title: Short-term changes of fatigability and muscle performance in severe obese patients after an integrated body mass reduction program.
abstract: The effects of a short-term (3-week) integrated body weight reduction (BWR) program on fatigue perception and on lower limb anaerobic power output were evaluated in 200 severely obese in-patients (40 males and 160 females, age: 18-83 yr, BMI: 35.0-65.3 kg/m2). Fatigue was assessed by a 7-point Likert-type scale questionnaire (Fatigue Severity Scale, FSS), while average lower limb power output (W) during a maximal effort was determined with a modification of the Margaria test for stair climbing. In both genders, total FSS score was influenced by both age and obesity level, resulting significantly (p < 0.001) lower in younger subjects (< 45 yr) than in older (> 45 yr) and in patients with lower BMI (< 40 kg/m2) than in those with a higher one (> 40 kg/m2). An opposite trend was observed in W. The 3-week BWR integrated program with moderate aerobic exercise and free standing and ground gymnastic routines induced a significant reduction in body weight (p < 0.001), in total FSS score (p < 0.001) and a significant increase in W, both in absolute terms (p < 0.05) and relative to body mass (p < 0.001). Total FSS score and absolute or relative power output were positively correlated both before and after the BWR program (p < 0.001, Wilcoxon rank test). It is concluded that: a) subjective fatigue perception, assessed by a FSS questionnaire, can be considered an indirect indicator of effective lower limb power output in severely obese patients and, b) in spite of a relatively small, although significant, decline of BMI, the full-time participation in a hospital-based, integrated BWR program with moderate exercise activity is associated with significant short-term improvements of both fatigue sensation and power output. Dia
authors.affiliation: Experimental Laboratory of Endocrinological Research, Italian Institute for Auxology, IRCCS, Milan, Italy. sartorio@auxologico.it
authors.forename: A
authors.initials: A
authors.lastname: Sartorio
authors.forename: P
authors.initials: P
authors.lastname: Fontana
authors.forename: L
authors.initials: L
authors.lastname: Trecate
authors.forename: C L
authors.initials: CL
authors.lastname: Lafortuna
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D005080:Exercise Test; D005221:Fatigue / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology*; D009767:Obesity, Morbid / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D005082:Physical Exertion / Q000502:physiology*; D011795:Surveys and Questionnaires; D015431:Weight Loss / Q000502:physiology*