scholarly journals Programmed body weight loss in morbidly obese women and its influence on general physical fitness, knee status and every day life activity

2016 ◽  
Vol 126 (2) ◽  
pp. 88-90
Author(s):  
Iwona Morawik ◽  
Aneta Zarębska ◽  
Marian Jędrych ◽  
Michał Zajko ◽  
Mirosław Jabłoński
Keyword(s):  
Body Weight ◽  
Weight Reduction ◽  
Well Being ◽  
Lower Limbs ◽  
Knee Joints ◽  
Walking Distance ◽  
Morbidly Obese ◽  
Obese Women ◽  
Obese People ◽  
The Impact

Abstract Introduction. Obesity is a serious health and social problem. Various sources indicate that it affects approx. 20% of the world’s population. It is also counted among the diseases of affluence. Excessive body weight adversely affects a number of systems in the human body, including the locomotor system. Studies have shown that there is a close relationship between obesity and either a dysfunction or osteoarthritis of knee joints. Aim. To evaluate the impact of weight reduction on the basic parameters of the overall capacity of obese women and their well-being. Material and methods. 7 extremely obese women aged 28-51 looking to reduce their body weight participated in the study. The weight reduction program lasted for 12 months and consisted of reported intervention. The validated survey by Johanson was used to assess the performance of the lower limbs. Each tested person filled in 3 surveys of the same kind – the first at the beginning of the research project, the second after losing 20 kg of body weight, and the third after 12 months of weight reduction. Results. There has been a statistically significant decrease in body weight (p=0.002) and BMI (p=0.002) of women surveyed between the specific periods of observation. The pain from the knee joints decreased or was resolved through weight reduction (p=0.004) in the respondents. The participants also started to take less painkillers for knee discomfort (p=0.005). Authors also noted an increase of the walking distance without rest (p=0.01) and less problems while walking upstairs (p=0.004). There was a statistically significant improvement in their self-care for the feet (p=0.003), as well as in the ability to use public transport (p=0.05) or to do shopping (p=0.05). There were no significant differences in the performance of household chores, getting out of bed, using the bath or shower or in need of orthopaedic equipment. Conclusions. Significant weight reduction in obese women proportionally reduces or relieves knee pain and improves their performance. It reduces the need for using analgesics. Weight reduction in obese people has a significant impact on improving the performance of lower limbs.

scholarly journals Towards Precision Health in Weight Reduction: Thematic Content Analysis of an Open-Ended Survey on Reasons Why Morbidly Obese Patients Want to Lose Weight.

2020 ◽  
Author(s):  
Mazapuspavina Md-Ya ◽  
Ilham Ameera Ismail ◽  
Khasnur Abd Malek ◽  
Khalid Yusoff ◽  
Awang Bulgiba
Keyword(s):  
Morbid Obesity ◽  
Weight Loss ◽  
Content Analysis ◽  
Weight Reduction ◽  
Extensive Study ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
The Impact

Abstract Background: Addressing individuals’ motivation to lose weight among patients with morbid obesity is an essential entity in weight reduction. Failures to shift motivation into weight loss actions are common. These could be contributed by the inadequacy to identify and subsequently address the key reasons, that are of particular concern to the patient' individual needs. We aimed to understand the motivations better and identify the reasons why morbidly obese patients attending hospital-based weight management programmes (WMP) wanted to lose weight. Methods: The study used a qualitative approach to analyze part of a quantitative questionnaire of a more extensive study to understand factors influencing weight loss among morbidly obese patients. We used thematic content analysis to analyze responses from a self-administered open-ended question "What is the main factor why you want to lose your weight?”. A total of 225 new patients attending obesity clinics in two tertiary hospitals responded to the questionnaire. Results: Patients’ mean BMI was 45.6±8.05 kg/m2. Four themes emerged for the reasons why morbidly obese patients wanted to lose weight. Health was the most commonly inferred theme (84%). Patients were concerned about the impact obesity had on their health. Overcoming obesity was seen as a reward not just for physical health, but also for their psychological wellbeing. Patients regard being functional to care for themselves, their family members, as well as their religious and career needs as the next most crucial theme (25.8%). Patients raised the theme appearance (12.9%), especially with regards to wanting to look and feel beautiful. The last theme was perceived stigmatization for being morbidly obese as they were mocked and laughed at for their appearance (3.1%).Conclusion: Patients with morbid obesity in this study had expressed their main personal motivational reasons to lose weight. Concerns about the impact of morbid obesity on health, physical, social and obligatory function, appearance and perceived stigma warrant detailed exploration by the managing health professionals. Identifying and addressing these unique personal motivations in a focused approach is vital at the beginning and throughout a weight reduction program in this unique group.

