Applied Research and Technology Institute (InIAT), Universidad Iberoamericana-Ciudad de México, Mexico City, Mexico.
Rehabilitation Department, Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.
Obes Facts. 2023;16(5):507-513. doi: 10.1159/000533639. Epub 2023 Aug 18.
The benefits of exercise in patients with obesity are clear; physical performance and quality of life improve after exercise programs in patients with obesity. Our aim was to evaluate the usefulness of an easy, structured, and home-based exercise program to improve physical performance and quality-of-life in patients with obesity.
A cohort of patients with obesity (BMI ≥30 kg/m2) was recruited during 2017-2020. Patients who met the inclusion criteria were invited and those who accepted signed informed consent. Patients were evaluated by the same team of physicians who performed the 6-min walking test and collected the clinical and biochemical variables, also applied quality-of-life questionnaire at baseline and 3 months after starting the exercise program that was divided in two levels: level 1: active mobilization of four limbs (15 min) + cardiovascular exercise (15 min walking), 5 days/week; level 2: eight strengthening exercises for upper and lower limbs with an elastic band + cardiovascular exercise (15 min walking), 5 days/week. This study used means (SD), frequencies (percent), Student's t test, and Pearson correlation test.
We included 151 patients, mostly women (81.5%), age 46.3 ± 9.8 years old, BMI 40.3 ± 8.56 kg/m2, 34.4% performed some type of exercise, and the most frequents comorbidities were dyslipidemia and diabetes. After 3 months, 86 patients (57%) remained in the study and attended the final evaluation. Evident changes in physical performance were reported (distance traveled, speed walking and VO2max); however, improvement in quality of life was remarkable.
An easy, structured, and home-based exercise program improves physical performance and quality of life in patients with obesity, without losing its benefits for the health.
运动对肥胖患者的益处是明确的；肥胖患者进行运动计划后，身体机能和生活质量都会得到改善。我们的目的是评估一种简单、结构化且基于家庭的运动方案在改善肥胖患者身体机能和生活质量方面的有效性。
我们在 2017 年至 2020 年期间招募了肥胖患者（BMI≥30kg/m2）。符合纳入标准的患者会被邀请参加，并且愿意参加的患者会签署知情同意书。由同一组医生评估患者，他们进行了 6 分钟步行测试，并收集了临床和生化变量，还在开始运动方案前和 3 个月后应用了生活质量问卷，运动方案分为两个级别：第 1 级：四肢主动运动（15 分钟）+心血管运动（15 分钟步行），每周 5 天；第 2 级：上下肢弹性带强化运动 8 项+心血管运动（15 分钟步行），每周 5 天。本研究使用平均值（标准差）、频率（百分比）、学生 t 检验和 Pearson 相关检验。
我们共纳入了 151 名患者，大多数为女性（81.5%），年龄为 46.3±9.8 岁，BMI 为 40.3±8.56kg/m2，34.4%的患者进行了某种类型的运动，最常见的合并症是血脂异常和糖尿病。3 个月后，86 名患者（57%）继续参加研究并接受了最终评估。报告显示身体机能明显改善（行走距离、行走速度和 VO2max）；然而，生活质量的改善更为显著。
一种简单、结构化且基于家庭的运动方案可改善肥胖患者的身体机能和生活质量，同时不会影响其健康益处。
