1. Effects of an Intensive Inpatient Rehabilitation Program in Elderly Patients with Obesity
- Author
-
Luca Busetto, Simona Luciana Budui, Stefania Leoni, Erica Sartori, Michela Berteotti, Sabrina Salvetti, Micol Taddei, Federico Schena, Laura Franceschini, Fulvio Castiglioni, Federica Gilli, Spyros Skafidas, M Letizia Petroni, Francesca Giordano, Francesco Bigolin, and Simona Budui, Francesco Bigolin, Francesca Giordano, Stefania Leoni, Michela Berteotti, Erica Sartori, Laura Franceschini, Micol Taddei, Sabrina Salvetti, Fulvio Castiglioni, Federica Gilli, Spyros Skafidas, Federico Schena, M. L. Petroni, Luca Busetto more...
- Subjects
Male ,0301 basic medicine ,obesity ,Health (social science) ,Health Services for the Aged ,medicine.medical_treatment ,Hospitals, Rehabilitation ,Physical fitness ,physical activity ,Group psychotherapy ,0302 clinical medicine ,Quality of life ,Behavior Therapy ,lcsh:RC620-627 ,Aged, 80 and over ,Rehabilitation ,ageing ,multidimensional management ,nutrition ,rehabilitation ,Age Factors ,Middle Aged ,Obesity Management ,Obesity, Morbid ,lcsh:Nutritional diseases. Deficiency diseases ,Treatment Outcome ,Female ,lcsh:Nutrition. Foods and food supply ,Research Article ,Adult ,medicine.medical_specialty ,Waist ,lcsh:TX341-641 ,030209 endocrinology & metabolism ,03 medical and health sciences ,Physiology (medical) ,Internal medicine ,medicine ,Humans ,Exercise ,Aged ,Patient Care Team ,Inpatients ,030109 nutrition & dietetics ,business.industry ,Anthropometry ,medicine.disease ,Obesity ,Physical Fitness ,Quality of Life ,Interdisciplinary Communication ,business ,Inpatient rehabilitation ,Diet Therapy - Abstract
Objective: The aim of this study was to assess the short-term effectiveness of an intensive inpatient multidimensional rehabilitation program (MRP), including diet, exercise, and behavioral therapy, in elderly patients with severe obesity. Methods: Forty-four elderly patients (old; age 69.3 ± 3.5 years, BMI 41.9 ± 14.9) were analyzed against 215 younger patients (young; age 48.2 ± 18.5 years, BMI 43.9 ± 9.4), who were used as controls. All patients underwent MRP, based on group therapy guided by a multidisciplinary team (physicians, dietitians, exercise trainers, psychologists). We evaluated changes in anthropometry, cardiovascular risk factors, physical fitness, quality of life, and eating behavior. Results: After 3 weeks of MRP, we observed a reduction in body weight (old –3.8%, young –4.3%), BMI (old –3.9%, young –4.4%), waist circumference (old –3.4%, young –4.1%), total cholesterol (old –14.0%, young –15.0%), and fasting glucose (old –8.3%, young –8.1%), as well as improved performance in the Six-Minute-Walk Test (old +28.7%, young +15.3%), chair-stand test (old +24.8%, young +26.9%), and arm-curl test (old +15.2%, young +27.3%). Significant improvement was registered in all other analyzed domains. Conclusion: Our 3-week MRP provided significant clinical and functional improvement, which was similar between elderly and younger patients with severe obesity. In the long-term, this may be translated into better quality of life, through better management of obesity-associated morbidities and reduced frailty. more...
- Published
- 2019
- Full Text
- View/download PDF