Skip to main content

Functional Evaluation (Joint and Muscle Problems, Cardiopulmonary Exercise Testing, Disability Evaluation)

  • Chapter
  • First Online:
Multidisciplinary Approach to Obesity

Abstract

Obesity is associated with an increased risk of heart disease, stroke, hypertension, type II diabetes mellitus, and osteoarthritis. Moreover, severe obesity is often associated with disability. All these conditions result in a reduced life expectancy and in a reduced exercise capacity. It is well known the positive effect of physical activity in combination with dietary and behavioral modifications on obesity condition. In order to reach these positive effects, the exercise program needs to be tailored according to the individual’s physical function, health status, exercise responses, and stated goals. For all these reasons, functional evaluation plays a fundamental role to individualize type, mode, and intensity of exercise with the subjects’ characteristics. Functional evaluation should be performed taking into consideration the clinical conditions and the physical capacity of obese subjects. In fact, they show a low cardiorespiratory fitness, which is expressed by reduced oxygen uptake (VO2), decreased daily activity, and low exercise tolerance.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG (2014) Sarcopenic obesity and risk of cardiovascular disease and mortality: a population-based cohort study of older men. J Am Geriatr Soc 62:253–260

    Article  PubMed  Google Scholar 

  2. Irace C, Scavelli F, Carallo C et al (2009) Body mass index, metabolic syndrome and carotid atherosclerosis. Coron Artery Dis 20:94–99

    Article  PubMed  Google Scholar 

  3. Mokdad AH, Ford ES, Bowman BA et al (2001) Prevalence of obesity, diabetes, and obesity-related health risk factors. JAMA 289:76–79

    Google Scholar 

  4. Ferraro KF, Su YP, Gretebeck RJ et al (2002) Body mass index and disability in adulthood: a 20-year panel study. Am J Public Health 92:834–840

    Article  PubMed  PubMed Central  Google Scholar 

  5. Lippi G, Schena F, Guidi GC (2006) Health benefits of physical activity. CMAJ 175:776–777

    Article  PubMed  PubMed Central  Google Scholar 

  6. Drenick EJ, Bale GS, Seltzer F et al (1980) Excessive mortality and causes of death in morbidly obese men. JAMA 243:443–445

    Article  CAS  PubMed  Google Scholar 

  7. Donini LM, Cuzzolaro M, Gnessi L et al (2014) Obesity treatment: results after 4 years of a Nutritional and Psycho-Physical Rehabilitation Program in an outpatient setting. Eat Weight Disord 19:249–260

    Article  PubMed  Google Scholar 

  8. Donnelly JE, Blair SN, Jakicic JM et al (2009) American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. American College of Sports Medicine. Med Sci Sports Exerc 41:459–471, Erratum in Med Sci Sports Exerc 41:1532

    Article  PubMed  Google Scholar 

  9. Figard-Fabre H, Fabre N, Leonardi A et al (2011) Efficacy of Nordic Walking in obesity management. Int J Sports Med 32:407–414

    Article  CAS  PubMed  Google Scholar 

  10. Emerenziani GP, Migliaccio S, Gallotta MC et al (2013) Physical exercise intensity prescription to improve health and fitness in overweight and obese subjects: a review of the literature. Health (Irvine Calif) 5:113–121

    Google Scholar 

  11. Wright LJ, Schur E, Noonan C et al (2010) Chronic pain, overweight, and obesity: findings from a community-based twin registry. J Pain 11:628–635

    Article  PubMed  PubMed Central  Google Scholar 

  12. Hitt HC, McMillen RC et al (2007) Comorbidity of obesity and pain in a general population: results from the Southern Pain Prevalence Study. J Pain 8:430–436

    Article  PubMed  Google Scholar 

  13. Jensen GL, Friedmann JM (2002) Obesity is associated with functional decline in community-dwelling rural older persons. J Am Geriatr Soc 50:918–923

    Article  PubMed  Google Scholar 

  14. Visser M, Marris TB, Langlois J et al (1998) Body fat and skeletal muscle mass in relation to physical disability in very old men and women of the Framingham Heart Study. J Gerontol A Biol Sci Med Sci 53:214–221

    Article  Google Scholar 

  15. Anderson RE, Crespo CJ, Bartlett SJ et al (2003) Relationship between body weight gain and significant knee, hip, and back pain in older Americans. Obes Res 11:1159–1162

    Article  Google Scholar 

  16. Webb R, Brammah T, Lunt M et al (2003) Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine 28:1195–1202

    PubMed  Google Scholar 

  17. Sach TH, Barton GR, Doherty M et al (2007) The relationship between body mass index and health-related quality of life: comparing the EQ-5D, Euro-Qol VAS and SF-6D. Int J Obes 31:189–196

