jarlife journal

AND option

OR option

All issues

Back to all journals

journal articles

THE EFFECTS OF MULTIDISCIPLINARY TREATMENT ON THE FUNCTIONAL CAPACITY AND QUALITY OF LIFE IN OBESE, ELDERLY WOMEN

T.H. Sá, N. C. Horie, R.M.M. Moreira, W. Jacob-Filho

J Aging Res Clin Practice 2012;1(1):56-60

Objectives: To verify the impacts of a multidisciplinary program on aerobic capacity, strength, weight loss, and quality of life, as a treatment for obesity among the elderly. Methods: Women (≥ 60 years old) with a body mass index (BMI) ≥ 30 kg/m2 participated in this noncontrolled clinical trial. For six months, 22 patients received geriatric and nutritional assistance and performed supervised physical activity twice a week. Lower limb strength was quantified through the Guralnik sit-to-stand test (SST), aerobic capacity was measured during a 12-minute walk/run test (12MWT), quality of life was measured by the abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, and body composition, by electrical bioimpedance. Statistical Analysis: Student's t-test was applied for dependent samples and analysis of variance was used for repeated measures. Results: Initially, the patients presented a BMI of 36.79 (5.26) kg/m2 (average [standard deviation]), a fat mass (FM) of 42.41% (3.4%), a 12MWT distance of 963.9m (123.6m), and an SST of 8.71s (3.93s). After the intervention, there was an average reduction of 6.74% (2.9%) (p = 0.034) in body weight and an average BMI of 34.28 (4.83) kg/m2 (p = 0.047), largely due to a reduction of FM (40.27% [4.43%]; p= 0.008). There were improvements in the 12MWT (1081.95 [168.56] m; p<0.001), in the SST (7.72 s [2.86 ]s, p=0.047) and the WHOQOL-BREF as well as in the general (+38.2%, p<0.001), physical (+21.7%, p = 0.001), and social (+12.9%, p = 0.003) subscores. The reduction of body weight had a positive correlation with the improvement in the physical domain of the WHOQOL-BREF (r = 0.50; p =0.018). The SST decreased just between the patients with a weight loss ≥ 5% (p = 0.028). Conclusions: Elderly patients who underwent multidisciplinary treatment for obesity lost weight and improved their physical capacity and quality of life.

Download PDF (6.55 Mo)