The efficacy of a long-term multidimensional treatment of obesity in clinical practice
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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.
KeywordsObesity Long-term follow-up Multidimensional approach Anthropometry Indirect calorimetry
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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