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Measuring changes after multidisciplinary rehabilitation of obese individuals

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Abstract

Background: In 2009, the Italian Society of Obesity developed the short-form questionnaire for Obesity-related Disabilities (TSD-OC). Aims: To stage the degree of disability in obese patients using TSD-OC; to verify its sensitivity to change after rehabilitation. Subjects: Three hundred and fifty-five adult obese individuals [body mass index (BMI) >30 kg/m2] undergoing rehabilitation. Exclusion criteria were severe cardiovascular or respiratory diseases, neurological and psychological conditions. Sensitivity to change of TSD-OC was evaluated in 194 patients out of the initial sample. Methods: To define the disability levels according to TSD-OC, the method of interquartile range was applied to the initial sample. The 194 in-patients were assessed with Roland-Morris Disability Questionnaire, Functional Independence Measure (FIM), Functional Visual Analogue Scale, and TSD-OC before (S0) and after 4 weeks (S1) of intensive (3 h daily) rehabilitation multidisciplinary program. Individuals were grouped according to age (1: age 30–59 yr; 2: age over 60 yr) and degree of obesity (BMI: A, 30–40 kg/m2; B, 40–50 kg/m2). Results: At S1, BMI and all the clinical scores improved significantly in the whole study sample. The younger individuals with higher level of obesity showed a higher functional improvement (−51.3%). In the older subjects, improvement was not statistically different when varying BMI (A2–13.7% vs B2–14.6%). In the whole group, the TSD-OC improvement was statistically greater than the physical FIM gain (−25.9% vs +5.4%, p<0.05). Conclusions: Our data evidenced that the TSD-OC is a sensitive measure of short-term changes in disability status of obese individuals after rehabilitation.

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Authors and Affiliations

  1. Rehabilitation Unit and Laboratory of Research in Biomechanics and Rehabilitation, S. Giuseppe Hospital, Istituto Auxologico Italiano IRCCS, Verbania-Piancavallo, Italy

    H. Precilios, A. Brunani, V. Cimolin PhD, E. Tacchini & P. Capodaglio

  2. Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy

    V. Cimolin PhD

  3. Department of Medical Physiopathology (Food Science Section), “Sapienza” University of Rome, Rome, Italy

    L. M. Donini & S. Fabris De Souza

  4. Department of Physiotherapy, Hospital Universitario de Londrina, Londrina State University, Londrina, Pr, Brazil

    H. Precilios, A. Brunani, V. Cimolin PhD, E. Tacchini, L. M. Donini, S. Fabris De Souza & P. Capodaglio

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  1. H. Precilios
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  2. A. Brunani
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  3. V. Cimolin PhD
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  4. E. Tacchini
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  5. L. M. Donini
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  6. S. Fabris De Souza
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  7. P. Capodaglio
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Correspondence to V. Cimolin PhD.

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Precilios, H., Brunani, A., Cimolin, V. et al. Measuring changes after multidisciplinary rehabilitation of obese individuals. J Endocrinol Invest 36, 72–77 (2013). https://doi.org/10.3275/8240

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