A three-week in-hospital multidisciplinary body weight reduction program exerts beneficial effects on physical and mental health and fatiguability of elderly patients with obesity

Usubini, Anna Guerrini; Bottacchi, Michela; Bondesan, Adele; Caroli, Diana; Castelnuovo, Gianluca; Sartório, Alessandro

doi:10.3389/fnagi.2022.1054941

Cited by 4 publications

(3 citation statements)

References 41 publications

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“…One notable approach within this context is the utilization of stair-climbing power, as described earlier. This is for instance used by Storer et al and Harmer et al [21,115,118,170,172,185,195,197,215] It is an important beneficial information gain, as some trials which for example used the SCT to determine the cardiorespiratory fitness of their patients [174] could show a significantly correlation to VO2max in CPET, as it has been shown in studies before. [185] Considering this correlation, especially SCT power, defined as body weight x total vertical height divided by SCT time could be a crucial information regarding the CRF assessment with a simple SCT and vice versa a huge lack of information when not gathered while performing SCT.…”

Section: Discussionmentioning

confidence: 97%

Use of a Simple Stair-Climbing Test to Assess Cardiopulmonary Fitness in Clinical Practice. An Overview of the Published Liter-Ature Aiming for a Future Goal

Wander,

Mall,

Lentz

et al. 2024

Preprint

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(1) Background: Cardiorespiratory fitness (CRF) is a prognostic factor regarding long time morbidity and mortality. To assess CRF the well-known gold standard is cardiopulmonary exercise testing (CPET), which is a time consuming and expensive test. Therefore, alternative methods for routine evaluation of CRF are needed for the general population as well as for specific patient groups such as children and young adults with congenital heart disease. The Stair Climbing Test (SCT) is a simple and resource saving test reported in the current literature. This test is used in various settings to assess different health associated risk factors including cardiorespiratory fitness, muscular resilience, therapy effectiveness or pre- and postoperative morbidity and mortality.

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Section: Discussionmentioning

confidence: 97%

Use of a Simple Stair-Climbing Test to Assess Cardiopulmonary Fitness in Clinical Practice. An Overview of the Published Liter-Ature Aiming for a Future Goal

Wander,

Mall,

Lentz

et al. 2024

Preprint

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“…All patients were hospitalized for a first diagnostic period (3–4 days) immediately followed by a 3-week multidisciplinary integrated body weight reduction program, entailing an energy-restricted diet in combination with physical rehabilitation, psychological counseling and nutritional education ( 15 ). All variables analyzed in the present study were collected in the first three days of hospitalization (i.e.…”

Section: Methodsmentioning

confidence: 99%

Analysis of sarcopenic obesity prevalence and diagnostic agreement according to the 2022 ESPEN and EASO Consensus in hospitalized older adults with severe obesity

Danielewicz,

Marra,

Tringali

et al. 2024

Front. Endocrinol.

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BackgroundSarcopenic obesity (SO) is a clinical disorder characterized by increased adiposity and decreased muscle mass and function, commonly observed in older adults. However, most of the studies that investigated SO prevalence rates were not based on current standardized diagnostic methods. Thus, this study aims to estimate the prevalence rates of SO and their level of agreement using different instruments proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO) Consensus, in a sample of hospitalized older adults with severe obesity.MethodsA cross-sectional study with 90 older adults (≥ 60 years) with severe obesity (body mass index ≥ 35 kg/m/²) seeking an in-hospital multidisciplinary body weight reduction program. Skeletal muscle function was assessed using the five-repetition Sit-Stand test (5-SSt) and Handgrip Strength (HGS). Body composition was evaluated by high percentages of fat mass (FM), low appendicular lean mass (ALM/W), and skeletal muscle mass (SMM/W), adjusted to body weight. The stage of SO was assessed on the presence of at least one comorbidity and specific cut-offs were adopted for each step. All analyses were performed according to gender and age range.ResultsThe prevalence rates of SO in the total sample were 23.3%, 25.5%, 31.1%, and 40.0% considering altered values of 5-SSt+FM+ALM/W, HGS+FM+ALM/W, 5-SSt+FMSSM/W, and HGS+FM+SSM/W, respectively. Higher prevalence rates were observed among female and old elderly subgroups, regardless of the diagnostic combination. There were weak agreements between the muscle function tests (5-SSt versus HGS) using both muscle mass indexes in the total sample and all subgroups. Moderate agreements were observed between muscle mass indexes (SMM/W versus ALM/W) in the total sample, male and younger older adults (using 5-SSt), and strong agreements for men and younger older adults (using HGS).ConclusionThe discrepancies observed between the prevalence rates and their levels of agreement reinforce the need for new studies in similar populations aiming for better standardization of SO assessment.

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“…A retrospective study was performed on 764 Caucasian older adults with severe obesity (590 females and 174 males) hospitalized between January 2016 and January 2019 at the Division of Metabolic Diseases, Italian Institute for Auxology, IRCCS, Piancavallo (VB), Italy, for a 3-week multidisciplinary integrated body weight reduction program (BWRP). Briefly, the BWRP entailed an energy-restricted diet in combination with physical rehabilitation (moderate aerobic activity), psychological counseling, and nutritional education (25).…”

Section: Study Sample and Designmentioning

confidence: 99%

Prediction of resting energy expenditure in Italian older adults with severe obesity

Danielewicz,

Lazzer,

Marra

et al. 2023

Front. Endocrinol.

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BackgroundIn the last decade a large number of studies proposed and/or validated equations to estimate the Resting Energy Expenditure (REE) in adults and/or older adults, however, no equation currently available showed good accuracy for older adults with severe obesity. Thus, this study aimed to develop and validate new predictive equations for REE, based on data from the indirect calorimetry, in Italian older adults with severe obesity.MethodsA retrospective study was as conducted with 764 Caucasian older adults with severe obesity (age range: 60-74 years and BMI ≥ 35 kg/m/²). Four models were used to test the accuracy of anthropometry and body composition variables in multivariable prediction of REE. All models were derived by stepwise multiple regression analysis using a calibration group of 382 subjects [295 females and 87 males] and the equations were cross-validated in the remaining 382 subjects [295 females and 87 males] as validation group. The new prediction equations and the other published equations were tested using the Bland-Altman method. Prediction accuracy was defined as the percentage of subjects whose REE was predicted within ± 10% of measured REE.ResultsAll the equations analyzed predicted higher energy requirements for males than females, and most of them underestimated the energy requirement values of our sample. The highest accuracy values were observed in the new equations, with 62% in the anthropometric model and 63% in the body composition model.ConclusionAlthough the accuracy of our equations was slightly higher in comparison with the other taken into consideration, they cannot be considered completely satisfactory for predicting REE in Italians older adults with severe obesity. When predicting equations cannot guarantee precise or acceptable values of REE, the use of indirect calorimetry (if available) should be always recommended, especially in clinical practice.

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A three-week in-hospital multidisciplinary body weight reduction program exerts beneficial effects on physical and mental health and fatiguability of elderly patients with obesity

Cited by 4 publications

References 41 publications

Use of a Simple Stair-Climbing Test to Assess Cardiopulmonary Fitness in Clinical Practice. An Overview of the Published Liter-Ature Aiming for a Future Goal

Use of a Simple Stair-Climbing Test to Assess Cardiopulmonary Fitness in Clinical Practice. An Overview of the Published Liter-Ature Aiming for a Future Goal

Analysis of sarcopenic obesity prevalence and diagnostic agreement according to the 2022 ESPEN and EASO Consensus in hospitalized older adults with severe obesity

Prediction of resting energy expenditure in Italian older adults with severe obesity

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