Effects of an Intensive Inpatient Rehabilitation Program in Elderly Patients with Obesity
| Autor: | Luca Busetto, Simona Luciana Budui, Stefania Leoni, Erica Sartori, Michela Berteotti, Sabrina Salvetti, Micol Taddei, Federico Schena, Laura Franceschini, Fulvio Castiglioni, Federica Gilli, Spyros Skafidas, M Letizia Petroni, Francesca Giordano, Francesco Bigolin |
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| Přispěvatelé: | Simona Budui, Francesco Bigolin, Francesca Giordano, Stefania Leoni, Michela Berteotti, Erica Sartori, Laura Franceschini, Micol Taddei, Sabrina Salvetti, Fulvio Castiglioni, Federica Gilli, Spyros Skafidas, Federico Schena, M. L. Petroni, Luca Busetto |
| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine obesity Health (social science) Health Services for the Aged medicine.medical_treatment Hospitals Rehabilitation Physical fitness physical activity Group psychotherapy 0302 clinical medicine Quality of life Behavior Therapy lcsh:RC620-627 Aged 80 and over Rehabilitation ageing multidimensional management nutrition rehabilitation Age Factors Middle Aged Obesity Management Obesity Morbid lcsh:Nutritional diseases. Deficiency diseases Treatment Outcome Female lcsh:Nutrition. Foods and food supply Research Article Adult medicine.medical_specialty Waist lcsh:TX341-641 030209 endocrinology & metabolism 03 medical and health sciences Physiology (medical) Internal medicine medicine Humans Exercise Aged Patient Care Team Inpatients 030109 nutrition & dietetics business.industry Anthropometry medicine.disease Obesity Physical Fitness Quality of Life Interdisciplinary Communication business Inpatient rehabilitation Diet Therapy |
| Zdroj: | Obesity Facts, Vol 12, Iss 2, Pp 199-210 (2019) |
| ISSN: | 1662-4033 1662-4025 |
| DOI: | 10.1159/000497461 |
| Popis: | Objective: The aim of this study was to assess the short-term effectiveness of an intensive inpatient multidimensional rehabilitation program (MRP), including diet, exercise, and behavioral therapy, in elderly patients with severe obesity. Methods: Forty-four elderly patients (old; age 69.3 ± 3.5 years, BMI 41.9 ± 14.9) were analyzed against 215 younger patients (young; age 48.2 ± 18.5 years, BMI 43.9 ± 9.4), who were used as controls. All patients underwent MRP, based on group therapy guided by a multidisciplinary team (physicians, dietitians, exercise trainers, psychologists). We evaluated changes in anthropometry, cardiovascular risk factors, physical fitness, quality of life, and eating behavior. Results: After 3 weeks of MRP, we observed a reduction in body weight (old –3.8%, young –4.3%), BMI (old –3.9%, young –4.4%), waist circumference (old –3.4%, young –4.1%), total cholesterol (old –14.0%, young –15.0%), and fasting glucose (old –8.3%, young –8.1%), as well as improved performance in the Six-Minute-Walk Test (old +28.7%, young +15.3%), chair-stand test (old +24.8%, young +26.9%), and arm-curl test (old +15.2%, young +27.3%). Significant improvement was registered in all other analyzed domains. Conclusion: Our 3-week MRP provided significant clinical and functional improvement, which was similar between elderly and younger patients with severe obesity. In the long-term, this may be translated into better quality of life, through better management of obesity-associated morbidities and reduced frailty. |
| Databáze: | OpenAIRE |
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