scholarly journals Lifestyle Modification Group for Lymphedema and Obesity Results in Significant Health Outcomes

2017 ◽  
Vol 14 (4) ◽  
pp. 420-428 ◽  
Author(s):  
Leslyn Keith ◽  
Carol Rowsemitt ◽  
Lorie G. Richards

This study investigated whether a lifestyle modification program that encouraged a ketogenic diet (KD) for participants with lymphedema and obesity would reduce weight and limb volume and improve quality of life. A total of 12 participants with lymphedema and obesity (mean body mass index = 38.38; SD = 7.02) were enrolled in a lifestyle modification group. The timespan from baseline data collection to 30-day follow-up was 18 weeks. Retention rate was 83.3%. Data were analyzed with repeated-measures ANOVA and Pearson correlation. Participants demonstrated statistically significant improvement in most outcome measures. Mean weight loss was 5.18 kg—F(4, 36) = 11.17; P < .001—or 4.8% of mean baseline weight. The average limb volume reduction was 698.9 ml—F(4, 36) = 9.4; P < .001—and was positively correlated with weight loss (r = 0.8; P = .005). There appeared to be a tendency for participants who used a KD (n = 6) to demonstrate superior results in most outcome measures compared with those who did not use the diet (n = 4), although the sample size of the 2 groups was too small to report definitive results. This lifestyle modification program provided insight into the possible value of a KD for obesity and lymphedema management.

2019 ◽  
Vol 47 (6) ◽  
pp. 686-696 ◽  
Author(s):  
Jena Shaw Tronieri ◽  
Thomas A. Wadden ◽  
Sharon M. Leonard ◽  
Robert I. Berkowitz

AbstractBackground:Acceptance and commitment therapy (ACT) is a psychological treatment that has been found to increase weight loss in adults when combined with lifestyle modification, compared with the latter treatment alone. However, an ACT-based treatment for weight loss has never been tested in adolescents.Methods:The present pilot study assessed the feasibility and acceptability of a 16-week, group ACT-based lifestyle modification treatment for adolescents and their parents/guardians. The co-primary outcomes were: (1) mean acceptability scores from up to 8 biweekly ratings; and (2) the percentage reduction in body mass index (BMI) from baseline to week 16. The effect size for changes in cardiometabolic and psychosocial outcomes from baseline to week 16 also was examined.Results:Seven families enrolled and six completed treatment (14.3% attrition). The mean acceptability score was 8.8 for adolescents and 9.0 for parents (on a 1–10 scale), indicating high acceptability. The six adolescents who completed treatment experienced a 1.3% reduction in BMI (SD = 2.3, d = 0.54). They reported a medium increase in cognitive restraint, a small reduction in hunger, and a small increase in physical activity. They experienced small improvements in most quality of life domains and a large reduction in depression.Conclusions:These preliminary findings indicate that ACT plus lifestyle modification was a highly acceptable treatment that improved weight, cognitive restraint, hunger, physical activity, and psychosocial outcomes in adolescents with obesity.


2020 ◽  
Vol 43 (6) ◽  
pp. 1041-1046
Author(s):  
Mary K. Martinelli ◽  
Kathryn M. Godfrey ◽  
Monica Martinez ◽  
Evan M. Forman ◽  
Meghan L. Butryn

2017 ◽  
Vol 41 (2) ◽  
pp. 152-159 ◽  
Author(s):  
Stephanie G. Kerrigan ◽  
Margaret Clark ◽  
Alexandra Convertino ◽  
Evan M. Forman ◽  
Meghan L. Butryn

2000 ◽  
Vol 9 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Janice K. Loudon

Context:Proprioception of the knee joint.Objective:To determine the difference in knee-joint-angle reproduction in women with and without genu recurvatum (GR).Design:Between-subjects.Setting:Clinic.Subjects:Twenty-four women divided into 2 groups according to their standing knee-extension angle.Main Outcome Measures:Each subject's ability to actively reproduce active positioning of 3 knee angles (10, 30, and 60°) was measured. Pearson correlation coefficients were calculated to determine correlation values for standing GR angle and absolute angular error (AAE). A1 -way repeated-measures MANOVA was computed to evaluate differences in group, angle, limb, and trial.Results:Standing GR angle correlated significantly to the AAE angle at 10° (r= .48). The high-recurvatum group consistently scored worse, with the highest error rate occurring at 10°.Conclusion:Individuals with GR might have diminished proprioceptive sense at end-range extension that could potentially lead to knee injury.


Author(s):  
Vinaya Rajendra Patil ◽  
Poovishnu Devi Thangavelu ◽  
Vaishali Krishnat Jagtap

Objectives: (1) The objectives of this study were to determine the effectiveness of lifestyle modification on weight loss and the quality of life in obese women with the polycystic ovarian syndrome and (2) to determine the effectiveness of conventional physiotherapy on weight loss and the quality of life in obese women with polycystic ovarian syndrome.Methods: Ethical clearance was obtained from the Institutional Ethical Committee. A total of 40 obese women with the polycystic ovarian syndrome (PCOS) were selected and divided into two groups, Group A (N=17) received conventional physiotherapy alone, and Group B (n=15) received lifestyle modification along with conventional physiotherapy. The preassessment of body weight is measured by body mass index (BMI); the waist-hip ratio (W-H ratio) and body fat percentage and the quality of life were scored as per the PCOS questionnaire (PCOSQ); and postinterventional assessment was taken for the same after 9 months.Result: Intergroup statistical analysis for BMI revealed extremely significant in postintervention for Group B (P<0.0001). W-H ratio and PCOSQ were extremely significant for Group B (P<0.0001). While postintervention analysis showed extremely significant difference between Group A and Group B (P<0.0001). Group B treated with lifestyle modification, and conventional physiotherapy was extremely significant.Conclusion: Lifestyle modification with conventional physiotherapy helped in reducing weight and showed the increased quality of life in women with PCOS.


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