scholarly journals Effects of a 3-Week Inpatient Multidisciplinary Body Weight Reduction Program on Body Composition and Physical Capabilities in Adolescents and Adults with Obesity.

2021 ◽  
Author(s):  
Stefano Lazzer ◽  
Mattia D'Alleva ◽  
Filippo Vaccari ◽  
Gabriella Tringali ◽  
Roberta De Micheli ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Lower Limb ◽  
Energy Restriction ◽  
Obese Adults ◽  
Weight Reduction Program ◽  
Body Weight Reduction ◽  
Reduction Program ◽  
Adolescents And Adults ◽  
Moderate Energy

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.

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

2021 ◽  
Author(s):  
Mattia D'Alleva ◽  
Federica Gonnelli ◽  
Filippo Vaccari ◽  
Yves Boirie ◽  
Christophe Montaurier ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Reduction ◽  
Energy Cost ◽  
Exercise Tolerance ◽  
Energy Restriction ◽  
Obese Adolescents ◽  
Weight Reduction Program ◽  
Reduction Program ◽  
Moderate Energy

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.

scholarly journals The Relationship between Body Composition, Dietary Intake, Physical Activity, and Pulmonary Status in Adolescents and Adults with Cystic Fibrosis

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 310
Author(s):  
Kevin J. Scully ◽  
Laura T. Jay ◽  
Steven Freedman ◽  
Gregory S. Sawicki ◽  
Ahmet Uluer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cystic Fibrosis ◽  
Body Composition ◽  
Dietary Intake ◽  
Healthy Volunteers ◽  
Clinical Outcomes ◽  
Body Fat ◽  
Lean Mass ◽  
Cross Sectional ◽  
Adolescents And Adults

Measures of body fat and lean mass may better predict important clinical outcomes in patients with cystic fibrosis (CF) than body mass index (BMI). Little is known about how diet quality and exercise may impact body composition in these patients. Dual X-ray absorptiometry (DXA) body composition, 24-h dietary recall, and physical activity were assessed in a cross-sectional analysis of 38 adolescents and adults with CF and 19 age-, race-, and gender-matched healthy volunteers. Compared with the healthy volunteers, participants with CF had a lower appendicular lean mass index (ALMI), despite no observed difference in BMI, and their diets consisted of higher glycemic index foods with a greater proportion of calories from fat and a lower proportion of calories from protein. In participants with CF, pulmonary function positively correlated with measures of lean mass, particularly ALMI, and negatively correlated with multiple measures of body fat after controlling for age, gender, and BMI. Higher physical activity levels were associated with greater ALMI and lower body fat. In conclusion, body composition measures, particularly ALMI, may better predict key clinical outcomes in individuals with CF than BMI. Future longitudinal studies analyzing the effect of dietary intake and exercise on body composition and CF-specific clinical outcomes are needed.

scholarly journals Effects of a 3-Week In-Hospital Body Weight Reduction Program on Cardiovascular Risk Factors, Muscle Performance, and Fatigue: A Retrospective Study in a Population of Obese Adults with or without Metabolic Syndrome

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1495 ◽  
Author(s):  
Antonello E. Rigamonti ◽  
Sabrina Cicolini ◽  
Diana Caroli ◽  
Alessandra De Col ◽  
Massimo Scacchi ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Weight Loss ◽  
Body Weight ◽  
Weight Reduction ◽  
Hdl Cholesterol ◽  
Muscle Performance ◽  
Weight Reduction Program ◽  
Body Weight Reduction ◽  
Reduction Program ◽  
Obese Subjects

