Elderly obese women display the greatest improvement in stair climbing performance after a 3-week body mass reduction program

A. Sartorio, C. L. Lafortuna, F. Agosti, M. Proietti, N. A. Maffiuletti

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To investigate whether stair climbing performance and body composition are similarly affected by a body mass reduction (BMR) program in obese individuals of different gender, age and body mass index (BMI) level. DESIGN: Longitudinal, clinical intervention study entailing energy-restricted diet (5023-7535 kJ/day), nutritional education, psychological counselling and moderate physical activity (indoor cycling, outdoor walking, gymnastics routines, five sessions/ week) during a 3-week period. SUBJECTS: A total of 466 male and 807 female subjects categorized as a function of gender, age (<vs ≥ 50 y) and BMI (<vs ≥ 40 kg/m2). MEASUREMENTS: Body mass, stair climbing time and power before and after the BMR program. Fat-free mass and fat mass were also evaluated by bioimpedance analysis, in a representative subgroup of 160 patients, to evaluate the relation between fat-free mass and power output. RESULTS: Body mass, fat-free mass and fat mass significantly decreased following the BMR program (P <0.001), with male subjects reducing body mass and fat-free mass more than and fat mass less than the female subjects. Stair climbing time decreased (P <0.001) and therefore anaerobic power significantly increased 9.7% after the treatment. The greatest improvement in stair climbing performance was observed in obese women aged ≥ 50 y. Significant inverse correlations were found between initial power or fat-free mass level and respective percent increases (R = -0.35/-0.37, P <0.001) and between BMR-induced percent changes in body mass and power (R = -0.13, P <0.001). CONCLUSION: Subjects with the lowest baseline level in stair climbing performance (and probably with the lowest amount of fat-free mass), that is, obese women aged more than 50 y, obtained the largest enhancement after the 3-week BMR program, likely improving overall functional capacities and resulting in greater independence during daily-living activities in such a population.

Original languageEnglish
Pages (from-to)1097-1104
Number of pages8
JournalInternational Journal of Obesity
Volume28
Issue number9
DOIs
Publication statusPublished - Sep 2004

Keywords

  • BMI
  • Muscle power
  • Sarcopenia
  • Stair climbing

ASJC Scopus subject areas

  • Food Science
  • Endocrinology
  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Public Health, Environmental and Occupational Health

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