Lorenzo M. Donini

Assessing disability in morbidly obese individuals: the Italian Society of Obesity test for obesity-related disabilities.

Purpose.u2003To validate a new obesity-specific disability assessment test: the Obesity-related Disability test (Test SIO Disabilità Obesità Correlata, TSD-OC). Methods.u2003Adult obese individuals were assessed with the TSD-OC, 36-Item Short-Form Health Survey (SF-36), 6-min walking test (6MWT) and grip strength. The TSD-OC is composed of 36 items divided into seven sections (pain, stiffness, activities of daily living and indoor mobility, housework, outdoor activities, occupational activities and social life). Statistical correlations between the TSD-OC, functional assessment (6MWT and grip strength) and quality of life parameters (SF-36) were analysed. Internal consistency was assessed with Cronbachs α test. Test–retest reliability was evaluated in a subgroup of 30 individuals. A linking exercise between TSD-OC items and categories of the International Classification of Functioning, Disability and Health was performed. Results.u2003Test–retest showed excellent stability (ru200au200a==u200au200a0.90) and excellent internal consistency was reported (Cronbachs αu200au200a>u200au200a0.90). Significant low to moderate correlations between TSD-OC, SF-36 scores, 6MWT and grip strength were observed. A total of 26 ICF categories were linked, mostly related to the area of mobility. Conclusions.u2003The TSD-OC is a reliable and valid instrument for measuring self-reported disability in obese subjects. It may represent an important tool for establishing rehabilitation needs in individuals with obesity-related disability, for planning appropriate rehabilitation programmes and for evaluating their effectiveness.

Indirect calorimetry in obese female subjects: Factors influencing the resting metabolic rate

AIMnTo evaluate selected factors influencing resting energy expenditure (REE) in obese female subjects.nnnMETHODSnSeventy seven 61 obese Caucasian women [mean age of 52.93 ± 13.45 years, and mean body mass index (BMI) of 41.78 ± 11.54 kg/m(2)] were enrolled; measurements of resting metabolic rate (RMR) by a ventilated, open-circuit system, indirect calorimeter were performed after an overnight fast. Body composition as well as medications, physical parameters, blood samples, disease pattern, and smoking were considered.nnnRESULTSnRMR was significantly associated with body weight (r = 0.732, P < 0.001), body height (r = 0.401, P = 0.008), BMI (r = 0.504, P < 0.001), waist circumference (r = 0.602, P < 0.001), mid-upper arm circumference (r = 0.417, P = 0.006), mid-upper arm muscle circumference (r = 0.344, P = 0.028), total body water (r = 0.339, P = 0.035), body temperature (r = 0.409, P = 0.007), smoking (P = 0.031), serum T4 levels (r = 0.331, P = 0.036), obstructive sleep apnoea syndrome (OSAS; P = 0.023), impaired glucose tolerance (IGT; P = 0.017) and impaired glycaemic status, including hyperinsulinism, IGT and diabetes mellitus (P = 0.003).nnnCONCLUSIONnFuture research should be prompted to optimize the procedure of indirect calorimetry to achieve clinical benefits in obese subjects.

Defining the appropriate setting for treating obese patients: do we have the right tools?

PurposeTo allocate obese patients to the correct therapeutic setting, the Italian Obesity Society (SIO) has suggested a new algorithm based on the Edmonton obesity staging system (EOSS). The aim of our study was to apply in two retrospective cohorts of obese patients both the EOSS and the activities of daily life (ADL) scale to identify also their rehabilitation needs.Methods288 out-patients and 298 in-patients were recruited. All patients were evaluated with a multidisciplinary approach and the mental, mechanical, and metabolic comorbidities were scored.ResultsThe 2 groups differed for gender (28.8% men in out-patients, pu2009=u20090.001), age (>u200960 years in in-patients, pu2009=u20090.03), BMI (40.8u2009±u20096.3xa0kg/m2 in in-patients, pu2009<u20090.001), and ADL (44.0u2009±u200916.0 in in-patients, pu2009<u20090.001). EOSS distribution was significant different: stages 0 and 1 were more present in out-patients and stages 3 and 4 in in-patients. In both groups, BMI increased significantly in EOSS category [95% CIu2009+u20091.4 (+u20090.5; +u20092.2) for out-patients and +u20091.7 (+u20090.7; +u20092.6) for in-patients] and ADL were positively correlated with EOSS [95% CIu2009+u20095.0 (+u20092.5; +u20097.4) for out-patients and +u20099.9 (+u20097.7; +u200912.2) for in-patients]. Mean ADL difference between the two groups, adjusted for age (over/under 60xa0years), BMI category, and EOSS was 24.8 (pu2009<u20090.0001).ConclusionsSIO algorithm seems an effective tool for staging obesity in relation to the clinical impairment. To better define the correct rehabilitative allocation of obese patients, we suggest to integrate the SIO algorithm with the ADL score.Level of evidenceLevel III, retrospectivexa0case-control analytic study.

Obesità, dieta mediterranea e nutraceutica

SommarioLa Dieta Mediterranea (DM) è ricca di alimenti con proprietà nutraceutiche. L’olio d’oliva è ricco di acidi grassi Ω9

Poster 227: Disability in Obesity

Omega 9

Binge Eating Disorder and Body Uneasiness

, vitamina E e polifenoli; pesce e frutta secca di acidi grassi Ω3

Obesity, cardiomyopathy and anabolic hormones

Omega 3

Dynapenic obesity and myosteatosis in women with and without the metabolic syndrome

e Ω6

Effects of short sleep duration on energy metabolism and energy balance in subjects with overweight and obesity

Omega 6

Food Preferences in the Elderly

; frutta e verdura di fibra alimentare e di composti bioattivi; la buccia dell’acino d’uva di resveratrolo; i prodotti lattiero-caseari di calcio e di acidi linoleici coniugati. Per molte di queste sostanze è stato dimostrato un effetto benefico sulla salute se assunte attraverso gli alimenti. Si evidenziano effetti minori quando queste stesse sostanze sono assunte sotto forma di integratore.