Effects of an Intensive Inpatient Rehabilitation Program in Elderly Patients with Obesity

Autor: 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. Letizia Petroni, Luca Busetto
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Obesity Facts, Vol 12, Iss 2, Pp 199-210 (2019)
Druh dokumentu: article
ISSN: 1662-4025
1662-4033
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: Directory of Open Access Journals
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