The Impact of Weight Reduction Surgery on Health-Care Costs in Morbidly Obese Patients

2004 ◽  
Vol 14 (7) ◽  
pp. 939-947 ◽  
Author(s):  
John S. Sampalis ◽  
Moishe Liberman ◽  
Stephane Auger ◽  
Nicolas V. Christou
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Weight Reduction ◽  
Morbidly Obese ◽  
Obese Patients ◽  
The Impact ◽  
Care Costs

scholarly journals Fundamental frequency, phonation maximum time and vocal complaints in morbidly obese women

2014 ◽  
Vol 27 (1) ◽  
pp. 43-46 ◽  
Author(s):  
Lourdes Bernadete Rocha de SOUZA ◽  
Rayane Medeiros PEREIRA ◽  
Marquiony Marques dos SANTOS ◽  
Cynthia Meida de Almeida GODOY
Keyword(s):  
Fundamental Frequency ◽  
Vocal Tract ◽  
Control Group ◽  
Morbidly Obese ◽  
Obese Women ◽  
Obese People ◽  
Maximum Phonation Time ◽  
Significant Difference ◽  
The Voice ◽  
Voice Recording

Background : Obese people have abnormal deposition of fat in the vocal tract that can interfere with the acoustic voice. Aim : To relate the fundamental frequency, the maximum phonation time and voice complaints from a group of morbidly obese women. Methods : Observational, cross-sectional and descriptive study that included 44 morbidly obese women, mean age of 42.45 (±10.31) years old, observational group and 30 women without obesity, control group, with 33.79 (±4.51)years old. The voice recording was done in a quiet environment, on a laptop using the program ANAGRAF acoustic analysis of speech sounds. To extract the values of fundamental frequency the subjects were asked to produce vowel [a] at usual intensity for a period in average of three seconds. After the voice recording, participants were prompted to produce sustained vowel [ a] , [ i] and [ u] at usual intensity and height, using a stopwatch to measure the time that each participant could hold each vowel. Results : The majority, 31(70.5%), had vocal complaints, with a higher percentage for complaints of vocal fatigue 20(64.51%) and voice failures 19(61.29%) followed by dryness of the throat in 15 (48.38%) and effort to speak 13(41.93%). There was no statistically significant difference regarding the mean fundamental frequency of the voice in both groups, but there was significance between the two groups regarding maximum phonation. Conclusion : Increased adipose tissue in the vocal tract interfered in the vocal parameters.

scholarly journals The Impact of Walking Exercises and Resistance Training upon the Walking Distance in Patients with Chronic Lower Limb Ischaemia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Maria Szymczak ◽  
Grzegorz Oszkinis ◽  
Marian Majchrzycki
Keyword(s):  
Resistance Training ◽  
Intermittent Claudication ◽  
Rehabilitation Program ◽  
Lower Limbs ◽  
Walking Distance ◽  
Group Training ◽  
Limb Ischaemia ◽  
Walking Test ◽  
Resistance Exercises ◽  
The Impact

Objective. The objective of this paper is to compare the impact of supervised walking and resistance training upon the walking distance in PAD patients. Materials and Methods. The examination involved 50 PAD patients at the 2nd stage of the disease according to Fontaine’s scale. The participants were randomly allocated to two groups: one exercising on the treadmill (n=24) and one performing resistance exercises of lower limbs (n=26). Results. The 12-week program of supervised rehabilitation led to a significant increase in the intermittent claudication distance measured both on the treadmill and during the 6-minute walking test. The group training on the treadmill showed a statistically significant increase of the initial claudication distance (ICD) and the absolute claudication distance (ACD) measured on the treadmill, as well as of ICD and the total walking distance (TWD) measured during the 6-minute walking test. Within the group performing resistance exercises, a statistically significant improvement was observed in the case of parameters measured on the treadmill: ICD and ACD. Conclusions. The supervised rehabilitation program, in the form of both walking and resistance exercises, contributes to the increase in the intermittent claudication distance. The results obtained in both groups were similar.

scholarly journals EFFECTS OF A MULTICOMPONENT EXERCISE PROGRAM ON THE FUNCTIONAL FITNESS IN ELDERLY WOMEN

2018 ◽  
Vol 24 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Frank Shiguemitsu Suzuki ◽  
Alexandre Lopes Evangelista ◽  
Cauê Vazquez La Scala Teixeira ◽  
Marcos Rodolfo Ramos Paunksnis ◽  
Roberta Luksevicius Rica ◽  
...  
Keyword(s):  
Body Weight ◽  
Latin American ◽  
Elderly Women ◽  
Exercise Program ◽  
Lower Limbs ◽  
Functional Fitness ◽  
Trained Group ◽  
Level Of Evidence ◽  
Functional Autonomy ◽  
The Impact

