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Effects of Lifestyle Interventions That Include a Physical Activity Component in Class II and III Obese Individuals: A Systematic Review and Meta-Analysis

Author

Listed:
  • Aurélie Baillot
  • Ahmed J Romain
  • Katherine Boisvert-Vigneault
  • Mélisa Audet
  • Jean Patrice Baillargeon
  • Isabelle J Dionne
  • Louis Valiquette
  • Claire Nour Abou Chakra
  • Antoine Avignon
  • Marie-France Langlois

Abstract

Background: In class II and III obese individuals, lifestyle intervention is the first step to achieve weight loss and treat obesity-related comorbidities before considering bariatric surgery. A systematic review, meta-analysis, and meta-regression were performed to assess the impact of lifestyle interventions incorporating a physical activity (PA) component on health outcomes of class II and III obese individuals. Methods: An electronic search was conducted in 4 databases (Medline, Scopus, CINAHL and Sportdiscus). Two independent investigators selected original studies assessing the impact of lifestyle interventions with PA components on anthropometric parameters, cardiometabolic risk factors (fat mass, blood pressure, lipid and glucose metabolism), behaviour modification (PA and nutritional changes), and quality of life in adults with body mass index (BMI) ≥ 35 kg/m2. Estimates were pooled using a random-effect model (DerSimonian and Laird method). Heterogeneity between studies was assessed by the Cochran’s chi-square test and quantified through an estimation of the I². Results: Of the 3,170 identified articles, 56 met our eligibility criteria, with a large majority of uncontrolled studies (80%). The meta-analysis based on uncontrolled studies showed significant heterogeneity among all included studies. The pooled mean difference in weight loss was 8.9 kg (95% CI, 10.2–7.7; p

Suggested Citation

  • Aurélie Baillot & Ahmed J Romain & Katherine Boisvert-Vigneault & Mélisa Audet & Jean Patrice Baillargeon & Isabelle J Dionne & Louis Valiquette & Claire Nour Abou Chakra & Antoine Avignon & Marie-Fra, 2015. "Effects of Lifestyle Interventions That Include a Physical Activity Component in Class II and III Obese Individuals: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-32, April.
    • Handle: RePEc:plo:pone00:0119017
    DOI: 10.1371/journal.pone.0119017
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    References listed on IDEAS

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    1. Carmen Galani & Heinz Schneider, 2007. "Prevention and treatment of obesity with lifestyle interventions: review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(6), pages 348-359, December.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Idoia Iturbe & Eva Pereda-Pereda & Enrique Echeburúa & Edurne Maiz, 2021. "The Effectiveness of an Acceptance and Commitment Therapy and Mindfulness Group Intervention for Enhancing the Psychological and Physical Well-Being of Adults with Overweight or Obesity Seeking Treatm," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
    2. Bramblett, Paige N. & Fasczewski, Kimberly S. & Powell, Sara M., 2023. "Do it for the cause: Feasibility of a theory-based virtual 5 K walk/run program to increase physical activity behavior," Evaluation and Program Planning, Elsevier, vol. 98(C).
    3. Eun-Jin Kim & Ju-Hee Nho & Hye-Young Kim & Sook-Kyoung Park, 2021. "The Effects of Lifestyle Interventions on the Health-Promoting Behavior, Type D Personality, Cognitive Function and Body Composition of Low-Income Middle-Aged Korean Women," IJERPH, MDPI, vol. 18(11), pages 1-12, May.
    4. Cláudia Santos & Manuel Carvalho & Leandro Oliveira & António Palmeira & Luís Monteiro Rodrigues & João Gregório, 2022. "The Long-Term Association between Physical Activity and Weight Regain, Metabolic Risk Factors, Quality of Life and Sleep after Bariatric Surgery," IJERPH, MDPI, vol. 19(14), pages 1-11, July.

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