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P-55 Effectiveness of a multidisciplinary program in lifestyle change in patients in a sports medicine centre
  1. FA Drummond,
  2. PR Moraes,
  3. DS Soares,
  4. HCS Pinheiro,
  5. M Soares,
  6. VB Marques,
  7. FR Luz,
  8. R Henriques,
  9. LAB Crescente,
  10. LL Ferrari,
  11. ME Ferrareze,
  12. LCR Buarque
  1. Authors’ Department, Sports Medicine Institute – Mãe de Deus Hospital – Brazil

Abstract

In order to guide the change in lifestyle, the Summer Start Program (SSP) was focused on physical exercise (PEx), balanced and healthy nutrition. Our objective was to assess the impact of a lifestyle change program through regular exercise and nutritional education with evaluation, guidance and monitoring of Multidisciplinary Team (MT), held at the Sports Medicine Institute of Mãe de Deus Hospital of Porto Alegre.

Methods Longitudinal retrospective study with 14 participants in SSP, aged 23 to 51 years, followed for 25,4 ± 7,22 weeks, with the aim of improving lifestyle with PEx and change in body composition (BC). Initial assessments of BC were made through the Faulkner Skinfold Protocol, cardiopulmonary capacity by Cardiopulmonary Exercise Test (CPET) on a treadmill Super ATL of Inbrasport and VO2000 gas analyzer Medgraphics, and neuromuscular assessment through Functional Movement Screen (FMS). The participants were followed up by a multidisciplinary team and evaluated in two stages to check the progress of the indicators.

Results Initial data show that 71,4% had cardiorespiratory capacity (CCR) Excellent or Good through CPET measurements, according to the AHA classification. Only 28,6% had good functionality measured by FMS. There was no statistical correlation between CCR, FMS and percentage body fat (%BF). In this sample we observed reduction in BMI, abdominal circumference and%BF (85,17%, 92,85% and 100%, respectively) of participants.

Abstract P-55 Table 1

Mean values and difference of mean and variance values. (BMI = Body Mass Index; %BF = Percentage Body Fat;%LMM = percentage Lean Muscle Mass)

Based on a paired sample size n = 14 there is statistical evidence, that the mean BMI (p value = 0,002),%BF (p value < 0,001), percentage lean muscle mass (%LMM) (p value = 0,001) and the median waist circumference after treatment is different from the baseline. The data indicate that the reduced average BMI and%BF was −1.32 (CI95% −2,07 e −0,57) and - 3,88 (IC95%, −5,59; −2,17) units, respectively. The difference in mean LMM increased on average +3,41 (CI95% 1,79 ; 5,02) and the difference of the medians for waist circumference was - 4.0 units.

Conclusion The significant reduction in BMI, the%BF and median Waist Circumference, associated with increased%LMM in the group showed that lifestyle change strategy with a multidisciplinary approach was effective in reducing body fat. These findings suggest that multidisciplinary approach to exercise and nutritional education is an excellent alternative for promoting health.

Acknowledgment The authors would like to express appreciation for the support of the sponsors [Project Number = 1143].

Reference

  1. Lin X. Effects of Exercise Training on Cardiorespiratory Fitness and Biomarkers of Cardiometabolic Health: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. J Am Heart Assoc 2015;4:e002014 doi: 10.1161/JAHA.115.002014

  • Multidisciplinary team approach
  • Lifestyle
  • Physical Exercise
  • Health Nutrition

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