ABSTRACT Introduction: Aging is inevitable and irreversible, but with the advancement of technology, life expectancy is increasing every year, bringing proposals for various interventions to improve the quality of life. One such intervention is physical exercise programs. Objectives: To investigate the impact of multicomponent training in circuits on functional autonomy parameters in elderly women. Methods: Elderly were recruited and distributed in two groups: trained (N = 16) and non-trained (N = 15). Those in the trained group performed 75-minute training sessions twice a week over a 56-week period. The resistance training included upper and lower limbs with a relative intensity of 70% of 1RM, exercises using body weight, stretching and specific tasks for agility, performed in a circuit form and totaling three passages. Participants underwent functional autonomy (FA) assessment by the protocol of the Latin American Developmental Group for Maturity, the 6-minute walk test (T6M), and the sit-and-reach (SR) test. Results: The trained group had a significant decrease in body weight (p=0.02) and body mass index (p=0.015). Significant improvements (p=0,009) were also observed in FA, SR, and T6M after the intervention Compared with the untrained group, the trained group also obtained significant differences in all functional parameters analyzed. Conclusion: A long-term multicomponent training program conducted on a circuit and applied twice a week was enough to improve multiple components of the functional autonomy of elderly women. Level of Evidence II; Prognostic studies - Investigating the effect of a patient characteristic on the outcome of disease.

scholarly journals Impact of Maternal Obesity and Mobile Phone Use on Fetal Cardiotocography Pattern

2018 ◽  
Vol 6 (10) ◽  
pp. 1813-1817 ◽  
Author(s):  
Zaheera Saadia
Keyword(s):  
Clinical Trial ◽  
Mobile Phone ◽  
Maternal Obesity ◽  
Well Being ◽  
Obese Group ◽  
Control Group ◽  
Cardiovascular Development ◽  
Obese Women ◽  
Mobile Phone Use ◽  
The Impact

BACKGROUND: The fetal heart rate (FHR) is a good marker of fetal well-being during labour. Cardiotocography is used to record the FHR and uterine contractions and can detect possible fetal hypoxia. Mobile phones use, and obesity is suggested to influence the FHR and cardiovascular development. AIM: The present study aimed to study the differences in FHR pattern between fetuses of obese vs non-obese groups when using a mobile phone. METHODS: We conducted a clinical trial to test the impact of mobile phone use on FHR using a single mobile phone with Specific Absorption Rate rating of 0.99 W/kg for 10 minutes. Data from this clinical trial were analysed to compare the FHR pattern between fetuses of obese women (exposed group) vs those of non-obese women (control group). The two study groups (obese vs non-obese) were compared regarding four FHR patterns: baseline FHR, variability, acceleration and deceleration scores. Data were analysed by SPSS software version 23.0 using the independent-samples t-tests. RESULTS: Sixty-nine women were included in the final analysis (obese group: n = 22 and non-obese group: n = 47). Fetuses of the obese women had significantly higher baseline FHR and less FHR variability scores when compared with fetuses of the non-obese women (mean difference 2.9 and 3.18, respectively). CONCLUSION: Fetuses of obese women had abnormal FHR pattern compared with fetuses of non-obese women. The use of mobile phone slightly influenced the FHR variability score. These results highlight the importance of proper management of obesity in women within the childbearing period.

scholarly journals The role of sexual orientation in the relationships between body perception, body weight dissatisfaction, physical comparison, and eating psychopathology in the cisgender population

2020 ◽  
Author(s):  
Paolo Meneguzzo ◽  
Enrico Collantoni ◽  
Elisa Bonello ◽  
Mariantonietta Vergine ◽  
Simone C. Behrens ◽  
...  
Keyword(s):  
Body Image ◽  
Body Weight ◽  
Sexual Orientation ◽  
Gay Men ◽  
Rating Scale ◽  
Physical Appearance ◽  
Well Being ◽  
Body Perception ◽  
Body Weight Dissatisfaction ◽  
The Impact

