A 3-Week Multidisciplinary Body Weight Reduction Program Improves Body Composition and Lower Limb Power Output in

Stefano Lazzer1,2,3, Giulia Bravo1, Gabriella Tringali3

  • 1Department of Medicine, University of Udine, Udine, Italy.

Insights

A 3-week body weight reduction program significantly reduced fat mass and maintained fat-free mass in obese children and adolescents. This program also enhanced lower limb muscle power (LLP) output, improving physical function in young individuals.

Area of Science:

  • Pediatric Obesity Research
  • Sports Medicine and Physiology
  • Body Composition Analysis

Background:

  • Childhood obesity is a growing global health concern.
  • Obesity negatively impacts body composition and physical function in children and adolescents.
  • Effective interventions are needed to manage pediatric obesity and its consequences.

Purpose of the Study:

  • To evaluate the impact of a 3-week in-hospital body weight reduction program (BWRP) on body composition and lower limb muscle power (LLP) in obese youth.
  • To assess changes in fat mass (FM), fat-free mass (FFM), and LLP before and after the intervention.
  • To determine the effectiveness of a comprehensive BWRP including diet, exercise, and psychological support.

Main Methods:

  • A cohort of 3,778 obese children and adolescents (aged 8-18 years) participated in a 3-week BWRP.
  • Body composition was measured using an impedancemeter at baseline (T0) and day 21 (T21).
  • Lower limb muscle power (LLP) was assessed using the Margaria stair climbing test.

Main Results:

  • Significant reductions in body mass (BM) and fat mass (FM) were observed in both girls and boys (p < 0.001).
  • Fat-free mass (FFM) remained stable in both genders.
  • Lower limb muscle power (LLP) significantly increased in absolute values and when normalized to BM and FFM in both genders (p < 0.001).

Conclusions:

  • A 3-week BWRP effectively reduces fat mass while preserving lean body mass in obese children and adolescents.
  • The program significantly improves lower limb muscle power, indicating enhanced physical capacity.
  • These findings support the implementation of structured weight reduction programs for improving the health and physical function of obese youth.

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