Format

Send to

Choose Destination
See comment in PubMed Commons below
Eat Weight Disord. 2009 Mar;14(1):23-32.

Multidisciplinary approach to obesity.

Author information

1
Department of Medical Physiopathology (Food Science Laboratory), University of Rome La Sapienza, 00185 Rome, Italy. lorenzomaria.donini@uniroma1.it

Erratum in

  • Eat Weight Disord. 2009 Jun;14(2):e29. Donini, M L [corrected to Donini, L M].

Abstract

Obesity, associated with morbidity and mortality, is a complex disorder, characterised by an increase in fat mass (FM). Most authors agree in considering essential an integrated treatment made up of nutritional intervention, physical reconditioning programme and cognitive-behavioural psychotherapy. However, the feasibility is problematic and data in literature confirming the validity of this approach are poor.

AIM:

To verify the efficacy of a multidimensional approach (Nutritional Psycho-Physical Reconditioning - NPPR) in obesity treatment.

METHODS:

All patients admitted from June 2002 to June 2004 (464 subjects) ranged from 18 to 65 years old, with a body mass index (BMI) >30 kg/m2 were included in the programme. After the nutritional status evaluation a standard dietetic treatment (group N) or an integrated and multidisciplinary obesity treatment (group NPPR) was proposed.

RESULTS:

In group NPPR treatment duration was significantly higher (142.6+/-26 vs 48.6+/-55 days - p=0.000), while the drop-out amount was definitely lower (5.5 vs 54.4%; p=0.000). Weight loss compared to the initial weight and the difference between initial and final FM resulted significantly higher in group NNPR. Subjects in NPPR obtained a higher increase in the distance covered in a 6-minute walk test (59.9+/-19 vs 40.5+/-17 m; p=0.04) and in muscular strength. State and trait anxiety, mood and quality of life scores improved in NPPR subjects while remained substantially stable in group N.

CONCLUSIONS:

An integrated approach to obesity is the way to be pursued in order to obtain important and at least short-term results.

PMID:
19367137
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center