scholarly journals Energy cost of walking and body composition changes during a 9-month multidisciplinary weight reduction program and 4-month follow-up in adolescents with obesity

Author(s):  
Mattia D'Alleva ◽  
Federica Gonnelli ◽  
Filippo Vaccari ◽  
Yves Boirie ◽  
Christophe Montaurier ◽  
...  

The purpose of the present study was to investigate changes in the energy cost of locomotion during walking (Cw) related to the changes in body mass (BM, kg) and body composition in adolescents with obesity. Twenty-six (12 boys and 14 girls) obese adolescents (mean: BMI, 33.6±3.7 kg/m2; 42.7±4.5 % fat mass) followed a 9-month multidisciplinary inpatient weight-reduction program consisting of lifestyle education, moderate energy restriction, and regular physical activity in a specialized institution. At baseline (M0), by the end of the 9-month program (M9) and after 4-months follow-up (M13), V’O2 and V’CO2 of standardized activity program were assessed by whole-body indirect calorimetry over 24 hours, and body composition was assessed by DXA. At M9, adolescents showed a 18% reduction in BM (p<0.001), 40% in total FM; while FFM (kg) remained stable in boys but decreased by ~6% in girls (p=0.001). Similarly, the mean Cw decreased by 20% (p<0.001). At M13, BM, FM and Cw were slightly higher compared than at M9. In conclusion, moderate energy restriction and regular moderate physical activities improved walking economy, improved exercise tolerance and induced beneficial changes in body composition of adolescents with obesity. Novelty bullets • Reduction of FM in the trunk region, and consequently reducing the work carried out by respiratory muscles, contribute to reduce Cw in adolescents with obesity. • A lower cost of walking can be effective in improving exercise tolerance and quality of life in obese adolescents.

1978 ◽  
Vol 42 (3_suppl) ◽  
pp. 1233-1234 ◽  
Author(s):  
Sanford E. Geller

Two adolescent boys with histories of rapidly increasing obesity participated in a behavioral weight-reduction program. The multi-dimensional treatment included those behavioral techniques most'often shown to be effective in treating obese adults. While the program was not effective in reversing their increase in obesity, it was successful in reducing the rate of weight gain. During treatment both subjects' average monthly weight gain was reduced relative to baseline averages and lower than the rate expected for children this age. A 16-wk. follow-up showed a return to pretreatment patterns of weight gain. Directions for research with such people are discussed.


2021 ◽  
Author(s):  
Stefano Lazzer ◽  
Mattia D'Alleva ◽  
Filippo Vaccari ◽  
Gabriella Tringali ◽  
Roberta De Micheli ◽  
...  

Abstract Background The aim of the present study was to examine the short-term changes in body composition and physical capabilities in subjects with obesity during a multidisciplinary inpatient body weight reduction program (BWRP). Methods One hundred thirty-nine adolescents (56 boys and 83 girls; BMI: 37.1±6.5 kg/m2; Fat Mass, FM: 45.3±7.2 %) and 71 adults (27 males and 44 females; BMI: 44±4.7 kg/m2; FM: 51.4±4.7 %) followed a 3-week inpatient BWRP consisting of regular physical activity, moderate energy restriction, nutritional education and psychological counseling. Before (T0) and after the end of the BWRP (T21), body composition was assessed with an impedancemeter, lower limb muscle power with Margaria Stair Climbing Test (SCT), lower limb functionality with Short Physical Performance Battery (SPPB) and the capacity of performing activity of daily living (ADL) with Physical Performance Test (PPT). Results At T21, obese adolescents showed a 4% reduction in body mass (BM) (p<0.001), associated with a FM (kg) reduction in boys (-10%) and girls (-6%) (p<0.001) and with a 3% reduction in fat-free mass (FFM, kg) recorded only in boys (p=0.013). Obese adults showed a 5% BM reduction (p<0.001), associated with a 2% FFM (kg) reduction (p<0.001) and a reduction of 9% FM (kg) in males and 7% in females (p<0.001). Regarding physical capabilities, at T21 in obese adolescents, PPT score increased by ~4% (p<0.001), SCT (s) decreased by ~5% (boys) and ~7% (girls) (p<0.001), while SPPB score did not significantly change. In obese adults at T21, PPT score increased by 9% (p<0.001), SCT (s) decreased by ~16% (p<0.001) only in females, and SPPB score increased by ~7% (males) and ~10% (females) (p<0.01). Conclusions In conclusion, moderate energy restriction and regular physical activity determine a 4-5% BM reduction during a 3-week inpatient BWRP, improve physical capabilities and induce beneficial changes in body composition in adolescents and adults with obesity. Trial registration: This study was was approved by the Ethical Committee of the Istituto Auxologico Italiano (Milan, Italy; research code: 01C124; acronym: PRORIPONATFIS). Registered 11 November 2020 - Retrospectively registered.


2005 ◽  
Vol 37 (Supplement) ◽  
pp. S171-S172
Author(s):  
Tomomi Yamase ◽  
Kumiko Fujita ◽  
Kumiko Igarashi ◽  
Naomi Kanazawa ◽  
Keiji Satake ◽  
...  

2005 ◽  
Vol 37 (Supplement) ◽  
pp. S171???S172
Author(s):  
Tomomi Yamase ◽  
Kumiko Fujita ◽  
Kumiko Igarashi ◽  
Naomi Kanazawa ◽  
Keiji Satake ◽  
...  

Appetite ◽  
2006 ◽  
Vol 46 (2) ◽  
pp. 207-214 ◽  
Author(s):  
Natalie Rigal ◽  
Marie-Laure Frelut ◽  
Marie-Odile Monneuse ◽  
Claude-Marcel Hladik ◽  
Bruno Simmen ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Gabriele Stumm ◽  
Alexandra Blaik ◽  
Siegfried Kropf ◽  
Sabine Westphal ◽  
Tanja Katrin Hantke ◽  
...  

The Active Body Control (ABC) weight-reduction program is based on telemonitoring of physical activity and nutrition together with telecoaching by weekly counseling letters sent by post or by e-mail. The study presented here reports the results of a 1-year follow-up of 49 patients with the metabolic syndrome who had lost weight with the aid of the ABC program in the preceding year. The weight regain after the second year in patients not receiving any further care (“ABC discontinued” group;n=24) and the potential benefit of continuing with the ABC program with monthly counseling letters (“ABC continued” group;n=25) were investigated. The relative weight changes after the first year had been, respectively, −13.4% and −11.4% in the “ABC discontinued” and “ABC continued” groups, and after the second year they decreased by, respectively, 4.4 and 2.8%. However, this difference in weight regains between the two groups was not statistically significant. It is concluded that three-quarters of the weight loss after 1 year is maintained after the second year. The decision whether to continue with the ABC program after 1 year should be made individually.


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