The Role of Individualized Exercise Prescription in Obesity Management – A Case Study

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Int J Environ Public Health Res. Nov 16, 2021; 18 (22): 12028. doi: 10.3390 / ijerph182212028.


INTRODUCTION: Obesity, or Chronic Adiposity Related Disease (ABCD), is one of the most common health risk factors today. Regular exercise, part of a complex lifestyle medicine program, is an effective treatment for obesity, but it is still underestimated. Monitoring and individualization by an exercise professional is necessary to define the precise dose effect.

MATERIALS AND METHODS: The 30-week lifestyle change program of a 65-year-old patient (body mass index (BMI) 43.8 kg / m2) was attended by a physician, exercise physiologist and nutritionist. During regular check-ups and blood tests, each training activity was measured using a heart rate monitor and a diet diary was kept.

RESULTS: Body weight decreased by 24.1 kg (18.4%) and BMI to 35.8 kg / m2. Decreased resting heart rate (72 bpm to 63 bpm), diastolic blood pressure (72 mmHg to 67 mmHg) and increased systolic blood pressure (126 mmHg to 135 mmHg) have been reported, in addition to reducing antihypertensive and antidiabetic drugs. Blood test results and fitness level improved, and daily steps and time spent in training increased.

CONCLUSIONS: Lifestyle medicine with professional support is an effective and long-term treatment for ABCD. Individualized exercise and nutritional therapy are essential, and wearable technology with telemedicine consultation also has an important role.

PMID: 34831781 | DOI: 10.3390 / ijerph182212028

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