Dynamics of Physical Activity Status in Patients with Grade І-ІІІ Obesity in Response to a Physical Rehabilitation Program

Abstract

Purpose: to determine the dynamics of physical activity in the patients with grade І-ІІІ obesity in response to the developed comprehensive program of physical rehabilitation. Materials: 124 subjects of middle age (second period) with the alimentary constitutional obesity (56 – І grade, 41 – ІІ grade, 27 – ІІІ grade and 63 subjects without obesity signs were surveyed. The International Physical Activity Questionnaire (IPAQ) – Short Form was used to evaluate the physical activity level. The obese patients were tested before and after implementation of one-year individualized comprehensive program of physical rehabilitation that included increase of the physical activity, change of the dietary pattern, acupuncture, massage, improvement of the psychological and emotional state and development of the conscientious active attitude to the weight loss process. Results: The patients with grade І-ІІІ obesity have demonstrated significantly lower level of physical activity which was directly-proportional to the obesity grade compared to the subjects with the normal body weight. Therefore, the highest grade of hypodynamia has been determined in the patients with grade ІІІ obesity. The patients with grade І obesity have achieved the physical activity level of the subjects with the normal body weight (р>0.05). The patients with grade ІІІ obesity have showed the highest gain of the weekly energy expenditure, mostly due to the intensive physical activity. Conclusions: One-year rehabilitation program has demonstrated the statistically significant increase of all types of physical activity (intensive, moderate, walking) in the patients with grade І-ІІІ obesity compared to the baseline values.