scholarly journals Translating Weight Loss and Physical Activity Programs Into the Community to Preserve Mobility in Older, Obese Adults in Poor Cardiovascular Health

2011 ◽  
Vol 171 (10) ◽  
Author(s):  
W. Jack Rejeski ◽  
Peter H. Brubaker ◽  
David C. Goff ◽  
Lucille B. Bearon ◽  
Jacquelyn W. McClelland ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Cardiovascular Health ◽  
Obese Adults ◽  
Physical Activity Programs

Abstract P055: Six-Month Changes in Ideal Health and Cardiovascular Risk Scores Among Young Adults Enrolled in a Weight Loss Intervention

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Bethany Barone Gibbs ◽  
Wendy C King ◽  
John M Jakicic
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Young Adults ◽  
Cardiovascular Health ◽  
Lifestyle Changes ◽  
Risk Scores ◽  
Rank Test ◽  
Weight Loss Intervention ◽  
Spearman's Rho ◽  
Spearman’S Rho

The Framingham 10-year (FRS-10) and lifetime (FRS-LIFE) risk scores use clinical CVD risk factors to predict coronary heart disease (CHD) and CVD outcomes, respectively. In contrast, the AHA’s Ideal Cardiovascular Health (IDEAL) paradigm encourages a 7-component, healthy phenotype that additionally includes healthy diet, body mass index (BMI), and physical activity behaviors that are also associated with the avoidance of developing cardiovascular disease (CVD). Objective: To compare changes in IDEAL, FRS-10, and FRS-LIFE over 6 months in young adults enrolled in a behavioral weight loss intervention Methods: FRS-10 and FRS-LIFE were calculated using published equations at baseline and 6 months in young adults who were overweight or obese at study entry but otherwise healthy. IDEAL was calculated on a 14-point scale where, for each component, 0, 1, or 2 points were given for ‘poor’, ‘moderate’, or ‘ideal’ classification, respectively. Descriptive statistics are reported as % or median [IQR]. McNemar’s test, test of symmetry, and Wilcoxon signed rank test were employed to evaluate pre- to post-intervention changes. Spearman’s correlations evaluate associations. Results: In 335 young adults, age 31 [27, 34] yrs, BMI 31 [28, 34] kg/m 2 , and 32% male, the intervention achieved significant 6-month decreases in BMI: -3.0 [-4.3, -1.5] kg/m 2 . Out of a possible 14 points (higher is better), IDEAL was 9 [8, 10] at baseline and 11 [10, 12] at 6 months, with 73% improving and 9% worsening (net improvement 64%) (p<.0001). Though<1% ever had IDEAL diet, a net improvement in diet was observed in 19%, with specific improvements in sugar-sweetened beverage and sodium components (p<0.001). Significant net improvements were also observed in IDEAL classification for BMI (49%), physical activity (39%), total cholesterol (14%), blood pressure (14%) and glucose (11%) components (all p<.0001). FRS-10 was negligible (<1%) for 88% of the cohort at baseline and 94% at 6 months. Across predicted FRS-10 scores, 7% improved and 2% worsened (net improvement 5%) over the 6 months (p<.0001). Improved FRS-10 and IDEAL were correlated (Spearman’s rho = -0.49, p<0.001). IDEAL had a stronger correlation with change in weight compared to FRS-10 (Spearman’s rho = -0.49 vs. 0.30; both p<0.001). FRS-LIFE indicated lifetime risk was high for 35% of the cohort at baseline and 22% at 6 months (p<.0001). FRS-LIFE as a 5-category scale improved in 38% and worsened in 13% (net improvement 26%) (p<.0001). Conclusions: In a cohort of overweight or obese, but otherwise healthy, young adults enrolled in a weight loss intervention, IDEAL was able to measure positive lifestyle changes in a majority of participants while the FRS-10 and FRS-LIFE did not. These results suggest that IDEAL may be particularly sensitive and appropriate to detect positive cardiovascular health changes in the growing population of overweight and obese young adults.

Effect of mindfulness meditation on short-term weight loss and eating behaviors in overweight and obese adults: A randomized controlled trial

2017 ◽  
Vol 15 (2) ◽  
Author(s):  
Kathleen C. Spadaro ◽  
Kelliann K. Davis ◽  
Susan M. Sereika ◽  
Bethany B. Gibbs ◽  
John M. Jakicic ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Management ◽  
Psychological Health ◽  
Eating Behaviors ◽  
Mindfulness Meditation ◽  
Dietary Restraint ◽  
Obese Adults ◽  
Significant Group ◽  
Health Crisis

