The rationale and the procedures of Rehabilitation Medicine can be optimally applied to the natural history of obesity, which is characterised by the presence of comorbidities, chronicity and disability with an important impact on q on quality of life. Level of Evidence (LoE): I; Strength of the Recommendation (SoR): A metabolic-nutritional-psychological rehabilitation is part of the healthcare network for obese patient, and it includes outpatient /semi-residential (day hospital, day service, diagnostic and therapeutic-rehabilitative community centre) or residential facilities (residential intensive rehabilitation (cod. 56), psychiatric rehabilitation, therapeutic-rehabilitative communities). LoE: VI; SoR:A The metabolic-nutritional-psychological rehabilitation represents a suitable approach to obesity when the level of the over-nutrition is severe, during the phases of instability of somatic and psychological comorbidities, when disability level is severe and quality of life significantly reduced. LoE: VI; SoR:Auality of life. Level of Evidence (LoE): I; Strength of the Recommendation (SoR): A During the multidimensional evaluation of obese subjects, quality of life, disability level, muscular function (muscular strength, balance, functional exercise capacity) and osteoarticular problems (pain, articular limitations) have to be assessed. LoE: III; SoR:A The rehabilitative pathway can play an essential role during the preparation of the patients to bariatric or plastic-reconstructive surgery and during the follow-up phase, in order to reduce the preoperative risks and to improve the results especially in the long term. LoE: III; SoR:A The intensity of the rehabilitative intervention must be related to the severity of disability and of comorbidities, to the psychological status and to the quality of life of the patient. LoE: VI; SoR:A

Metabolic-Nutritional-Psychological Rehabilitation in Obesity / Donini, Lorenzo Maria; Brunani, A; Capodaglio, P; Crabonelli, Mg; Cuzzolaro, Massimo; Gentili, S; Giustini, A; Rovera, G.. - STAMPA. - (2016), pp. 83-102. [10.1007/978-3-319-24532-4].

Metabolic-Nutritional-Psychological Rehabilitation in Obesity

DONINI, Lorenzo Maria;CUZZOLARO, Massimo;
2016

Abstract

The rationale and the procedures of Rehabilitation Medicine can be optimally applied to the natural history of obesity, which is characterised by the presence of comorbidities, chronicity and disability with an important impact on q on quality of life. Level of Evidence (LoE): I; Strength of the Recommendation (SoR): A metabolic-nutritional-psychological rehabilitation is part of the healthcare network for obese patient, and it includes outpatient /semi-residential (day hospital, day service, diagnostic and therapeutic-rehabilitative community centre) or residential facilities (residential intensive rehabilitation (cod. 56), psychiatric rehabilitation, therapeutic-rehabilitative communities). LoE: VI; SoR:A The metabolic-nutritional-psychological rehabilitation represents a suitable approach to obesity when the level of the over-nutrition is severe, during the phases of instability of somatic and psychological comorbidities, when disability level is severe and quality of life significantly reduced. LoE: VI; SoR:Auality of life. Level of Evidence (LoE): I; Strength of the Recommendation (SoR): A During the multidimensional evaluation of obese subjects, quality of life, disability level, muscular function (muscular strength, balance, functional exercise capacity) and osteoarticular problems (pain, articular limitations) have to be assessed. LoE: III; SoR:A The rehabilitative pathway can play an essential role during the preparation of the patients to bariatric or plastic-reconstructive surgery and during the follow-up phase, in order to reduce the preoperative risks and to improve the results especially in the long term. LoE: III; SoR:A The intensity of the rehabilitative intervention must be related to the severity of disability and of comorbidities, to the psychological status and to the quality of life of the patient. LoE: VI; SoR:A
2016
Clinical management of overweight and obesity
978-3-319-24530-0
978-3-319-24532-4
978-3-319-24530-0
978-3-319-24532-4
obesity, rehabilitation
02 Pubblicazione su volume::02a Capitolo o Articolo
Metabolic-Nutritional-Psychological Rehabilitation in Obesity / Donini, Lorenzo Maria; Brunani, A; Capodaglio, P; Crabonelli, Mg; Cuzzolaro, Massimo; Gentili, S; Giustini, A; Rovera, G.. - STAMPA. - (2016), pp. 83-102. [10.1007/978-3-319-24532-4].
File allegati a questo prodotto
File Dimensione Formato  
Metabolic_Donini_2015.pdf

solo utenti autorizzati

Tipologia: Documento in Post-print (versione successiva alla peer review e accettata per la pubblicazione)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 286.54 kB
Formato Adobe PDF
286.54 kB Adobe PDF   Contatta l'autore

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/862709
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact