Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program
The SARS-CoV-2 pandemic led to lockdowns, which affected the elderly, a high-risk group. Lockdown may lead to weight gain due to increased food intake and reduced physical activity (PA). Our study aimed to analyze the impact of a 12-month lifestyle intervention on a metabolically healthy overweight/...
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oai:doaj.org-article:3ba6a87660364596a20127f036d6885c2021-11-25T17:49:31ZLifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program10.3390/ijerph1822119261660-46011661-7827https://doaj.org/article/3ba6a87660364596a20127f036d6885c2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11926https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The SARS-CoV-2 pandemic led to lockdowns, which affected the elderly, a high-risk group. Lockdown may lead to weight gain due to increased food intake and reduced physical activity (PA). Our study aimed to analyze the impact of a 12-month lifestyle intervention on a metabolically healthy overweight/obese elderly (MHOe) population and how the lockdown by COVID-19 affected this program. <b>Methods:</b> MHOe participants (65–87 years) were recruited to participate in a lifestyle modification intervention based on the Mediterranean diet (MedDiet) and regular PA. Participants were classified into two groups: young-old (<75 years) or old-old (≥75 years). Anthropometric and clinical characteristics, energy intake, and energy expenditure were analyzed at baseline and after 12 months of intervention. <b>Results:</b> The final sample included 158 MHOe participants of both sexes (age: 72.21 ± 5.04 years, BMI: 31.56 ± 3.82 kg/m<sup>2</sup>): 109 young-old (age: 69.26 ± 2.83 years, BMI: 32.0 ± 3.85 kg/m<sup>2</sup>) and 49 old-old (age: 78.06 ± 2.88 years, BMI: 30.67 ± 3.64 kg/m<sup>2</sup>). After 12 months of intervention and despite lockdown, the young-old group increased MedDiet adherence (+1 point), but both groups drastically decreased daily PA, especially old-old participants. Fat mass significantly declined in the total population and the young-old. Depression significantly increased (26.9% vs. 21.0%, <i>p</i> < 0.0001), especially in the old-old (36.7% vs. 22.0%, <i>p</i> < 0.0001). No significant changes were found in the glycemic or lipid profile. <b>Conclusions:</b> This study indicates that ongoing MedDiet intake and regular PA can be considered preventative treatment for metabolic diseases in MHOe subjects. However, mental health worsened during the study and should be addressed in elderly individuals.Lidia Cobos-PalaciosMónica Muñoz-ÚbedaMaria Isabel Ruiz-MorenoAlberto Vilches-PerezAntonio Vargas-CandelaJavier Benítez-PorresAna Navarro-SanzMaria Dolores Lopez-CarmonaLuis Miguel Pérez-BelmonteJaime Sanz-CanovasRicardo Gomez-HuelgasMaria Rosa Bernal-LopezMDPI AGarticleSARS-CoV-2metabolically healthy obesityelderly populationyoung-oldold-oldMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11926, p 11926 (2021) |
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| collection |
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| topic |
SARS-CoV-2 metabolically healthy obesity elderly population young-old old-old Medicine R |
| spellingShingle |
SARS-CoV-2 metabolically healthy obesity elderly population young-old old-old Medicine R Lidia Cobos-Palacios Mónica Muñoz-Úbeda Maria Isabel Ruiz-Moreno Alberto Vilches-Perez Antonio Vargas-Candela Javier Benítez-Porres Ana Navarro-Sanz Maria Dolores Lopez-Carmona Luis Miguel Pérez-Belmonte Jaime Sanz-Canovas Ricardo Gomez-Huelgas Maria Rosa Bernal-Lopez Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program |
| description |
The SARS-CoV-2 pandemic led to lockdowns, which affected the elderly, a high-risk group. Lockdown may lead to weight gain due to increased food intake and reduced physical activity (PA). Our study aimed to analyze the impact of a 12-month lifestyle intervention on a metabolically healthy overweight/obese elderly (MHOe) population and how the lockdown by COVID-19 affected this program. <b>Methods:</b> MHOe participants (65–87 years) were recruited to participate in a lifestyle modification intervention based on the Mediterranean diet (MedDiet) and regular PA. Participants were classified into two groups: young-old (<75 years) or old-old (≥75 years). Anthropometric and clinical characteristics, energy intake, and energy expenditure were analyzed at baseline and after 12 months of intervention. <b>Results:</b> The final sample included 158 MHOe participants of both sexes (age: 72.21 ± 5.04 years, BMI: 31.56 ± 3.82 kg/m<sup>2</sup>): 109 young-old (age: 69.26 ± 2.83 years, BMI: 32.0 ± 3.85 kg/m<sup>2</sup>) and 49 old-old (age: 78.06 ± 2.88 years, BMI: 30.67 ± 3.64 kg/m<sup>2</sup>). After 12 months of intervention and despite lockdown, the young-old group increased MedDiet adherence (+1 point), but both groups drastically decreased daily PA, especially old-old participants. Fat mass significantly declined in the total population and the young-old. Depression significantly increased (26.9% vs. 21.0%, <i>p</i> < 0.0001), especially in the old-old (36.7% vs. 22.0%, <i>p</i> < 0.0001). No significant changes were found in the glycemic or lipid profile. <b>Conclusions:</b> This study indicates that ongoing MedDiet intake and regular PA can be considered preventative treatment for metabolic diseases in MHOe subjects. However, mental health worsened during the study and should be addressed in elderly individuals. |
| format |
article |
| author |
Lidia Cobos-Palacios Mónica Muñoz-Úbeda Maria Isabel Ruiz-Moreno Alberto Vilches-Perez Antonio Vargas-Candela Javier Benítez-Porres Ana Navarro-Sanz Maria Dolores Lopez-Carmona Luis Miguel Pérez-Belmonte Jaime Sanz-Canovas Ricardo Gomez-Huelgas Maria Rosa Bernal-Lopez |
| author_facet |
Lidia Cobos-Palacios Mónica Muñoz-Úbeda Maria Isabel Ruiz-Moreno Alberto Vilches-Perez Antonio Vargas-Candela Javier Benítez-Porres Ana Navarro-Sanz Maria Dolores Lopez-Carmona Luis Miguel Pérez-Belmonte Jaime Sanz-Canovas Ricardo Gomez-Huelgas Maria Rosa Bernal-Lopez |
| author_sort |
Lidia Cobos-Palacios |
| title |
Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program |
| title_short |
Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program |
| title_full |
Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program |
| title_fullStr |
Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program |
| title_full_unstemmed |
Lifestyle Modification Program on a Metabolically Healthy Elderly Population with Overweight/Obesity, Young-Old vs. Old-Old. CONSEQUENCES of COVID-19 Lockdown in This Program |
| title_sort |
lifestyle modification program on a metabolically healthy elderly population with overweight/obesity, young-old vs. old-old. consequences of covid-19 lockdown in this program |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/3ba6a87660364596a20127f036d6885c |
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