Abstract Purpose Body weight dissatisfaction (BWD) and visual body perception are specific aspects that can influence the own body image, and that can concur with the development or the maintenance of specific psychopathological dimensions of different psychiatric disorders. The sexual orientation is a fundamental but understudied aspect in this field, and, for this reason, the purpose of this study is to improve knowledge about the relationships among BWD, visual body size-perception, and sexual orientation. Methods A total of 1033 individuals participated in an online survey. Physical comparison, depression, and self-esteem was evaluated, as well as sexual orientation and the presence of an eating disorder. A Figure Rating Scale was used to assess different valences of body weight, and mediation analyses were performed to investigated specific relationships between psychological aspects. Results Bisexual women and gay men reported significantly higher BWD than other groups (p < 0.001); instead, higher body misperception was present in gay men (p = 0.001). Physical appearance comparison mediated the effect of sexual orientation in both BWD and perceptual distortion. No difference emerged between women with a history of eating disorders and without, as regards the value of body weight attributed to attractiveness, health, and presence on social media. Conclusion This study contributes to understanding the relationship between sexual orientations and body image representation and evaluation. Physical appearance comparisons should be considered as critical psychological factors that can improve and affect well-being. The impact on subjects with high levels of eating concerns is also discussed. Level of evidence Level III: case–control analytic study.

scholarly journals Relationship of adipokine to insulin sensitivity and glycemic regulation in obese women: The effect of body weight reduction by caloric restriction

2013 ◽  
Vol 70 (3) ◽  
pp. 284-291 ◽  
Author(s):  
Milena Velojic-Golubovic ◽  
Dragan Dimic ◽  
Slobodan Antic ◽  
Sasa Radenkovic ◽  
Boris Djindjic ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Insulin Sensitivity ◽  
Weight Reduction ◽  
Statistical Significance ◽  
Maximum Level ◽  
Serum Levels ◽  
Obese Women ◽  
Fasting Glycemia ◽  
Dietary Regime

Bacground/Aim. Visceral fat is highly active metabolic and endocrine tissue which secretes many adipokines that act both on local and systemic level. It is believed that adipokines and "low-grade inflammatory state" represent a potential link between obesity, metabolic syndrome, insulin resistance and cardiovascular disease. Leptin and adiponectin are considered to be the most important adipokines with the potential metabolic and cardiovascular effects. Body weight loss improves insulin sensitivity and decreases risk for most complications associated with obesity. The aim of this study was to determine the effects of moderate loss of body weight on the level of leptin and adiponectin, insulin sensitivity and abnormalities of glycoregulation in obese women, to determine whether and to what extent the secretory products of adipose tissue, leptin and adiponectin contribute to insulin sensitivity, as well as to assess their relationship and influence on glycemia and insulinemia during the period of losing body weight using a calorie restricted diet. Methods. The study involved 90 obese female subjects (BMI ?? 30 kg/m2) of different age with weight loss no less than 5% during a six-month period by application of restricted dietary regime. The calorie range was between 1,100-1,350 kcal. Serum levels of leptin and adiponectin, fasting glucose, fasting insulinemia, and Homeostasis Model Assessment of Insulin Resistance (HOMA-R) index were determined in all the subjects initially and after weight reduction. The presence of glycemic disorders was assessed on the basis of oral glucose tolerance test - OGTT. Results. Applying a 6-month restrictive dietary regime the subjects achieved an average weight loss of 8.73 ? 1.98 kg and 8.64 ? 1.96%, which led to the reduction of fasting glycemia, fasting insulinemia and HOMA-R index at the maximum level of statistical significance (p < 0.001). The achieved reduction led to a statistically significant decrease of leptin level and increase of adiponectin level (p < 0.001). The correction of the established pre-diabetic disorders of glycoregulation was not statistically significant. There was a statistically significant correlation between the anthropometric parameters, leptin, adiponectin, fasting glycemia, fasting insulinemia and HOMA-R index. There was a positive correlation between leptin, fasting insulinemia and HOMA-R, as well as a statistically significant negative correlation between adiponectin, fasting insulinemia and HOMA-R index (p < 0.01). Conclusion. Body weight increase and central fat accumulation lead to changes in serum levels of leptin and adiponectin, reduction of insulin sensitivity and development of glycemic dysregulation. Secretory products of adipose tissue, leptin and adiponectin contribute to the genesis of these disorders. The obtained results show that the effect of adiponectin on insulin sensitivity is more significant. The analysis of the effects of weight loss on the investigated parameters shows that moderate weight reduction by restrictive dietary regime lead to changes of investigated parameters at the maximum level of statistical significance. Such results emphasize the importance of weight reduction in obese persons, as well as the need for consistent implementation of restricted dietary regime in the process of treatment of obesity.

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