to caregivers who maintained/increased BMI (β = 0.35 [–0.45, 1.14]). Findings reinforce encouraging caregivers to enroll in weight-loss programs for the benefit of their children as well as for themselves.

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Identifying and measuring the behavioural, dietary, and physical activity components of weight management consultations delivered by general practice nurses in routine care

BMC Family Practice ◽

10.1186/s12875-021-01403-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Heather Tong ◽

Elizabeth Morris ◽

Susan A. Jebb ◽

Dimitrios A. Koutoukidis

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Weight Management ◽

Care Group ◽

Dietary Recommendations ◽

Practice Nurses ◽

Audio Recordings ◽

Baseline Weight ◽

Physical Activity Recommendations ◽

Activity Recommendations

Abstract Background Many people with obesity receive weight loss consultations by general practice nurses (GPNs) in routine primary care. This exploratory study aimed to characterise the components of these consultations, including behaviour change techniques (BCTs), and dietary and physical activity recommendations. Methods We analysed audio recordings of weight management consultations conducted by 8 GPNs as part of the ‘usual care’ group in a randomised controlled trial (ISRCTN75092026). Consultations were coded against three taxonomies to classify BCTs, dietary recommendations, and physical activity recommendations. Associations between coded content and weight loss were assessed. Differences in the content of consultations where weight loss was < 5% or ≥ 5% from baseline weight at 6 months were explored. Results One hundred and fifty audio recordings were available from 53 out of 140 (38%) participants in the usual care group. Participants had on average 3 (SD = 1) recorded consultations over 3 months, lasting 14 (SD = 7) minutes each. Weight change at 3, 6, and 12 months was -3.6% (SD = 4.3), -5.5% (SD = 6.0) and -4.2% (SD = 6.5) for participants with audio recordings. GPNs used 3.9 (SD = 1.6) of 93 BCTs, 3.3 (SD = 2.7) of 30 dietary recommendations and 1.4 (SD = 1.2) of 10 physical activity recommendations per consultation. The most commonly employed BCTs were feedback on outcome of behaviour (80.0%), problem solving (38.0%), and social reward (34.3%). The most common dietary recommendations were about portion size (31.3%), nutrients (28.0%), and balanced diet (19.7%). The main physical activity recommendation was about walking (30.3%). There was no association between weight loss and the number of dietary recommendations, physical activity recommendations, or BCTs used per consultation, or per participant. Social reward was the only technique used significantly more in consultations of participants that lost ≥ 5% of their baseline weight at 6 months. Conclusions The study provides a new method that could be used to describe the content of weight management consultations. Specific dietary or physical activity recommendations and BCTs were used infrequently and inconsistently in this group of GPNs. Although replication is required in larger samples, this may point to a weakness in current practice.

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