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Home-centred physical fitness programme in morbidly obese individuals: a randomized controlled trial.
Clin Rehabil. 2008 Oct-Nov; 22(10-11):940-50.CR

Abstract

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.

Authors+Show Affiliations

Ospedale Villa Pineta and University of Modena, Department of Pulmonary Rehabilitation, Pavullo MO, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18955426

Citation

Tumiati, Riccardo, et al. "Home-centred Physical Fitness Programme in Morbidly Obese Individuals: a Randomized Controlled Trial." Clinical Rehabilitation, vol. 22, no. 10-11, 2008, pp. 940-50.
Tumiati R, Mazzoni G, Crisafulli E, et al. Home-centred physical fitness programme in morbidly obese individuals: a randomized controlled trial. Clin Rehabil. 2008;22(10-11):940-50.
Tumiati, R., Mazzoni, G., Crisafulli, E., Serri, B., Beneventi, C., Lorenzi, C. M., Grazzi, G., Prato, F., Conconi, F., Fabbri, L. M., & Clini, E. M. (2008). Home-centred physical fitness programme in morbidly obese individuals: a randomized controlled trial. Clinical Rehabilitation, 22(10-11), 940-50. https://doi.org/10.1177/0269215508092788
Tumiati R, et al. Home-centred Physical Fitness Programme in Morbidly Obese Individuals: a Randomized Controlled Trial. Clin Rehabil. 2008 Oct-Nov;22(10-11):940-50. PubMed PMID: 18955426.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Home-centred physical fitness programme in morbidly obese individuals: a randomized controlled trial. AU - Tumiati,Riccardo, AU - Mazzoni,Gianni, AU - Crisafulli,Ernesto, AU - Serri,Barbara, AU - Beneventi,Claudio, AU - Lorenzi,Cristina M, AU - Grazzi,Giovanni, AU - Prato,Francesco, AU - Conconi,Francesco, AU - Fabbri,Leonardo M, AU - Clini,Enrico M, PY - 2008/10/29/pubmed PY - 2009/2/12/medline PY - 2008/10/29/entrez SP - 940 EP - 50 JF - Clinical rehabilitation JO - Clin Rehabil VL - 22 IS - 10-11 N2 - 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. SN - 0269-2155 UR - https://www.unboundmedicine.com/medline/citation/18955426/Home_centred_physical_fitness_programme_in_morbidly_obese_individuals:_a_randomized_controlled_trial_ L2 - http://journals.sagepub.com/doi/full/10.1177/0269215508092788?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -