Document Detail

Home-centred physical fitness programme in morbidly obese individuals: a randomized controlled trial.
MedLine Citation:
PMID:  18955426     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the effectiveness of domiciliary physical fitness programmes in obese individuals. DESIGN: Nine-month randomized controlled trial. SETTING: Home-based intervention with outpatient visits. SUBJECTS: Morbidly obese subjects (body mass index (BMI) > or = 30) aged 25-65 years suitable for physical activities at home. INTERVENTION: At the end of a preliminary one-month in-hospital rehabilitation programme (baseline), 52 patients were randomly assigned either to a structured educational programme (intervention group) of daily incremental physical activity at home (walking and skeletal muscle resistance training, with booklets and written instructions) or to a programme of general advice (control group) regarding exercise and long-term fitness. MAIN MEASURES: Both groups were evaluated at baseline and every three months for: (1) time, metabolic equivalents (METs), and heart rate reserve (HRR) during a standardized 2-km walking test (2kmWT); (2) anthropometric measures (body weight, BMI, abdominal and neck circumference); (3) the Polar Fitness Test index (PFTI), and (4) time to exhaustion while sustaining consecutive isoload extensions in the dominant leg (isoload LE). Time during 2kmWT was the study primary outcome. RESULTS: Body weight, BMI and abdominal circumference improved significantly (P < 0.05) over time in the intervention group. The cardiopulmonary fitness variables changed significantly (P < 0.05) over time in both study groups. However, all variables improved in the intervention patients, while some worsened or remained stable in the controls. Thus, the mean group difference in changes was significant (P < 0.05) for 2kmWT time (-77.4 seconds), HRR (11.7%), and PFTI (5.4 points). CONCLUSION: This structured domiciliary fitness programme is feasible and provides sustained anthropometric and physiological benefits in some morbidly obese individuals.
Riccardo Tumiati; Gianni Mazzoni; Ernesto Crisafulli; Barbara Serri; Claudio Beneventi; Cristina M Lorenzi; Giovanni Grazzi; Francesco Prato; Francesco Conconi; Leonardo M Fabbri; Enrico M Clini
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical rehabilitation     Volume:  22     ISSN:  0269-2155     ISO Abbreviation:  Clin Rehabil     Publication Date:    2008 Oct-Nov
Date Detail:
Created Date:  2008-10-28     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  940-50     Citation Subset:  IM    
Ospedale Villa Pineta and University of Modena, Department of Pulmonary Rehabilitation, Pavullo MO, Italy.
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MeSH Terms
Analysis of Variance
Body Mass Index
Confidence Intervals
Exercise Therapy / methods*
Metabolic Equivalent / physiology*
Middle Aged
Muscle Strength
Obesity, Morbid / therapy*
Patient Compliance
Patient Education as Topic*
Physical Fitness / physiology*
Resistance Training
Self Care / standards*
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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