Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults

Villareal, Dennis T.; Chode, Suresh; Parimi, Nehu; Sinacore, David R.; Hilton, Tiffany N.; Armamento-Villareal, Reina; Napoli, Nicola; Qualls, Clifford; Shah, Krupa

doi:10.1097/ogx.0b013e3182352181

Cited by 9 publications

(9 citation statements)

References 32 publications

(51 reference statements)

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“…In this regard, our findings are relevant because multidisciplinary 3-week BWRP appears to positively affect lower limb functionality in tasks such as walking and in those requiring getting up and down from a chair, which are typically impaired in obese patients ( 47 – 49 ), thus contributing to improve their quality of life. PPT is useful in assessing functional capabilities as it mimics ADL ( 36 , 50 – 52 ). Previous studies showed that obese subjects had perceived difficulty in performing physical exercise and ADL ( 13 – 16 ).…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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BackgroundThe aim of the present study was to examine the short-term changes in body composition and physical capabilities in subjects with obesity during a multidisciplinary inpatient body weight reduction program (BWRP).MethodsOne hundred thirty-nine adolescents (56 boys and 83 girls; BMI: 37.1 ± 6.5 kg/m2; Fat Mass, FM: 45.3 ± 7.2%) and 71 adults (27 males and 44 females; BMI: 44 ± 4.7 kg/m2; FM: 51.4 ± 4.7%) followed a 3-week inpatient BWRP consisting of regular physical activity, moderate energy restriction, nutritional education and psychological counseling. Before (T0) and after the end of the BWRP (T21), body composition was assessed with an impedancemeter, lower limb muscle power with Margaria Stair Climbing Test (SCT), lower limb functionality with Short Physical Performance Battery (SPPB), and the capacity of performing activity of daily living (ADL) with Physical Performance Test (PPT).ResultsAt T21, obese adolescents showed a 4% reduction in body mass (BM) (p < 0.001), associated with a FM reduction in boys (−10%) and girls (−6%) (p < 0.001) and with a 3% reduction in fat-free mass (FFM) recorded only in boys (p = 0.013). Obese adults showed a 5% BM reduction (p < 0.001), associated with a 2% FFM and 9% FM reduction (p < 0.001) in males, and 7% FM reduction in females (p < 0.001). Regarding physical capabilities, at T21 in obese adolescents, PPT score increased by 4% (p < 0.001), SCT decreased by −5% (boys) and −7% (girls) (p < 0.001), while SPPB score did not change significantly. In obese adults at T21, PPT score increased by 9% (p < 0.001), SCT decreased by −16% (p < 0.001) only in females, and SPPB score increased by 7% (males) and 10% (females) (p < 0.01).ConclusionIn conclusion, moderate energy restriction and regular physical activity determine a 4-5% BM reduction during a 3-week inpatient BWRP, improve physical capabilities and induce beneficial changes in body composition in adolescents and adults with obesity.Trial registrationThis study was approved by the Ethical Committee of the Istituto Auxologico Italiano (Milan, Italy; research code: 01C124; acronym: PRORIPONATFIS). Registered 11 November 2020 - Retrospectively registered.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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“…Older adults are the age group least likely to achieve MVPA recommendations (National Center for Health Statistics, 2013), as well as the age group spending the most time, 9.4 hr per day, in sedentary behaviors (Harvey, Chastin, & Skelton, 2015;Matthews et al, 2008). MVPA interventions in older adults have improved incident and persistent major mobility disability (Pahor et al, 2014) and physical function (Chou, Hwang, & Wu, 2012;Villareal et al, 2011), but less is known about whether an intervention simply targeting reduced sedentary behavior in older adults is feasible or will yield such benefits. Two small studies in older adults have used a single individualized counseling session, including review of personal objective monitoring data by accelerometry, to reduce sedentary behavior measured immediately or about 1 week after the consultation (Fitzsimons et al, 2013;Gardiner, Eakin, Healy, & Owen, 2011).…”

Section: Introductionmentioning

confidence: 99%

Reducing Sedentary Behavior Versus Increasing Moderate-to-Vigorous Intensity Physical Activity in Older Adults

et al. 2016

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“…Boström et al, 175 Stolee et al, 176 Schreier et al, 177 Lustosa et al, 178 Kanda et al, 179 Barthalos et al, 180 Zech et al, 181 Henwood et al, 182 Langlois et al, 183 Ohtake et al, 184 Wu et al, 185 Makizako et al, 186 Foley et al, 187 Cesari et al, 188 Freiberger et al, 189 Clemson et al, 190 Grönstedt et al, 191 Villareal, 192 Pollock, 193 Tousignant, 194 Miller et al, 195 Danilovich et al, 196…”

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confidence: 99%

What long-term care interventions have been published between 2010 and 2020? Results of a WHO scoping review identifying long-term care interventions for older people around the world

Arias-Casais

Thiyagarajan

Perracini³

et al. 2022

BMJ Open

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ObjectiveThe global population is rapidly ageing. To tackle the increasing prevalence of older adults’ chronic conditions, loss of intrinsic capacity and functional ability, long-term care interventions are required. The study aim was to identify long-term care interventions reported in scientific literature from 2010 to 2020 and categorise them in relation to WHO’s public health framework of healthy ageing.DesignScoping review conducted on PubMed, CINHAL, Cochrane and Google Advanced targeting studies reporting on long-term care interventions for older and frail adults. An internal validated Excel matrix was used for charting.Setting nursing homes, assisted care homes, long-term care facilities, home, residential houses for the elderly and at the community.Inclusion criteriaStudies published in peer-reviewed journals between 1 January 2010 to 1 February 2020 on implemented interventions with outcome measures provided in the settings mentioned above for subjects older than 60 years old in English, Spanish, German, Portuguese or French.Results305 studies were included. Fifty clustered interventions were identified and organised into four WHO Healthy Ageing domains and 20 subdomains. All interventions delved from high-income settings; no interventions from low-resource settings were identified. The most frequently reported interventions were multimodal exercise (n=68 reports, person-centred assessment and care plan development (n=22), case management for continuum care (n=16), multicomponent interventions (n=15), psychoeducational interventions for caregivers (n=13) and interventions mitigating cognitive decline (n=13).ConclusionThe identified interventions are diverse overarching multiple settings and areas seeking to prevent, treat and improve loss of functional ability and intrinsic capacity. Interventions from low-resource settings were not identified.

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Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults

Cited by 9 publications

References 32 publications

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

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

Reducing Sedentary Behavior Versus Increasing Moderate-to-Vigorous Intensity Physical Activity in Older Adults

What long-term care interventions have been published between 2010 and 2020? Results of a WHO scoping review identifying long-term care interventions for older people around the world

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