1. A Community-Based Feasibility Study of Weight-Loss in Rural, Older Adults with Obesity.
- Author
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Batsis, John A., Petersen, Curtis L., Cook, Summer B., Al-Nimr, Rima I., Pidgeon, Dawna, Mackenzie, Todd A., and Bartels, Stephen J.
- Subjects
AEROBIC exercises ,CHI-squared test ,CLINICAL trials ,COMMUNITY health services ,DIAGNOSIS ,DIET in disease ,DIET therapy ,EXERCISE tests ,GAIT in humans ,GRIP strength ,MEDICAL records ,MUSCLE contraction ,NONPARAMETRIC statistics ,OBESITY ,HEALTH outcome assessment ,QUESTIONNAIRES ,RESEARCH funding ,RURAL conditions ,SCALE analysis (Psychology) ,T-test (Statistics) ,MATHEMATICAL variables ,WEIGHT loss ,PILOT projects ,ACTIVITIES of daily living ,STATISTICAL significance ,BODY mass index ,WAIST-hip ratio ,DATA analysis software ,WAIST circumference ,DESCRIPTIVE statistics ,ACQUISITION of data methodology - Abstract
This study was a 12-week feasibility weight-loss intervention consisting of caloric restriction and aerobic/resistance exercise in older adults with obesity (body mass index ≥ 30 kg/m
2 ) in a geographically isolated area. Primary outcomes assessed weight and physical function. Mean age was 71.0 ± 5.1 years (67% female). Individuals completed 100% of all assessments, attended 88% of the physical therapy classes and 89% of the nutrition sessions. Level of satisfaction (5-point Likert) was high (5.0, 1 – low; 5 – high). Weight decreased from 93.7 ± 9.7 to 89.4 ± 4.0 kg (p < 0.001). Mean BMI and waist circumference decreased, respectively, from 35.4 ± 3.4 to 33.6 ± 3.7 (p < 0.001), and 116.3 ± 7.5 to 108.7 ± 9.2 cm (p = 0.002). Grip strength, gait speed, and 5-times sit-to-stand time all improved from 29.2 ± 7.5 to 35.2 ± 6.7 kg (p = 0.006), 1.16 ± 0.21 to 1.35 ± 0.23 m/s (p = 0.004), and 12.5 ± 4.0 to 9.6 ± 1.7s (p = 0.02). The intervention was feasible and acceptable, and holds promise in promoting weight loss with a concomitant improvement in physical function in older adults. [ABSTRACT FROM AUTHOR]- Published
- 2020
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