Background. In clinical practice, there is the diffuse conviction that obese subjects with metabolic syndrome may be more difficult to treat. Objectives and Methods. The aim of the present study was that to investigate the effectiveness of a 3-week in-hospital body weight reduction program (BWRP) in a large population of obese subjects with and without metabolic syndrome (n = 1922; 222 men and 1700 women, age range 18–83 yr). Outcomes such as body mass index (BMI), total (TOT) and HDL cholesterol, systolic and diastolic blood pressures (SBP and DBP, respectively), coronary heart disease (CHD) score, fatigue severity score (FSS), and stair climbing test (SCT) time were evaluated before and after the intervention (Δ). A sex-, BMI-, and age-related stratification of the obese population with or without metabolic syndrome was applied. Results. When compared to obese subjects without metabolic syndrome, at the basal conditions, obese subjects had a poorer cardiometabolic profile, as demonstrated by higher triglycerides, TOT-cholesterol, DBP, SBP, and CHD score, and a more compromised muscle performance (evaluated by SCT), associated with more perception of fatigue (measured by FSS). Nevertheless, obese subjects with metabolic syndrome obtained more benefits from BWRP than those without metabolic syndrome for some outcomes (i.e., ΔTOT-cholesterol, ΔSBP, and ΔCHD score). Despite these differences, the BWRP-induced weight loss was similar between the two groups (i.e., ΔBMI) as well as the gain of muscle performance (i.e., ΔSCT) and the reduction of fatigue (i.e., ΔFSS). Interestingly, the potentially deleterious fall in HDL-cholesterol levels after BWRP was less evident in obese subjects with metabolic syndrome than those without metabolic syndrome. When pooling all data, the ΔCHD score was associated with age, sex, and metabolic syndrome. The remaining outcomes, such as ΔBMI, ΔFSS, and ΔSCT time, were associated with sex and age but not with metabolic syndrome. Finally, ΔBMI was positively correlated with ΔCHD score, ΔFSS, and ΔSCT time in both obese subjects without metabolic syndrome and obese subjects with metabolic syndrome. Conclusions. When comparing obese subjects undergoing a BWRP, metabolic syndrome is not a negative predictive factor affecting the effectiveness of this intervention in terms of weight loss, muscle performance, and psychological well-being.

Erratum to: APJDM 2, 93-96 (2008)Body Weight Reduction Program for Metabolic Syndrome

2009 ◽  
Vol 3 (1) ◽  
pp. 32E-32E
Author(s):  
Mio Takimoto ◽  
Miwa Kibushi ◽  
Yumi Okoshi ◽  
Tohru Nakagawa ◽  
Masataka Irokawa ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Body Weight ◽  
Weight Reduction ◽  
Weight Reduction Program ◽  
Body Weight Reduction ◽  
Reduction Program

scholarly journals Metabolic and Body Composition Responses to a Moderate Energy Restriction, Abundant Protein Diet in Type 2 Diabetic Adults

2013 ◽  
Vol 37 ◽  
pp. S66
Author(s):  
Ayla Coussa ◽  
Errol B. Marliss ◽  
Stephanie Chevalier ◽  
Jose A. Morais ◽  
Marie Lamarche ◽  
...  
Keyword(s):  
Body Composition ◽  
Energy Restriction ◽  
Protein Diet ◽  
Abundant Protein ◽  
Moderate Energy ◽  
Type 2 Diabetic

scholarly journals Differences in the degree of nutrition and body composition of boys and girls of pubertal age

2021 ◽  
Vol 25 (1) ◽  
pp. 39-46
Author(s):  
Elvira Nikšić ◽  
Marko Joksimović ◽  
Edin Beganović ◽  
Novica Gardašević
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Body Weight ◽  
Extensive Review ◽  
Way Of Life ◽  
Obese Adults ◽  
Laboratory Procedures ◽  
Nutritional Status Of Children ◽  
Larger Sample ◽  
Inbody 720

Background and Study Aim. The nutritional status of children can be assessed on the basis of clinical examination, laboratory procedures and anthropometric measurements. Height and body weight are most often used to determine nutrition. Children and adolescents who are at risk of being overweight often also become obese adults. Material and Methods. The research was conducted on a sample of 136 students (67 boys and 69 girls), with an average age of 11.56 years. The aim of the study was to determine the degree and differences in the degree of nutrition and body composition in boys and girls of pubertal age. Results. Based on the obtained results, T-test for small independent samples, it was determined that there are no statistically significant differences between boys and girls, both in the degree of nutrition and body composition, estimated by 10 variables using bioelectric impedance InBody 720. Also, it was found that 19.70% of boys are obese, as well as 17.40% of girls. Cumulatively with the percentage of malnourished respondents, a total of 61.50% of boys were not normally fed, as were 37.70% of girls. The obtained results indicate the need for a more extensive review of the analysed segments and a significantly larger sample of respondents, in order to act preventively in the fight against obesity, as the leading epidemiological health problem of today. Conclusion. It is obvious that physical activity based on physical education classes is not sufficient or is not sufficiently represented to meet the challenges of the modern way of life of children.

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