    Article  CAS  Google Scholar 

  18. Mignardot JB, Olivier I, Promayon E et al (2013) Origins of balance disorders during a daily living movement in obese: can biomechanical factors explain everything? PLoS One 8:e60491

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Park W, Singh DP, Levy MS et al (2009) Obesity effect on perceived postural stress during static posture maintenance tasks. Ergonomics 52:1169–1182

    Article  PubMed  Google Scholar 

  20. Viester L, Verhagen EA, Oude Hengel KM et al (2013) The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord 14:238

    Article  PubMed  PubMed Central  Google Scholar 

  21. Shiri R, Lallukka T, Karppinen J et al (2014) Obesity as a risk factor for sciatica: a meta-analysis. Am J Epidemiol 179:929–937

    Article  PubMed  Google Scholar 

  22. Menegoni F, Galli M, Tacchini E et al (2009) Gender-specific effect of obesity on balance. Obesity (Silver Spring) 17:1951–1956

    Article  Google Scholar 

  23. Migliaccio S, Greco EA, Fornari R et al (2013) Skeletal alterations in women affected by obesity. Aging Clin Exp Res 25(Suppl 1):35–37

    Article  Google Scholar 

  24. Stenholm S, Harris TB, Rantanen T et al (2008) Sarcopenic obesity: definition, cause and consequences. Curr Opin Clin Nutr Metab Care 11:693–700, Review

    Article  PubMed  PubMed Central  Google Scholar 

  25. Donini LM, Savina C, Coletti C et al (2010) Obesity in the elderly. Ann Ig 22:499–511

    CAS  PubMed  Google Scholar 

  26. Droyvold WB, Nilsen TI, Kruger O et al (2006) Change in height, weight and body mass index: longitudinal data from the HUNT study in Norway. Int J Obes 30:935–939

    Article  CAS  Google Scholar 

  27. Evans WJ (2010) Skeletal muscle loss: cachexia, sarcopenia, and inactivity. Am J Clin Nutr 91:1123S–1127S

    Article  CAS  PubMed  Google Scholar 

  28. Mollaoglu H, Ucok K, Kaplan A et al (2012) Association analyses of depression, anxiety, and physical fitness parameters in Turkish obese adults. J Back Musculoskelet Rehabil 25:253–260

    Article  PubMed  Google Scholar 

  29. de Souza SA, Faintuch J, Sant’anna AF (2010) Effect of weight loss on aerobic capacity in patients with severe obesity before and after bariatric surgery. Obes Surg 20:871–875

    Article  PubMed  Google Scholar 

  30. Pinet BM, Prud’homme D, Gallant CA et al (2008) Exercise intensity prescription in obese individuals. Obesity 16:2088–2095

    Article  PubMed  Google Scholar 

  31. Meyer T, Lucía A, Earnest CP et al (2005) A conceptual framework for performance diagnosis and training prescription from submaximal gas exchange parameters-theory and application. Int J Sports Med 26:S38–S48, Review

    Article  PubMed  Google Scholar 

  32. Kunitomi M, Takahashi K, Wada J et al (2007) Re-evaluation of exercise prescription for Japanese type 2 diabetic patients by ventilatory threshold. Diabetes Res Clin Pract 50:109–115

    Article  Google Scholar 

  33. Karlsen TI, Tveitå EK, Natvig GK et al (2011) Validity of the SF-36 in patients with morbid obesity. Obes Facts 4:346–351

    Article  PubMed  Google Scholar 

  34. Cui W, Zack MM, Wethington H (2014) Health-related quality of life and body mass index among US adolescents. Qual Life Res 23:2139–2150

    Article  PubMed  PubMed Central  Google Scholar 

  35. Donini LM, Brunani A, Sirtori A et al (2011) SIOSISDCA task force: assessing disability in morbidly obese individuals: the Italian Society of Obesity test for obesity-related disabilities. Disabil Rehabil 33:2509–2518

    Article  PubMed  Google Scholar 

  36. Donini LM, Poggiogalle E, Mosca V et al (2013) Disability affects the 6-minute walking distance in obese subjects (BMI>40 kg/m(2)). PLoS One 8:e75491

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Beriault K, Carpentier AC, Gagnon C et al (2009) Reproducibility of the 6-minute walk test in obese adults. Int J Sports Med 30:725–727

    Article  CAS  PubMed  Google Scholar 

  38. Kim JW, Seo DI, Swearingin B et al (2013) Association between obesity and various parameters of physical fitness in Korean students. Obes Res Clin Pract 7:67–74

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Laura Guidetti .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Emerenziani, G.P., Schena, F., Guidetti, L. (2015). Functional Evaluation (Joint and Muscle Problems, Cardiopulmonary Exercise Testing, Disability Evaluation). In: Lenzi, A., Migliaccio, S., Donini, L. (eds) Multidisciplinary Approach to Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-09045-0_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-09045-0_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09044-3

  • Online ISBN: 978-3-319-09045-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics