Effects of a 3-Week Inpatient Multidisciplinary Body Weight Reduction Program on Body Composition and Physical Capabilities in Adolescents and Adults With Obesity

Lazzer, Stefano; D'Alleva, Mattia; Vaccari, Filippo; Tringali, Gabriella; Micheli, Roberta De; Sartório, Alessandro

doi:10.3389/fnut.2022.840018

Cited by 4 publications

(4 citation statements)

References 57 publications

(62 reference statements)

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“…Our study offers an understanding of the interplay between diet, physical activity, and changes in BC, specifically the Δ% FM-to-FFM ratio. Although existing literature underscores the significance of diet and physical activity in BC management [ 16 , 17 , 18 ], our findings challenge these conventional perspectives. Our analysis demonstrates the effectiveness of the prescribed interventions in altering BC, as evidenced by the changes in the Δ% FM-to-FFM ratio from T0 to T1.…”

Section: Discussioncontrasting

confidence: 58%

The Impact of Diet and Physical Activity on Fat-to-Lean Mass Ratio

Padua,

Caprio,

Feraco

et al. 2023

Nutrients

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In this retrospective study, we evaluated the efficacy of a personalised low-calorie Mediterranean Diet (MD) in promoting fat mass (FM) reduction while preserving fat-free mass (FFM). This study involved 100 Caucasian adults aged 18–65 years who followed a tailored low-calorie MD for two months. The total energy expenditure was assessed using a multi-sensor armband. The change in body composition (BC) was evaluated using the Δ% FM-to-FFM ratio, calculated as the difference in the FM to FFM ratio before and after the diet, divided by the ratio before the diet, and multiplied by 100. A negative value indicates a greater decrease in FM than FFM, while a positive value suggests a greater increase in FM than FFM. This study demonstrated a significant FM reduction, with an average decrease of 5% (p < 0.001). However, the relationship between caloric reduction and the Δ% FM-to-FFM ratio showed a weak negative correlation (r = −0.03, p > 0.05). This suggests that the calorie deficit had a minimal direct impact on the BC changes. Subjects over the age of 30 showed an increase in muscle mass, while younger subjects showed no significant changes. Moreover, a direct correlation was observed between the changes in MET (Metabolic Equivalent of Task) values and the Δ% FM-to-FFM ratio, indicating that improved average physical activity intensity positively influences BC. In the female subgroup, high protein intake, exercise intensity, and the duration of physical activity were positively correlated with an improvement in the Δ% FM-to-FFM ratio. However, for individuals with BMI 20–25 kg/m2, high fibre intake was surprisingly negatively correlated with the Δ% FM-to-FFM ratio. This study underscores the intricate interplay between calorie restriction, physical activity intensity, and BC changes. It also suggests that individual factors, including age, gender, and BMI, may influence the response to a low-calorie MD. However, further prospective studies with larger sample sizes are necessary to confirm and expand upon these findings.

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Section: Discussioncontrasting

confidence: 58%

The Impact of Diet and Physical Activity on Fat-to-Lean Mass Ratio

Padua,

Caprio,

Feraco

et al. 2023

Nutrients

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“…The improvement in jump performance, which is a proxy of leg strength, and the association found between jump elevation and BMI-SDS are in accordance with previous literature in this field. The studies by Lazzer et al showed similar improvements in lower limb power along with body weight and composition improvements even after short obesity treatment interventions [ 14 , 15 ]. The study by D’Hondt et al reported that the amount of weight loss achieved by children participating in a multidisciplinary residential treatment for overweight/obesity explained 26.9% of the variance in gross motor skills, including jumping performance [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…Carrying out everyday activities requires that children manage gross to fine motor coordination, and at the same time, motor skill competence represents a key determinant of PA engagement [ 4 , 11 , 12 , 13 ]. Therefore, the relationship between weight status and children’s motor skill competence is receiving increasing attention, given its possible role in the prevention and treatment of obesity [ 14 , 15 , 16 , 17 ]. The literature shows that children with obesity have poorer gross motor coordination performance than their healthy-weight peers, which highlights that weight status affects children’s motor competence levels [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Can a Multidisciplinary Weight Loss Treatment Improve Motor Performance in Children with Obesity? Results from an Observational Study

Gallé

Valerio

Muscariello³

et al. 2023

Healthcare

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In the last two decades, the relationship between weight status and children’s motor skill competence has been receiving increasing attention, given its possible role in the prevention and treatment of obesity. This study aimed to evaluate the effect of a multidisciplinary obesity treatment on motor performance in a sample of Italian children and adolescents. Visual and auditory reaction time (VRT and ART), vertical jump elevation (VJE) and power (VJP), body mass index (BMI) and BMI-standard deviation score (BMI-SDS), waist circumference (WC), body composition, dietary habits and physical activity (PA) levels were assessed at baseline and at 6- and 12-month follow-up. Significant improvements were observed in BMI-SDS and FFM, diet and PA levels. Adolescents showed significant improvements in VRT and ART. Jump elevation and power increased in both children and adolescent subgroups. Girls exhibited greater changes than boys in both VRT and ART and VJP but lower changes in VJE. VRT improvement was related to age (OR = 0.285, 95%CI 0.098–0.830, p = 0.021) and FFM (OR = 0.255, 95%CI 0.070–0.933, p = 0.039). An increase in VJE was associated with BMI-SDS (OR = 0.158, 95%CI 0.036–0.695, p = 0.015) and with PA level (OR = 19.102, 95%CI 4.442–82.142, p < 0.001); the increase in VJP was related with the increase in PA (OR = 5.564, 95%CI 1.812–17.081, p = 0.003). These findings suggest the possible effects of a multidisciplinary obesity treatment on children’s motor competence. Since the improvement in motor skills can increase children’s motivation and adherence to weight loss treatment in the long term, these aspects should be further investigated.

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“…After the 3-weeks SCT time decreased significantly solely in females. [114] Usubini et al used the SCT to assess maximum anaerobic power in obese patients before and after a 3-week multidisciplinary weight reduction program. The SCT protocol used, covered a total height of 1,99m.…”

Section: Follow-up After Cerebrovascular Accidentsmentioning

confidence: 99%

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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Effects of a 3-Week Inpatient Multidisciplinary Body Weight Reduction Program on Body Composition and Physical Capabilities in Adolescents and Adults With Obesity

Cited by 4 publications

References 57 publications

The Impact of Diet and Physical Activity on Fat-to-Lean Mass Ratio

The Impact of Diet and Physical Activity on Fat-to-Lean Mass Ratio

Can a Multidisciplinary Weight Loss Treatment Improve Motor Performance in Children with Obesity? Results from an Observational Study

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

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