Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight Loss
<b>Background:</b> Obesity is a chronic and complex disease; by its nature, it represents an enormous challenge to be solved and managed. For that matter, several guidelines have been published, but there is still a long way to go until concrete scaled results can be presented. Adults wi...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-06-01
|
| Series: | Journal of Functional Morphology and Kinesiology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2411-5142/10/2/225 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849431910201163776 |
|---|---|
| author | Greice Westphal-Nardo Angélica Sbrolini Marques Mincache Paulo César Franzini Mara Jane Pascoini dos Santos Gisele Nicchio Rocha Ieda Carla Candido Andrea Herrera-Santelices Felipe Merchan Ferraz Grizzo Jean-Philippe Chaput Nelson Nardo Junior |
| author_facet | Greice Westphal-Nardo Angélica Sbrolini Marques Mincache Paulo César Franzini Mara Jane Pascoini dos Santos Gisele Nicchio Rocha Ieda Carla Candido Andrea Herrera-Santelices Felipe Merchan Ferraz Grizzo Jean-Philippe Chaput Nelson Nardo Junior |
| author_sort | Greice Westphal-Nardo |
| collection | DOAJ |
| description | <b>Background:</b> Obesity is a chronic and complex disease; by its nature, it represents an enormous challenge to be solved and managed. For that matter, several guidelines have been published, but there is still a long way to go until concrete scaled results can be presented. Adults with obesity, and especially severe obesity, need to have access to treatment programs, but they are not available for the vast majority of the population. <b>Objective:</b> The aim of this study is to evaluate the effectiveness of a multidisciplinary treatment program for obesity (MTPO) offered to adults (ages 18 to 50 years old) with a BMI over 30 kg/m<sup>2</sup>. <b>Methods:</b> Participants were invited through media ads, resulting in 404 participants for the first phase of that study, from whom the risk profile was assessed. After that, 180 participants (82.8% with severe obesity) concluded the MTPO, which consisted of 48 sessions of exercises and the same number of professional orientations about a healthy lifestyle, including the importance of being physically active, how to improve their eating habits, and how to control their emotions. <b>Results:</b> For the analysis of results, participants were grouped according to their weight loss in terciles, with the first, tercile presenting an average weight loss of 7.6%, which is considered clinically significant. In the same way, the average percental variations were even higher in this group for body fat (12.7%) and the lean mass to fat mass ratio (LM/FM), which increased by 14.3%. The homeostatic model assessment for insulin resistance, HOMA-IR, was around 3 times the variation of body mass, whereas the triglycerides (TG) and the hemoglobin A1C (H1Ac) were around twice that rate. <b>Conclusions:</b> These results made clear the effectiveness of the MTPO, which needs to be tested in public health services. |
| format | Article |
| id | doaj-art-3db4dd73c7e54302bc45b5aacc744791 |
| institution | Kabale University |
| issn | 2411-5142 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Functional Morphology and Kinesiology |
| spelling | doaj-art-3db4dd73c7e54302bc45b5aacc7447912025-08-20T03:27:29ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422025-06-0110222510.3390/jfmk10020225Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight LossGreice Westphal-Nardo0Angélica Sbrolini Marques Mincache1Paulo César Franzini2Mara Jane Pascoini dos Santos3Gisele Nicchio Rocha4Ieda Carla Candido5Andrea Herrera-Santelices6Felipe Merchan Ferraz Grizzo7Jean-Philippe Chaput8Nelson Nardo Junior9Department of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, BrazilDepartment of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, BrazilDepartment of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, BrazilDepartment of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, BrazilDepartment of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, BrazilDepartment of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, BrazilDepartamento de Ciencias Pre-Clínicas, Facultad de Medicina, Universidad Católica del Maule, Talca 3460000, Región del Maule, ChileCenter for Multiprofessional Studies on Obesity—NEMO/HUM/UEM, University Hospital of Maringa, State University of Maringa, Maringa 87083-240, Parana, BrazilHealthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, CanadaDepartment of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, Brazil<b>Background:</b> Obesity is a chronic and complex disease; by its nature, it represents an enormous challenge to be solved and managed. For that matter, several guidelines have been published, but there is still a long way to go until concrete scaled results can be presented. Adults with obesity, and especially severe obesity, need to have access to treatment programs, but they are not available for the vast majority of the population. <b>Objective:</b> The aim of this study is to evaluate the effectiveness of a multidisciplinary treatment program for obesity (MTPO) offered to adults (ages 18 to 50 years old) with a BMI over 30 kg/m<sup>2</sup>. <b>Methods:</b> Participants were invited through media ads, resulting in 404 participants for the first phase of that study, from whom the risk profile was assessed. After that, 180 participants (82.8% with severe obesity) concluded the MTPO, which consisted of 48 sessions of exercises and the same number of professional orientations about a healthy lifestyle, including the importance of being physically active, how to improve their eating habits, and how to control their emotions. <b>Results:</b> For the analysis of results, participants were grouped according to their weight loss in terciles, with the first, tercile presenting an average weight loss of 7.6%, which is considered clinically significant. In the same way, the average percental variations were even higher in this group for body fat (12.7%) and the lean mass to fat mass ratio (LM/FM), which increased by 14.3%. The homeostatic model assessment for insulin resistance, HOMA-IR, was around 3 times the variation of body mass, whereas the triglycerides (TG) and the hemoglobin A1C (H1Ac) were around twice that rate. <b>Conclusions:</b> These results made clear the effectiveness of the MTPO, which needs to be tested in public health services.https://www.mdpi.com/2411-5142/10/2/225obesitysevere obesitymultidisciplinary treatmentweight losseffectivenessBrazil |
| spellingShingle | Greice Westphal-Nardo Angélica Sbrolini Marques Mincache Paulo César Franzini Mara Jane Pascoini dos Santos Gisele Nicchio Rocha Ieda Carla Candido Andrea Herrera-Santelices Felipe Merchan Ferraz Grizzo Jean-Philippe Chaput Nelson Nardo Junior Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight Loss Journal of Functional Morphology and Kinesiology obesity severe obesity multidisciplinary treatment weight loss effectiveness Brazil |
| title | Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight Loss |
| title_full | Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight Loss |
| title_fullStr | Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight Loss |
| title_full_unstemmed | Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight Loss |
| title_short | Effectiveness of a Multidisciplinary Treatment Program for Severe Obesity in Adults Based on the Clinically Significant Weight Loss |
| title_sort | effectiveness of a multidisciplinary treatment program for severe obesity in adults based on the clinically significant weight loss |
| topic | obesity severe obesity multidisciplinary treatment weight loss effectiveness Brazil |
| url | https://www.mdpi.com/2411-5142/10/2/225 |
| work_keys_str_mv | AT greicewestphalnardo effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT angelicasbrolinimarquesmincache effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT paulocesarfranzini effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT marajanepascoinidossantos effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT giselenicchiorocha effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT iedacarlacandido effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT andreaherrerasantelices effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT felipemerchanferrazgrizzo effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT jeanphilippechaput effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss AT nelsonnardojunior effectivenessofamultidisciplinarytreatmentprogramforsevereobesityinadultsbasedontheclinicallysignificantweightloss |