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Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults.

Publication ,  Journal Article
Errickson, SP; Kolotkin, RL; Skidmore, MS; Endress, G; Østbye, T; Crosby, R; Eisenson, H
Published in: Physiother Res Int
June 2016

BACKGROUND AND PURPOSE: Obese adults are at an increased risk for mobility-related problems. National guidelines recommend calorie restrictions and exercise for obese adults as a means to improve functional fitness capacity and to increase mobility. Yet, lifestyle weight loss interventions often fail to measure fitness changes. The aim of this study was to assess whether a 1-month, intensive behavioural change, diet and fitness intervention for overweight and obese adults would result in statistically significant and clinically meaningful changes in functional exercise. METHODS: A pre-post test design was used in this study. Seventy-two participants (40 women, 32 men; mean baseline body mass index (BMI) = 42.6 + 9.0; mean age = 45.8 + 16.8) completed a modified 6-minute walk test (6MWT), performed on a treadmill, at baseline and at end of treatment. RESULTS: Significant improvements included decreased BMI (2.7 + 1.7 kg m(-2) , p < 0.001) and increased 6MWT distance (66.4 + 73.0 m, p < 0.001). The 6MWT improved by 66 m on average, a reported clinically meaningful difference. Greater improvements in the 6MWT were significantly correlated with greater weight loss and BMI reduction. DISCUSSION: Our findings suggest that rehabilitation beyond weight loss may be derived from participation in a brief, intensive behavioural change, diet and fitness programme. Physiotherapists are in a prime position to address the physical and motivational challenges participants face while living with severe obesity: targeting functional exercise capacity is one key strategy for addressing immobility associated with obesity. Copyright © 2015 John Wiley & Sons, Ltd.

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Published In

Physiother Res Int

DOI

EISSN

1471-2865

Publication Date

June 2016

Volume

21

Issue

2

Start / End Page

84 / 90

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Rehabilitation
  • Quality of Life
  • Prospective Studies
  • Physical Fitness
  • Overweight
  • Obesity
  • Middle Aged
  • Male
 

Citation

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Errickson, S. P., Kolotkin, R. L., Skidmore, M. S., Endress, G., Østbye, T., Crosby, R., & Eisenson, H. (2016). Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults. Physiother Res Int, 21(2), 84–90. https://doi.org/10.1002/pri.1623
Errickson, Sadye Paez, Ronette L. Kolotkin, Megan Simmons Skidmore, Gerald Endress, Truls Østbye, Ross Crosby, and Howard Eisenson. “Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults.Physiother Res Int 21, no. 2 (June 2016): 84–90. https://doi.org/10.1002/pri.1623.
Errickson SP, Kolotkin RL, Skidmore MS, Endress G, Østbye T, Crosby R, et al. Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults. Physiother Res Int. 2016 Jun;21(2):84–90.
Errickson, Sadye Paez, et al. “Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults.Physiother Res Int, vol. 21, no. 2, June 2016, pp. 84–90. Pubmed, doi:10.1002/pri.1623.
Errickson SP, Kolotkin RL, Skidmore MS, Endress G, Østbye T, Crosby R, Eisenson H. Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults. Physiother Res Int. 2016 Jun;21(2):84–90.
Journal cover image

Published In

Physiother Res Int

DOI

EISSN

1471-2865

Publication Date

June 2016

Volume

21

Issue

2

Start / End Page

84 / 90

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Rehabilitation
  • Quality of Life
  • Prospective Studies
  • Physical Fitness
  • Overweight
  • Obesity
  • Middle Aged
  • Male