Longitudinal changes in activity patterns, physical capacities, energy expenditure, and body composition in severely obese adolescents during a multidisciplinary weight-reduction program

OBJECTIVE: To determine the longitudinal changes in body composition, physical capacities, and time and energy expenditure (EE) devoted to various activities in the course of a 9-month weight-reduction period. DESIGN: Longitudinal, clinical intervention including lifestyle education, moderate energy...

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Veröffentlicht in:International Journal of Obesity 2005-01, Vol.29 (1), p.37-46
Hauptverfasser: Lazzer, S, Boirie, Y, Poissonnier, C, Petit, I, Duché, P, Taillardat, M, Meyer, M, Vermorel, M
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container_issue 1
container_start_page 37
container_title International Journal of Obesity
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creator Lazzer, S
Boirie, Y
Poissonnier, C
Petit, I
Duché, P
Taillardat, M
Meyer, M
Vermorel, M
description OBJECTIVE: To determine the longitudinal changes in body composition, physical capacities, and time and energy expenditure (EE) devoted to various activities in the course of a 9-month weight-reduction period. DESIGN: Longitudinal, clinical intervention including lifestyle education, moderate energy restriction, progressive training, and psychological follow-up. SUBJECTS: A total of 27 (13 boys and 14 girls) severely obese adolescents (mean BMI: 33.9 kg/m 2 ; 41.5% fat mass (FM)), aged 12–16 y. MEASUREMENTS: Before the beginning and after the weight-reduction program, body composition was assessed by dual-energy X-ray absorptiometry (DXA), physical capacities by multistage treadmill test, and EE both by whole-body calorimetry and in free-living conditions using the heart rate-recording method. During 8 months of the weight-reduction period, type and duration of each activity were recorded using a daily controlled activity diary. RESULTS: One boy resigned after 5 months. Body weight (BW) and FM decreased (−19 and −42%, respectively, P
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DESIGN: Longitudinal, clinical intervention including lifestyle education, moderate energy restriction, progressive training, and psychological follow-up. SUBJECTS: A total of 27 (13 boys and 14 girls) severely obese adolescents (mean BMI: 33.9 kg/m 2 ; 41.5% fat mass (FM)), aged 12–16 y. MEASUREMENTS: Before the beginning and after the weight-reduction program, body composition was assessed by dual-energy X-ray absorptiometry (DXA), physical capacities by multistage treadmill test, and EE both by whole-body calorimetry and in free-living conditions using the heart rate-recording method. During 8 months of the weight-reduction period, type and duration of each activity were recorded using a daily controlled activity diary. RESULTS: One boy resigned after 5 months. Body weight (BW) and FM decreased (−19 and −42%, respectively, P &lt;0.001) both in boys and in girls, but fat-free mass (FFM) decreased only in girls (−6%, P &lt;0.001). V O 2 max (l/min) did not vary significantly, but strength and fitness were improved ( P &lt;0.001). Time and EE spent at sedentary activities decreased significantly ( P &lt;0.001) to the benefit of moderate (recreational) activities and total physical activities ( P &lt;0.001) at the institution during the weekdays, and at home during the weekends and holidays. 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subjects Absorptiometry, Photon
Adolescent
Adolescents
Biological and medical sciences
Body Composition
Body weight
Calorimetry
Child
Children & youth
Dairy products
Diet
Education
Energy
Energy Metabolism
Epidemiology
Exercise
Exercise Test
Exercise Therapy
Female
Health Promotion and Disease Prevention
Heart rate
Human health and pathology
Humans
Internal Medicine
Life Sciences
Life Style
Lifestyles
Living conditions
Longitudinal Studies
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolism
Obesity
Obesity - metabolism
Obesity - physiopathology
Obesity - therapy
Physical fitness
Public Health
Sleep
Teenagers
Training
Weight control
Weight Loss
title Longitudinal changes in activity patterns, physical capacities, energy expenditure, and body composition in severely obese adolescents during a multidisciplinary weight-reduction program
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