Source: Annual Congress 2005 - Health status in COPD and asthma: its relevance in pulmonary rehabilitation
Disease area: Airway diseases

Abstract

An observational inpatient study was undertaken to assess the clinical effectiveness of a CRP, in a population of 59 morbidly obese subjects (18 M, 60±10 years, BMI 47±8) with disability and sleep disturbancies. Assesssment and correction of OSAS, improvement of exercise tolerance, body weigth and associated psychological features were aims of this CRP. Calibrated dietary intake, twice daily sessions of moderate to low intensity exercising, twice weekly sessions of psychotherapy have been carried out over 1 month. Lung functions, AHI, 6-minute walked distance (6MWD), boby weight (BW), and the quality of life by means of the Sat-P questionnaire have been recorded baseline (B), at the end (E) and 6-mo after (F) the CRP.
PaO₂ improved over time (p<0.01), whereas AHI reduced at E and then maintained at F; the percentage of patients with AHI>10 declined (from 65% at B to 20% at E and F), whilst 14 obese with AHI>20 were prescribed to have nCPAP. 6MWD and BW significantly improved (p<0.005) at E and still maintained at F; a significant relationship (r= 0.379, p<0.01) has been found between changes of BW and 6MWD (recorded in between B and F). Sat-P item scores dealing with sleep efficiency, problem solving, and social interactions improved (p<0.01) at E and still maintained at F.
To conclude, this CRP provides useful short and long-term benefits in hospitalised morbidly obese and disable subjects.

Rating:

Share or cite this content

Citations should be made in the following way:
E. M. Clini, F. Prato, A. De Biase, C. Cilione, R. Menozzi, M. Nobile, F. Cortesi, B. Tazzioli, D. Lugli (Pavullo, Italy). Short and long-term effects of a comprehensive rehabilitation program in morbidly obese subjects. Eur Respir J 2005; 26: Suppl. 49, 2054

Member's Comments

No comment yet.

Related content which might interest you: A domiciliary program to sustain physical fitness in morbidly obese individuals Source: Eur Respir J 2006; 28: Suppl. 50, 628s Year: 2006 Effects of non-surgical therapeutic program on the metabolic syndrome (MetS) in morbidly obese patients Source: Annual Congress 2011 - Cardiometabolic and neurocognitive changes in obstructive sleep apnoea Year: 2011 The importance of sleep studies in morbidly obese patients prior to bariatric surgery Source: Annual Congress 2008 - Weight control and comorbidity in obstructive sleep apnoea Year: 2008 Multidisciplinary rehabilitation of disabled obese patients with sleep disturbancies Source: Eur Respir J 2004; 24: Suppl. 48, 572s Year: 2004 Long-term effects of a high intensity life style program in obese patients with asthma Source: International Congress 2018 – Physiological and biological insights in asthma Year: 2018 The role of exercise training in a weight loss program on psychosocial morbidity, sleep quality and physical activity in obese asthmatics: A RCT Source: International Congress 2016 – Novel approaches for pulmonary rehabilitation in chronic lung diseases Year: 2016 Effects of exercise training in a weight loss lifestyle intervention on clinical control, quality of life and psychosocial symptoms in obese asthmatics: A RCT Source: International Congress 2014 – Best abstracts in pulmonary rehabilitation and exercise training Year: 2014 Perioperative problems in obese patients Source: Annual Congress 2013 –PG13 Respiratory complications of obese patients Year: 2013 Short-term and long-term effect of a high-intensity pulmonary rehabilitation programme in obese patients with asthma: a randomised controlled trial Source: Eur Respir J, 56 (1) 1901820; 10.1183/13993003.01820-2019 Year: 2020 The importance of a respiratory assessment in morbidly obese paediatric patients prior to bariatric surgery Source: International Congress 2016 – Latest advances in paediatric sleep medicine Year: 2016 OSA in morbidly obese patients: is it different? Source: International Congress 2015 – Obstructive sleep apnoea, obesity, and weight loss Year: 2015 Impact of bariatric surgery on cardiopulmonary responses during exercise in obese adults Source: International Congress 2017 – Assessing pulmonary and extra-pulmonary function in chronic disease Year: 2017 Hormonal contraception increases risk of asthma among obese but decreases it among nonobese subjects: a prospective, population-based cohort study Source: ERJ Open Res 2015; 1: 00026-2015 Year: 2015 The effect of an outpatient pulmonary rehabilitation program on exercise tolerance and asthma control in obese asthma patients Source: International Congress 2015 – Latest insights into the management of chronic respiratory diseases Year: 2015 Exercise improves physical activity and comorbidities in obese adults with asthma Source: International Congress 2018 – Best abstracts in pulmonary rehabilitation and chronic care Year: 2018 Effects of gastric bypass surgery compared to intensive lifestyle treatment on blood gases and lung function in morbidly obese subjects Source: Annual Congress 2011 - Lung and airway function Year: 2011 Exercise training associated with a weight-loss lifestyle program improves daily physical activity in obese asthmatics Source: International Congress 2014 – Physical activity, exercise and physiotherapy in COPD and asthma Year: 2014 Asthma medication use in obese and healthy weight asthma: systematic review/meta-analysis Source: Eur Respir J, 57 (3) 2000612; 10.1183/13993003.00612-2020 Year: 2021 Pilot study of effectiveness of home rehabilitation for homebound patients with severe COPD Source: Annual Congress 2011 - Pulmonary rehabilitation: looking at alternative approaches and alternative populations beyond COPD Year: 2011 Effectiveness of a long-term home-based exercise training program in COPD patients: The HOMEX-1 RCT Source: Virtual Congress 2021 – A multidisciplinary approach to the management of chronic respiratory diseases Year: 2021