Interdisciplinary rehabilitation in morbidly obese subjects: an observational pilot study

Abstract

This hospital-based CR provides indication for effectiveness in advanced morbidly obese subjects and warrants further controlled trials to confirm the results.

Effects of Lifestyle Interventions That Include a Physical Activity Component in Class II and III Obese Individuals: A Systematic Review and Meta-Analysis

“…Four studies (7%) were composed of ≤ 50% of women [ 33 , 59 – 61 ] and all others had a majority of women (76%; n = 42)(missing data 4%, n = 2 [ 34 , 35 ]). In addition, 8 studies (15%) included only class II and III obese individuals with specific comorbidities (i.e, obstructive sleep apnea [ 59 ], sleep-disturbance related symptoms and disabilities [ 62 ], low back pain [ 63 ], type 2 diabetes [ 64 ], prehypertension/hypertension [ 65 – 67 ], or advanced systolic heart failure [ 32 ]).…”

“…A maintenance phase was part of the intervention among 6 studies (11%) [ 37 , 38 , 53 , 63 , 68 , 69 ], ranging from 4 to 60 months after the end of the weight loss phase. An observational follow-up lasting between 4 to 18 months was proposed in only 4 studies (7%) [ 33 , 54 , 62 , 70 ]. The majority of studies (n = 32; 58%) had a high-frequency of contact, 13 (24%) a moderate [ 34 , 50 , 58 , 65 , 66 , 71 – 78 ], one (2%) low [ 59 ], not reported in 9 (16%) [ 32 , 33 , 35 , 39 , 51 , 53 , 70 , 79 , 80 ].…”

“…The first study showed that a 2-year weight loss program improved significantly 3 dimensions of quality of life: physical function (+12.8%), body pain (+7.2%), and general health scores (+11.6%) as measured with the Short Form-36 Health Survey in 30 class II and III obese individuals with obstructive sleep apnea [ 59 ]. The second study reported significant improvements after 1-month of interdisciplinary rehabilitation program in several important quality of life aspects like: sleep, dietary behavior, resistance to fatigue, mobility, activity, mood, emotions, participation, and self-control (Sat-P questionnaire) among 59 class II and III obese participants with sleep-disturbance related symptoms and disabilities [ 62 ].…”

“…Nevertheless, 33.6% of subjects continued to lose weight by more than two BMI-points, 29.1% regained weight by more than two BMI-points and 37.3% maintained stable weight [ 70 ]. The second study also found an overall weight loss maintenance after the 6-month follow-up period, with 46% of subjects reducing body weight (1 to 5%), 51% regaining and 3% maintaining weight loss (< 1% change) [ 62 ].…”

“…Quality of life improvement observed during the first month of interdisciplinary rehabilitation turned down to baseline at 6 months of follow-up. However, the item scores dealing with sleep efficiency, problem solving and social interactions were still maintained at the end of the follow-up period [ 62 ].…”