Losing Weight after Menopause with Minimal Aerobic Training and Mediterranean Diet

Lombardo, Mauro; Perrone, Marco Alfonso; Guseva, Elena; Aulisa, Giovanni; Padua, Elvira; Bellia, Chiara; Della-Morte, David; Iellamo, Ferdinando; Caprio, Massimiliano; Bellia, Alfonso

doi:10.3390/nu12082471

Cited by 12 publications

(9 citation statements)

References 41 publications

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“…As such, our results provide preliminary evidence highlighting the potential benefits of a MedDiet as a dietary strategy to facilitate and promote reductions in adiposity in older adults with diabetes. Furthermore, there is previous evidence to support that adherence to a MedDiet has a myoprotective effect [53], which may attenuate the loss of lean body mass during weight management [54], making it a suitable alternative for older adults vulnerable to adverse changes in body composition and functional decline secondary to energy-restricted weight loss diets.…”

Section: Discussionmentioning

confidence: 99%

Association of Adherence to a Mediterranean Diet with Excess Body Mass, Muscle Strength and Physical Performance in Overweight or Obese Adults with or without Type 2 Diabetes: Two Cross-Sectional Studies

Buchanan

Villani

2021

Healthcare

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Overweight and obesity in older adults is associated with disability and is exacerbated by the presence of type 2 diabetes (T2DM). There is emerging evidence that adherence to a Mediterranean diet (MedDiet) reduces adiposity and attenuates physical disability. These cross-sectional studies explored the associations of adherence to a MedDiet with body mass index (BMI), adiposity, muscle strength, and physical performance in older adults without diabetes and in middle-aged or older adults with T2DM. MedDiet adherence was assessed using the Mediterranean Diet Adherence Screener. Fat mass and percent body fat were assessed by dual energy X-ray absorptiometry. Muscle strength was assessed using hand-grip strength, while physical performance was assessed using the Short Physical Performance Battery and gait speed. A total of n = 87 participants with T2DM (T2DM sample: 71.2 ± 8.2 years, BMI: 29.5 ± 5.9) and n = 65 participants without diabetes (non-T2DM sample: 68.7 ± 5.6 years, BMI: 33.7 ± 4.9) were included in these analyses. In the T2DM sample, when controlled for age, gender, and appendicular lean mass index, adherence to a MedDiet was inversely associated with BMI, fat mass, and percent body fat. However, this was no longer maintained in the fully adjusted models. Although, adherence to a MedDiet was positively associated with gait speed (β = 0.155; p = 0.050) independent of all covariates used. Adherence to a MedDiet may be a suitable dietary strategy for preserving lower body physical function in middle-aged and older adults with T2DM. However, these findings should be further investigated using well-designed randomised controlled trials and prospective cohort studies with a wider range of adherence scores to investigate temporal associations.

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Section: Discussionmentioning

confidence: 99%

Association of Adherence to a Mediterranean Diet with Excess Body Mass, Muscle Strength and Physical Performance in Overweight or Obese Adults with or without Type 2 Diabetes: Two Cross-Sectional Studies

Buchanan

Villani

2021

Healthcare

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“…Since the change in caloric content and composition of the diet can significantly affect the change in body composition [47] and in the level of irisin [48,49], the volunteers were asked not to change their diet and to record the composition of the meals consumed on a daily basis. The portion size was determined based on a photo album of products and dishes [50].…”

Section: Assessment Of Nutritional Behaviourmentioning

confidence: 99%

Whole-Body Cryotherapy Is an Effective Method of Reducing Abdominal Obesity in Menopausal Women with Metabolic Syndrome

