Issue 3-21, 2022

Original title

https://doi.org/10.38025/2078-1962-2022-21-3-189-201

Efficacy of a Comprehensive Rehabilitation Program including Interactive Balance Therapy with Biofeedback and Hydrokinesitherapy in Reducing Body Weight and Changing of the Body Composition in Patients with Obesity

View article (Download PDF file)



Download XML file

1 ORCIDValeria A. Vasileva, 1 ORCIDLarisa A. Marchenkova

1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation


ABSTRACT

The problem of overweight (obesity) is steadily increasing.Aim. To evaluate the effectiveness of a new comprehensive rehabilitation program on the dynamics of weight and body compositionindicators using different methods after the rehabilitation stage and long-term results.Material and methods. Men and women aged 40 to 65 years with a body mass index ≥ 30 kg/m2 were included in the study. Thepatients were further divided into two groups by simple randomisation. Both groups underwent two weeks of medical rehabilitationon a low-calorie diet. The patients of the main group (group 1) received 4 methods of therapeutic physical exercises. Patients in thecomparison group (group 2) were treated only with aerobic exercise and therapeutic gymnastics. A dynamic observation was carriedout immediately after the course, after 3 and 6 months.Results and discussion. According to the data obtained, there was a significant reduction in body weight in both groups aftercompletion of the treatment phase, p=0.0001. There was a significant reduction in abdominal fat thickness after 14 days, 3 and 6 monthsin the main group (from 67.5[50.0;77.5] to 56.0[50.0;68.0] to 46.0[37.0;50.0] to 50.0[38.0;70.0] mm respectively). We obtained a significant(p<0.05) decrease in fat mass according to bioimpedanceometry in the main group after 14 days and 3 months, respectively (from65.7[49.2;72.1] to 60.9[42.2;66.7] to 55.3[39.3;62.2] kg, respectively). In group 1 the reduction in adipose tissue by air-substituted bodyplethysmography was also significantly (p<0.05) different after 14 days, 3 months respectively (from 56.8[41.3;77.5] to 49.7[40.1;57.1]to 44.4[34.4;64.4] kg). Body composition analysis data over time confirm the effectiveness of comprehensive programs in weight loss.Conclusion. A new comprehensive program including aerobic and strength training, kinesohydrotherapy and balance therapycombined with a low-calorie diet showed more significant effects on weight loss, reduction in the thickness of fatty folds and changesin body composition, including at long-term follow-up, than the standard method of rehabilitation.


KEYWORDS: obesity, kinesohydrotherapy, body composition, rehabilitation, bioimpedanceometry, air-substituted body plethysmography, fat-fold thickness

FOR CITATION: Vasileva V.A., Marchenkova L.A. Efficacy of a Comprehensive Rehabilitation Program including Interactive Balance Therapy with Biofeedback and Hydrokinesitherapy in Reducing Body Weight and Changing of the Body Composition in Patients with Obesity. Bulletin of Rehabilitation Medicine. 2022; 21 (3): 189-201. https://doi.org/10.38025/2078-1962-2022-21-3-189-201


References:

