The excessive caloric intake and micronutrient deficiencies related to obesity after a long-term interdisciplinary therapy

The excessive caloric intake and micronutrient deficiencies related to obesity after a long-term interdisciplinary therapy

Author Poli, Vanessa Fadanelli Schoenardie Autor UNIFESP Google Scholar
Sanches, Ricardo Badan Autor UNIFESP Google Scholar
Moraes, Amanda dos Santos Autor UNIFESP Google Scholar
Fidalgo, João Pedro Novo Autor UNIFESP Google Scholar
Nascimento, Maythe Amaral Autor UNIFESP Google Scholar
Bresciani, Paula Autor UNIFESP Google Scholar
Andrade-Silva, Stephan Garcia Autor UNIFESP Google Scholar
Cipullo, Marcos Alberto Taddeo Autor UNIFESP Google Scholar
Clemente, Jose Carlos Google Scholar
Caranti, Danielle Arisa Autor UNIFESP Google Scholar
Abstract Objective The aim of this study was to assess the effectiveness of a long-term interdisciplinary lifestyle modification therapy on food intake, body composition, and anthropometric measurements of obese women. Methods Seventy obese women (age 41 ± 5.9 y) attended the interdisciplinary therapy, with nutrition, physical exercise, physiotherapy, and psychological support during the course of 1 y. Usual food intake was estimated by 3-d dietary record. Dual-energy x-ray absorptiometry was performed to determine body fat and fat-free mass. Waist and hip circumferences also were measured. Student's t test and Wilcoxon test were used for comparisons among categories; P < 0.05 was considered significant. Results The assessment of dietary intake showed significant changes after interdisciplinary therapy. A reduction in intake of total calories (18.3%), carbohydrates (15.6%), and total fats (13.1%) was observed. Total micronutrient intake did not change positively after therapy, as the intake level of 16 micronutrients was still lower than recommended. The therapy was effective in reducing significantly body weight (5.9%), body mass index (6.1%), body fat (4.7%), and waist (5.2%) and hip (3.8%) circumferences. Conclusions Long-term interdisciplinary therapy was effective in decreasing the intake of calories, carbohydrates, and fats. The therapy positively changed the body composition and reduced anthropometric measurements. However, the intake of some micronutrients after therapy was still significantly lower than recommended. These results demonstrated that the proposed interdisciplinary methodology can be effective in treating obesity; however, the present study reinforced the need to address the micronutrient deficiency in the target population.
Keywords Public health
Lifestyle modification
Dietary change
Obesity treatment
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Sponsor Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)-Reuni
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Grant number FAPESP: 51723-7
CNPq: 471108
Date 2017
Published in Nutrition. New York, v. 38, p. 113-119, 2017.
ISSN 0899-9007 (Sherpa/Romeo, impact factor)
Publisher Elsevier Science Inc
Extent 113-119
Access rights Closed access
Type Article
Web of Science ID WOS:000402224000021

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