Więcek

Szymura

Sproull

et al. 2020

JCM

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Abdominal obesity predominates in menopausal women (MW) and contributes to the development of metabolic syndrome (MetS). It is associated with increased mortality related to cardiovascular disease, diabetes and fatty liver disease. The effects of whole-body cryotherapy (WBC) on body composition and the blood concentration of irisin, interleukin-6 (IL-6) and C-reactive proteins (CRP) in MW with MetS and in healthy women (HW), were assessed. The study included 19 women with MetS (61.53 ± 3.99 y, BMI 30.09 ± 4.98 kg/m2) and 18 HW (60.28 ± 3.63 y, BMI 25.50 ± 2.37 kg/m2) who were subjected to 20 WBC treatments at −130 °C for 3 min daily. In both groups, body mass (BM), BMI, abdominal circumference, triceps skinfold, total fat mass and percentage of leg fat significantly decreased after 20 WBC sessions. Additionally, the percentage of total, trunk and android fat in the MetS group were significantly decreased after 20 WBC applications. Waist circumference (WC) and waist-to-height ratio (WHtR) significantly decreased in both groups, and in the HW group, hip circumference and abdominal skinfold also significantly decreased after 10 WBC and 20 WBC treatments. In both groups, the concentration of plasma irisin significantly increased after 1 WBC and 10 WBC exposures, while the concentration of IL-6 significantly increased only in MetS group after 10 WBC and 20 WBC, and were significantly higher than in HW. CRP concentrations were significantly higher in the MetS group than in HW before 1 WBC, after 1 WBC and 10 WBC sessions, but not after 20. In the MetS group, there were significant negative correlations between the change in irisin level and the changes in WC and BM, and between the level of irisin and the change in percentage of total fat, and significant negative correlations between the change in IL-6 level and changes in WC, waist-to-hip ratio and WHtR. Whole-body cryotherapy, assuming the application of 20 treatments in the series, reduces abdominal obesity in menopausal women indirectly through the secretion of irisin and IL-6, and can be used as adjunctive therapy in the treatment of metabolic syndrome. Our conclusion is limited to menopausal women with low–moderate physical activity for whom its level as well as diet were not changed during the treatment.

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“…The second most common symptom for both symptom 1 and 2 was energy, and other presenting symptoms included weight loss, mood and 'exercise performance'. It is difficult to compare these results with other NT practice, however there is a plethora of evidence to support personalized nutritional strategies for weight loss [51,52], increasing energy, and enhancing sports and exercise performance [53]. Of the clients who responded, 42.5% had symptom 1 for more than five years.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Effectiveness of Nutritional Therapy in the McClelland Teaching Clinic at the University of Worcester

Harris¹

2021

OJCAM

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Introduction:NT is an evidence-based complementary therapy, which applies nutrition and lifestyle science to underlying pathophysiology, resulting in personalized health improvement advice. Efficacy depends on establishing a quality relationship between therapist and client. The aim of the pilot study was to measure the effectiveness of NT at the UoW teaching clinic using the Working Alliance Inventory-Short Revised (WAI-SR) and a symptom-specific outcome measure, Measure Yourself Medical Outcome Profile 2 (MYMOP2). Methods:The interventional, before-and-after, within group pilot study used MYMOP2 to evaluate client symptoms, activity and wellbeing, and WAI-SR to evaluate therapist and client working relationship. Fifty-five clients and 22 students participated. Measures were taken at initial and follow-up consultation. Twenty completed measures were statistically analyzed using non-parametric tests.Results: Clients presented with a range of symptoms, particularly digestive issues (27.3%) and low energy (20%). A statistically significant improvement was seen in Symptom 1 p<.001, r=.82), p<.001, r=.74), Activity (z=-2.07, p<.001, r=.7), p<.05, r=.7) and p<.001, r=.5) with large effect sizes, and no significant improvement in Wellbeing. Strong, positive relationships were found between combined Symptom 1 and Activity, and Wellbeing at initial (r=.5, n=20, p<.05) and follow-up (r=.6, n=20, p<.05). A strong therapist and client working alliance was evident at initial and follow-up consultation. Conclusion:Preliminary results suggest NT practice is effective in reducing client symptoms and improving health and activity. This may be facilitated by a strong therapist and client working alliance. Further larger-scaled research would support findings with more robust analysis.

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Losing Weight after Menopause with Minimal Aerobic Training and Mediterranean Diet

Cited by 12 publications

References 41 publications

Association of Adherence to a Mediterranean Diet with Excess Body Mass, Muscle Strength and Physical Performance in Overweight or Obese Adults with or without Type 2 Diabetes: Two Cross-Sectional Studies

Association of Adherence to a Mediterranean Diet with Excess Body Mass, Muscle Strength and Physical Performance in Overweight or Obese Adults with or without Type 2 Diabetes: Two Cross-Sectional Studies

Whole-Body Cryotherapy Is an Effective Method of Reducing Abdominal Obesity in Menopausal Women with Metabolic Syndrome

Evaluating the Effectiveness of Nutritional Therapy in the McClelland Teaching Clinic at the University of Worcester

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