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The efficacy of a long-term multidimensional treatment of obesity in clinical practice

  • Beatrice Dragani
  • Elona Xhebraj
  • Maria Teresa Di Bonifacio
  • Guido Malatesta
  • Natascia Pantoni
  • Sonia Pompilii
  • Paolo De Cristofaro
Original Article
  • 48 Downloads

Abstract

Obesity is a multidimensional chronic and progressive disease that requires long-term follow-up by an integrated approach. The aim of our work was, through a retrospective observational study, to confirm that obesity treatment needs of a long-term multidimensional approach. We observed the data collected in the past from 205 patients (body mass index >25) from the medical records at our Nutritional Centre. Fat mass and fat-free mass were determined by anthropometry. Resting energy expenditure and respiratory quotient were measured by indirect calorimetry. Dietary programmes were established on the basis of metabolic analysis. Physical activity was encouraged in term of lifestyle change. The observed patients were divided into five groups. All groups showed a reduction of weight, waist circumference and arm fat area. There was correlation between all parameters. Our approach results in a long-term sustainment of the weight loss achieved up to a 5-year period, through psychological improvements as well as improved eating behaviour and general wellbeing.

Keywords

Obesity Long-term follow-up Multidimensional approach Anthropometry Indirect calorimetry 

Notes

Acknowledgments

The authors wish to warmly acknowledge Dr Pamela Di Giovanni (Department of Biological Sciences, University “G. D’Annunzio”, Chieti, Italy) for her statistical analysis work.

Conflict of interest

The authors have no conflict of interest. None of them had any personal or financial affiliation with any organization involved in the study.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Beatrice Dragani
    • 1
    • 2
    • 3
  • Elona Xhebraj
    • 1
  • Maria Teresa Di Bonifacio
    • 1
  • Guido Malatesta
    • 1
  • Natascia Pantoni
    • 1
  • Sonia Pompilii
    • 1
  • Paolo De Cristofaro
    • 1
  1. 1.Centro Regionale di Fisiopatologia della NutrizioneASL TeramoItaly
  2. 2.Dipartimento di Scienze BiomedicheUniversità “G. D’Annunzio”ChietiItaly
  3. 3.PescaraItaly

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