Multimodal-lifestyle intervention produces reduction of the fat mass rather than body weight loss in men with obesity: A prospective cohort study |
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Affiliation: | 1. King Saud University, Department of Community health sciences, College of Applied Medical sciences, Riyadh, Saudi Arabia;2. Zagazig University, Obesity research and management unit, Department of Medical Physiology, Faculty of Medicine, Zagazig, Egypt;1. Department of Metabolism & Endocrinology, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China;2. Metabolic Syndrome Research center, Key Laboratory of Diabetes Immunology (Central South University), Ministry of Education, National Clinical Research Center for Metabolic Diseases, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China;3. Department of Minimal Invasive Surgery, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China;4. Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia;1. Institut de pharmacie, CHRU de Lille, rue Philippe-Marache, 59000 Lille, France;2. EA 7365, groupe de recherche sur les formes injectables et les technologies associées (GRITA), université de Lille, 59000 Lille, France;1. Division of General Internal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio;2. Group Health Center for Health Studies, Seattle, Washington;3. Miami University, Oxford, Ohio;4. Division of General Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio;1. Medipol University Faculty of Medicine, Cardiology Department, Istanbul, Turkey;2. Marmara University Faculty of Medicine, Physical Therapy and Rehabilitation Department, Istanbul, Turkey;3. Medipol University Faculty of Medicine, Physical Therapy and Rehabilitation Department, Istanbul, Turkey;1. Inserm U1055, bioénergétique fondamentale et appliquée, université Joseph-Fourier, BP 53, 38041 Grenoble cedex 9, France;2. Unité de nutrition artificielle, pôle Digidune, centre hospitalier universitaire de Grenoble, CS 10217, 38043 Grenoble cedex 9, France |
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Abstract: | Background and the objectiveBody composition changes throughout the multimodal-lifestyle intervention of obesity is underinvestigated. This study evaluated the effectiveness of the multimodal-lifestyle intervention in reduction of fat mass together with preservation of fat free mass.MethodsAdult male subjects with overweightness or obesity (n = 99) were enrolled in a prospective cohort study for 12 months. Patients were educated about healthy diet, physical activity, and some behavioral changes. Anthropometric measurements and body composition analysis by bioelectric impedance analysis (InBody-720) were reported before, during and after the study period.ResultsConcerning adherent subjects, the mean ± standard error of the mean (SEM) of percent weight loss, percent fat mass loss, percent fat free mass and total body water changes after 6 months were 7.24 ± 0.98, 16.28 ± 2.35, 0.76 ± 0.64 and 0.82 ± 0.65, respectively, and after 1 year they were 10.14 ± 0.78, 25.22 ± 3.59, 1.22 ± 1.06 and 1.27 ± 1.07, respectively. There were significant changes between before- and after-measurements of weight, BMI, waist circumference, fat mass and percent body fat (P < 0.05) for all studied intervals.ConclusionsMultimodal-lifestyle intervention might be effective in loss of fat mass rather than reduction of the total body weight together with preservation of the lean body mass. |
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Keywords: | Multimodal-lifestyle intervention Obesity Bioimpedance Fat mass Three-pyramid program Intervention de style de vie de Multimodal Obésité Bioimpedance La grosse masse Programme de trois-pyramide |
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