AbstractBackgroundThere is a significant health crisis with rates of obesity continuing to increase despite research and clinical standard behavioral weight loss programs (SBWP). Mindfulness meditation (MM), with demonstrated benefits on physical, psychological health, and self-regulation behaviors was explored with SBWP.MethodsForty-six adults (BMI=32.5±3.7 kg/m2; age=45.2±8.2 years, 87 % female, 21.7 % African American) were randomly assigned to a 6-month SBWP only (n=24) or SBWP+MM (n=22) at a university-based physical activity and weight management research center in a northeastern US city. Participants were instructed to decrease intake (1200–1500 kcal/day), increase physical activity (300 min/wk), and attend weekly SBWP or SBWP+MM sessions. SBWP+MM had the same SBWP lessons with addition of focused MM training. Outcome measures collected at 0, 3, and 6 months included: weight, Block Food Frequency Questionnaire, Eating Behavior Inventory, Eating Inventory and Paffenbarger Physical Activity Questionnaire. Data were analyzed using linear mixed modeling for efficacy analysis of weight (primary) and eating, exercise and mindfulness (secondary outcomes).ResultsRetention rate was 76.1 % (n=35). A significant group by time interaction (p=0.03) was found for weight, with weight loss favoring SBWP+MM (−6.9 kg+2.9) over SBWP (−4.1 kg+2.8). Eating behaviors (p=0.02) and dietary restraint (p=0.02) improved significantly in SBWP+MM, compared to SBWP. MM enhanced weight loss by 2.8 kg potentially through greater improvements in eating behaviors and dietary restraint.ConclusionsThese findings support further study into the use of MM strategies with overweight and obese adults. The use of this low-cost, portable strategy with standard behavioral interventions could improve weight management outcomes.

Effects of Supervised and Unsupervised Physical Activity Programs for Weight Loss

2017 ◽  
Vol 49 (5S) ◽  
pp. 863
Author(s):  
Seth A. Creasy ◽  
Renee J. Rogers ◽  
Kelliann K. Davis ◽  
Bethany Barone Gibbs ◽  
Erin E. Kershaw ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Physical Activity Programs

scholarly journals The effect of weight loss on quality of life in obese adults: A study using physical activity and dietary intervention

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Yi Yi Lee ◽  
WM Wan Abdul Manan ◽  
A.J. Rohana ◽  
W.B. Wan Mohamad ◽  
H. Ruhani ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Weight Loss ◽  
Dietary Intervention ◽  
Obese Adults

scholarly journals Change in Physical Activity and Sedentary Time Associated With 2-Year Weight Loss in Obese Adults With Osteoarthritis

2016 ◽  
Vol 13 (5) ◽  
pp. 461-466 ◽  
Author(s):  
Christine A. Pellegrini ◽  
Jing Song ◽  
Rowland W. Chang ◽  
Pamela A. Semanik ◽  
Jungwha Lee ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Knee Osteoarthritis ◽  
Weight Change ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Elevated Risk ◽  
Obese Adults ◽  
Strong Trend ◽  
Light Activity

Background:We examined if changes in moderate-to-vigorous physical activity (MVPA), light activity, and sedentary behavior are related to weight change over a 2-year period in obese adults with/elevated risk for knee osteoarthritis.Methods:Weight, physical activity, and sedentary time at baseline and 2 years were obtained from 459 obese participants from the Osteoarthritis Initiative. Weight change was categorized as ≥ 10 lbs, 5.0 to 9.9 lbs, 4.9 to –4.9 lbs, –5.0 to –9.9 lbs, and ≤ –10 lbs. We examined the association between 2-year weight change categories and changes in activity/sedentary time from accelerometer monitoring by multiple linear regression adjusted for baseline weight, demographic, and health factors.Results:Across the 5 weight categories (loss to gain), average 2-year change ranged from -7.4 to 28.0 sedentary minutes/day, 4.2 to –23.1 light activity minutes/day, and 3.2 to –4.9 MVPA minutes/day, respectively. Higher weight loss categories were separately associated with increased MVPA (P for trend < 0.001) and less sedentary gain (P for trend = 0.01). Weight loss categories had a strong trend with light activity gain but not statistically significant (P for trend = 0.06).Conclusions:Small increases in MVPA and decreases in sedentary time over 2 years were associated with weight loss among adults with obesity and with or at elevated risk for knee osteoarthritis.

scholarly journals Behavioral Weight Loss and Physical Activity Intervention in Obese Adults with Asthma. A Randomized Trial

2015 ◽  
Vol 12 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Jun Ma ◽  
Peg Strub ◽  
Lan Xiao ◽  
Philip W. Lavori ◽  
Carlos A. Camargo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Randomized Trial ◽  
Physical Activity Intervention ◽  
Behavioral Weight Loss ◽  
Obese Adults

Influence of Physical Activity on Age-Related Weight Loss in the Elderly

2010 ◽  
Vol 7 (1) ◽  
pp. 78-86 ◽  
Author(s):  
Wendy C. Stephen ◽  
Ian Janssen
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Body Weight ◽  
Cardiovascular Health ◽  
Disease Status ◽  
Community Dwelling ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Age Related

Background:Little is known about the effects of physical activity on weight loss in older adults.Methods:Participants included 4512 community-dwelling older (≥65 yr) men and women from the Cardiovascular Health Study. Physical activity (PA) was determined from a questionnaire at baseline and subjects were divided into sex-specific PA quartiles. Weight was measured at baseline and annually over the 8 years of follow-up. The influence of PA on longitudinal changes in body weight was examined using mixed models while adjusting for lifestyle variables, sociodemographic characteristics, and disease status.Results:Body weight declined in a curvilinear manner over time with accelerated weight loss occurring in the final years. Over the 8 yr follow-up period, the least active PA quartile lost 2.72 kg. Weight loss was attenuated by 0.55 kg (20%, P = .057), 0.80 kg (29%, P = .05), and 0.69 kg (25%, P = .016) within the second through fourth PA quartiles. The effects of PA did not differ by gender, but increased with advancing age.Conclusion:Participation in modest amounts of PA attenuated age-related weight loss by approximately 25% with little additional benefit observed at higher PA levels. This finding adds to the growing number of health outcomes that are positively affected by PA.

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