Are People with Obesity Attracted to Multidisciplinary Telemedicine Approach for Weight Management?

Gilardini, Luisa; Cancello, Raffaella; Cavaggioni, Luca; Bruno, Amalia; Novelli, Margherita; Mambrini, Sara Paola; Castelnuovo, Gianluca; Bertoli, Simona

doi:10.3390/nu14081579

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…Second, the limited number of electronic databases considered during the searching process may have contributed to limit the discussion of the results. Third, studies utilizing telemedicine approaches were not considered in the present study, although this modality seems to be a new frontier gaining even more attention into research and clinical setting in obesity management [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

The usefulness of Integrative Neuromuscular Training to counteract obesity: a narrative review

Cavaggioni,

Gilardini,

Croci

et al. 2023

Int J Obes

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Background and objective The association between physical activity and diet has a valuable impact in weight status management to counteract obesity. In this context, within different training strategies (i.e., endurance, resistance training, concurrent training, agility training) the Integrative Neuromuscular Training (INT) represents a structured training mode focused on global human movement pattern development with the aim to enhance motor control, mobility and stability. In this narrative review we aimed to discuss the feasibility of INT interventions on physical fitness and body composition outcomes in individuals with obesity. Subjects Medline/PubMed, EMBASE, Web of Science, Google Scholar including were searched before 1st February 2023 without restrictions on publication year. Methods Two researchers extracted data from published trials. Randomized controlled trials or clinical trials, Body Mass Index of children and adolescents at the 95% percentile or greater, and for adults to be above 30 kg/m2, detailed intervention description, randomization process and allocation into an experimental or a control group, trials must have been written in English, were included. Results We included a total of 19 studies complying with the inclusion criteria for the review process. There is evidence that INT promotes positive adaptations in fitness levels in both younger and older participants with concomitant ameliorations during a shorter, medium and longer time period. Moreover, cardiorespiratory fitness, muscular strength, balance, postural control and body composition reached significant remarkable improvements following a specific intervention based on INT principles compared to other training mode. However, Body Mass Index, fat mass percentage and waist circumference showed similar changes overtime. Conclusions Taken together, these findings support the effectiveness of INT in ameliorating physical fitness (i.e., health-related and skill related components) without negative changes in body composition. Nevertheless, fitness coaches and therapists may consider this training modality a feasible option when prescribing physical exercise in outpatients with obesity.

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Section: Discussionmentioning

confidence: 99%

The usefulness of Integrative Neuromuscular Training to counteract obesity: a narrative review

Cavaggioni,

Gilardini,

Croci

et al. 2023

Int J Obes

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“…Finally, from a practical point of view, we could speculate that fitness coaches or therapists could benefit from designing their training programs using an external focus, not only with individuals with obesity in a gym-based setting, but also online in the context of telerehabilitation [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

A Pilot Study on Attentional Focus in Prescribing Physical Exercise in Outpatients with Obesity

et al. 2022

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This pilot study compared the effects of two attentional focus strategies on fitness parameters and body composition in outpatients with obesity. This was a randomized, controlled study that enrolled 94 obese individuals and allocated them into an internal focus group (IF) or an external focus group (EF) while performing six weeks of a home-based training program. The home-based exercise program was the same for both groups except for the instructions that shifted the attention to an external or an internal condition. At the beginning and after the intervention period, participants were assessed for functional performance using the Functional Movement Screen (FMS), body balance using the Modified Balance Error Scoring System (M-BESS) and muscular strength with the Handgrip Strength Test (HST) and the Five-Repetition Sit-To-Stand (FRSTS) test. Concerning body composition and anthropometric parameters, the body mass index (BMI) and fat mass percentage (FM%) were calculated. Significant improvements, main interactions and effects of time and groups were highlighted in the EF group as compared to the IF group in FMS (35% vs. 21%), M-BESS (42% vs. 18%), HST (13% vs. 7%) and FRSTS (23% vs. 12%) measures, while FM% (5%) and BMI (6% vs. 5%) showed a similar improvement overtime (p < 0.001). In conclusion, our findings provide initial evidence that a 6-week training program performed following external focus instruction is able to promote significant enhancements in movement efficiency, balance and muscular strength as compared to an internal focus cue. Fitness coaches and therapists might consider integrating a specific attentional focus strategy when designing rehabilitation programs in subjects with obesity.

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“…Therefore, for multi-strategy lifestyle interventions, the addition of knowledge about health and nutrition is necessary to avoid energy-compensatory behavior and achieve ideal weight loss. 43 Many studies have shown that health and/or nutrition education programs improve participants' health knowledge and behaviors, such as reduced consumption of sweets, soft drinks, high-fat products, and processed meats, increased lean meat and poultry intake, and increased amounts of physical activity, and modifications in eating habits and sedentary behavior further reduced body weight and cardiovascular risk. 44 These findings suggest that health education not only can increase health and nutrition knowledge about obesity but also can trigger beneficial behavioral changes, such as better eating patterns and more time for physical activity, which may further lead to weight loss.…”

Section: N Utriti On Life S T Yle Tre Atments For Ob E S E Patientmentioning

confidence: 99%

“…These adaptations are likely to lead to lower‐than‐expected weight loss or even weight relapse. Therefore, for multi‐strategy lifestyle interventions, the addition of knowledge about health and nutrition is necessary to avoid energy‐compensatory behavior and achieve ideal weight loss 43 . Many studies have shown that health and/or nutrition education programs improve participants' health knowledge and behaviors, such as reduced consumption of sweets, soft drinks, high‐fat products, and processed meats, increased lean meat and poultry intake, and increased amounts of physical activity, and modifications in eating habits and sedentary behavior further reduced body weight and cardiovascular risk 44 .…”

Section: Nutrition Lifestyle Treatments For Obese Patientmentioning

confidence: 99%

Obesity prevalence factors associated with sympathetic overactivity and hypertension

Shah,

Ali,

Shahid

et al. 2023

Neurology & Clinical Neurosc

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BackgroundObesity is the most significant worldwide public health problem and is integrally related to negative cardiovascular disease and hypertension results. The association between obesity and overweight elevated blood pressure is well known, and so it is calculated that 65%–78% of primary hypertension cases are accounted for by obesity.AimThis study aims to focus on whether obesity prevalence factors are associated with sympathetic overactivity and hypertension.MethodsThe pathways by which hypertension is induced by obesity are complicated and involve overactivation of the sympathetic nervous system (SNS), enhancement of the renin‐angiotensin‐aldosterone system (RAAS), modifications in cytokines produced from adipose, tolerance to insulin, and structural and functional renal changes.ResultsObesity induces the activation of mineralocorticoid receptors independently of aldosterone or angiotensin II (ANG II). The SNS activation mechanism in obesity has not been completely elucidated; however, leptin and activation of the melanocortin brain system may be needed. Obesity‐associated hypertension becomes much more challenging to handle with continuous obesity, and the progression of target organ injury, especially renal injury, multiple antihypertensive medications, and other medical conditions, such as dyslipidemia, insulin resistance, diabetes mellitus, and inflammation, are also needed.ConclusionThis review aimed to address the consequences of obesity and SNS function, risk factors, the impact of obesity, pharmacological treatment strategies for managing, and recommended exercise and diet.

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Are People with Obesity Attracted to Multidisciplinary Telemedicine Approach for Weight Management?

Cited by 6 publications

References 23 publications

The usefulness of Integrative Neuromuscular Training to counteract obesity: a narrative review

The usefulness of Integrative Neuromuscular Training to counteract obesity: a narrative review

A Pilot Study on Attentional Focus in Prescribing Physical Exercise in Outpatients with Obesity

Obesity prevalence factors associated with sympathetic overactivity and hypertension

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