Behavioral Weight Control for Obese Adolescents: Preliminary Findings and Future Considerations

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.

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.


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.


2004 ◽  
Vol 12 (2) ◽  
pp. 233-240 ◽  
Author(s):  
Stefano Lazzer ◽  
Yves Boirie ◽  
Christophe Montaurier ◽  
Jean Vernet ◽  
Martine Meyer ◽  
...  

2016 ◽  
Vol 41 (6) ◽  
pp. 649-658 ◽  
Author(s):  
Antonella LoMauro ◽  
Ambra Cesareo ◽  
Fiorenza Agosti ◽  
Gabriella Tringali ◽  
Desy Salvadego ◽  
...  

The objective of this study was to characterize static and dynamic thoraco-abdominal volumes in obese adolescents and to test the effects of a 3-week multidisciplinary body weight reduction program (MBWRP), entailing an energy-restricted diet, psychological and nutritional counseling, aerobic physical activity, and respiratory muscle endurance training (RMET), on these parameters. Total chest wall (VCW), pulmonary rib cage (VRC,p), abdominal rib cage (VRC,a), and abdominal (VAB) volumes were measured on 11 male adolescents (Tanner stage: 3–5; BMI standard deviation score: >2; age: 15.9 ± 1.3 years; percent body fat: 38.4%) during rest, inspiratory capacity (IC) maneuver, and incremental exercise on a cycle ergometer at baseline and after 3 weeks of MBWRP. At baseline, the progressive increase in tidal volume was achieved by an increase in end-inspiratory VCW (p < 0.05) due to increases in VRC,p and VRC,a with constant VAB. End-expiratory VCW decreased with late increasing VRC,p, dynamically hyperinflating VRC,a (p < 0.05), and progressively decreasing VAB (p < 0.05). After MBWRP, weight loss was concentrated in the abdomen and total IC decreased. During exercise, abdominal rib cage hyperinflation was delayed and associated with 15% increased performance and reduced dyspnea at high workloads (p < 0.05) without ventilatory and metabolic changes. We conclude that otherwise healthy obese adolescents adopt a thoraco-abdominal operational pattern characterized by abdominal rib cage hyperinflation as a form of lung recruitment during incremental cycle exercise. Additionally, a short period of MBWRP including RMET is associated with improved exercise performance, lung and chest wall volume recruitment, unloading of respiratory muscles, and reduced dyspnea.


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