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Titre : | Changes in Cardiometabolic Risk Among Older Adults with Obesity : An Ancillary Analysis of a Randomized Controlled Trial Investigating Exercise Plus Weight Maintenance and Exercise Plus Intentional Weight Loss by Caloric Restriction (2022) |
Auteurs : | Anna E. Bragg ; Kristi M. Crowe-White ; Amy C. Ellis ; Matthew Studer ; Frank Phillips ; Steven Samsel ; Jason Parton ; Julie L. Locher ; Jamy D. Ard |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 122, n° 2, February 2022) |
Article en page(s) : | p. 354-362 |
Note générale : | https://doi.org/10.1016/j.jand.2021.07.009 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adulte ; Diétothérapie ; Exercice physique ; Facteurs de risque cardiométaboliques ; Obésité ; Perte de poids ; Régime alimentaire |
Résumé : | Background Obesity imposes risk to cardiometabolic health; however, intentional weight loss among older adults with obesity remains controversial. Objective To explore the influence of exercise plus weight maintenance and exercise plus intentional weight loss by caloric restriction on changes in cardiometabolic risk among older adults with obesity assessed by four risk-scoring tools. Design Using longitudinal data from the Calorie Restriction and Changes in Body Composition, Disease, Function, and Quality of Life in Older Adults study (CROSSROADS) (ClinicalTrials.gov identifier: NCT00955903; May 2009 to October 2014), scores were calculated using baseline and 12-month data according to criteria from the International Diabetes Federation, National Cholesterol Education Program's Adult Treatment Panel, Framingham Risk Score, and Cardiometabolic Disease Staging. Participants and setting Participants (39% men, 23% African American, aged 70.2 + 4.7 years) were randomized to exercise (n = 48), exercise plus nutrient-dense weight maintenance diet (n = 44), or exercise plus weight loss by moderate caloric restriction (n = 42). Main outcome measures To evaluate effects of exercise plus weight maintenance and exercise plus intentional weight loss on changes in cardiometabolic risk. Statistical analyses performed Generalized estimating equations were used to assess changes in risk with ethnicity, biological sex, and age as covariates. Results Group-time interaction was only significant for Framingham and Cardiometabolic Disease Staging (P = 0.005 and 0.041, respectively). Upon post hoc analysis, significant within-group improvements in Framingham scores were observed for exercise plus weight maintenance (P |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221010352 |