  1. Després J.P., Poirier P., Bergeron J., Tremblay A., Lemieux I., Alméras N. From individual risk factors and the metabolic syndrome to global cardiometabolic risk. European Heart Journal. 2008; 10(B): 24-33. https://doi.org/10.1093/eurheartj/sum041
  2. WHO. Obesity and Overweight. Geneva, Switzeriand. 2016. 
  3. Zatoloka N.V., Bulgak A.G., Tarasyuk E.S. Diagnostic method for obstructive sleep apnea syndrome in patients with coronary heart disease and metabolic syndrome. Eurasian Heart Journal. 2016; (3): 200 p. (In Russ.).
  4. Mannix E.T., Dempsey J.M., Engel R.J., Schneider B., Busk M.F. The Role of Physical Activity, Exercise, and Nutrition in the Treatment of Obesity. The Management of Eating Disorders and Obesity. Nutrition and Health. 2010: 155-172. https://doi.org/10.1007/978-1-59259-694-2_13
  5. Dam T.T., Peters K.W., Fragala M, Cawthon P.M., Harris T.B., McLean R., Shardell M., Alley D.E., Kenny A., Ferrucci L., Guralnik J., Kiel D.P., Kritchevsky S., Vassileva M.T., Studenski S.J. An Evidence-Based Comparison of Operational Criteria for the Presence of Sarcopenia. The Journals of Gerontology: Series A. 2014; 69(5): 584-90. https://doi.org/10.1093/gerona/glu013
  6. Misnikova I.V., Kovaleva Ju.A., Klimina N.A. Sarcopenic obesity. Russian Medical Journal. 2017; 1(25): 24-29. (In Russ.).
  7. Marchenkova L.A., Vasileva V.A. Motor and balance function disorders and possibilities of their correction in patients with obesity and metabolic syndrome. Lechaschi Vrach. 2019; (4): 68 p. (In Russ.).
  8. Ding J., Kritchevsky S.B., Newman A. et al. Effects of birth cohortand age on body composition in a sample of community-based elderly. The American Journal of Clinical Nutrition. 2007; 85(2): 405-410. https://doi.org/10.1093/ajcn/85.2.405
  9. Beaufrere B., Morio B. Fat and protein redistribution with aging: metabolic considerations. European Journal of Clinical Nutrition. 2000; 54(3): S48- S53. https://doi.org/10.1038/sj.ejcn.1601025
  10. Lee O., Lee D.S., Lee S. Associations between Physical Activity and Obesity Defined by waist – to height ratio and body mass index in the Korean Population. PLOS One. 2016; 11(7): 1-1125. https://doi.org/10.1371/journal.pone.0158245
  11. Cruz-Jentoft A.J., Bahat G., Bauer J. et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing. 2018; (0): 1-16. https://doi.org/10.1093/ageing/afy169
  12. Waters D.L., Baumgartner R.N. Sarcopenia and Obesity. Clinics in Geriatric Medicine. 2011; 27(3): 401-421. https://doi.org/10.1016/j.cger.2011.03.007
  13. Prado C.M., Wells J.C., Smith S.R. et al. Sarcopenic Obesity: A Critical Appraisal of the Current Evidence. Clinical Nutrition. 2012: 31(5): 583-601. https://doi.org/10.1016/j.clnu.2012.06.010
  14. Lee S.Y., Gallagher D. Assessment methods in human body composition. Current Opinion in Clinical Nutrition and Metabolic Care. 2008; (11): 566-572. https://doi.org/10.1097/MCO.0b013e32830b5f23
  15. Kacmarek R.M., Wanderley H.V., Villar J., Berra L. Weaning patients with obesity from ventilatory support. Current Opinion in Critical Care. 2021; 27(3): 311-319. https://doi.org/10.1097/MCC.0000000000000823
  16. Roberts H.C., Denison H.J., Martin H.J. et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a stan- dardised approach. Age Ageing. 2011; (40): 423-9. https://doi.org/10.1093/ageing/afr051
  17. Valeriia Vasileva, Larisa Marchenkova. Comparative effectiveness of three methods for body composition assessment in the verification of manifestations of sarcopenia in obese patients. Bone Reports. 2020; (13): 173 p. https://doi.org/10.1016/j.bonr.2020.100494
  18. K avitha Bhat Schelber t. Comorbidities of Obesity. Primary Care: Clinics in Office Practice. 2009; 36(2): 271-285. https://doi.org/10.1016/j.pop.2009.01.009
  19. Beaudart C., McCloskey E., Bruyere O. et al. Sarcopenia in daily practice: assessment and management. BMC Geriatrics. 2016; (16): 170 p. https://doi.org/10.1186/s12877-016-0349-4
  20. Grzegorz Bielec,  Anna Gozdziejewska, , Piotr Makar. Changes in Body Composition and Anthropomorphic Measurements in Children Participating in Swimming and Non-Swimming Activities. Children. 2021; 8(7): 529 p. https://doi.org/10.3390/children8070529
  21. Angela A.M. Carvalho, Francyelle B.R.D.E. Moura, Pedro Augusto S. Nogueira, Aline Maria N. Gonçalves, Fernanda A. Araújo, Renata G. Zanon, Tatiana Carla Tomiosso. Swimming exercise changed the collagen synthesis and calcification in calcaneal tendons of mice. Anais da Academia Brasileira de Ciencias. 2020; 92(1): e20181127 p. https://doi.org/10.1590/0001-3765202020181127
  22. Dana Guglielmo, Kristina A. Theis,  Louise B. Murphy, Michael A. Boring,  Charles G. Helmick,  John D. Omura, Erica L. Odom, Lindsey M. Duca, Janet B. Croft. physical activity types and programs recommended by primary care providers treating adults with Arthritis. DocStyles 2018. Preventing Chronic Disease. 2021; (18): 210194 p. https://doi.org/10.5888/pcd18.210194
  23. Fjeldstad C., Fjeldstad A.S., Acree L.S., Nickel K.J., Gardner A.W. The influence of obesity on falls and quality of life. Dynamic Medicine. 2008; (7): 6 p. https://doi.org/10.1186/1476-5918-7-4



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.