title: [Evolution and weight and body composition determination after therapy for pathological obesity for measuring compliance in (re)-education].
abstract: Obesity, and its associated complications, is one of the most costly diseases in modern civilisations. Dieting alone rarely gives good long-term results. The effect of the combination of nutritional education and moderately intensive physical exercise on the evolution of weight and Body composition has been analysed by bio-impedancemetry over a one-year period. Patients could be divided into four groups: patients lost after the 3-week nutritional course, patients neither dieting nor exercising, patients dieting and patients both dieting and exercising. The results for the four groups were the following: undeterminably, 5% loss compared to initial weight (and nearly 10% compared to reported maximum weight). 10% loss and 15% loss over one year. In the last group, Body composition showed a relative increase in muscle mass, which explains the lack of a drop in basal metabolic rates seen in the diet-alone group. This maintained metabolic rate probably prevented patients from weight cycling (yo-yo phenomenon). This result can be compared to other life-style changing studies or pharmacological treatments (Orlistat, sibutramine) of obesity, which resulted in an approx. 10% weight reduction.
authors.affiliation: mkeipes@pt.lu
authors.forename: M
authors.initials: M
authors.lastname: Keipes
authors.forename: M
authors.initials: M
authors.lastname: Fuente Martinez
authors.forename: L
authors.initials: L
authors.lastname: Nicolay
authors.forename: V
authors.initials: V
authors.lastname: Kuffer
authors.forename: L
authors.initials: L
authors.lastname: Mersch
authors.forename: J
authors.initials: J
authors.lastname: Klees
authors.forename: M
authors.initials: M
authors.lastname: Jacqué
mesh_terms: D019440:Anti-Obesity Agents / Q000627:therapeutic use; D001823:Body Composition; D001835:Body Weight; D003503:Cyclobutanes / Q000627:therapeutic use; D004038:Diet, Reducing; D017097:Electric Impedance; D015444:Exercise; D005260:Female; D006801:Humans; D007783:Lactones / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009747:Nutritional Physiological Phenomena; D009765:Obesity / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D000077403:Orlistat; D010349:Patient Compliance; D010353:Patient Education as Topic; D012189:Retrospective Studies; D015431:Weight Loss
chemical_list: D019440:Anti-Obesity Agents; D003503:Cyclobutanes; D007783:Lactones; D000077403:Orlistat; C058254:sibutramine
vernacular_title: Evolution du poids et de la composition corporelle à moyen terme après une cure pour obésité pathologique selon la compliance à la (ré)-éducation.