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Living with Bariatric Surgery: Managing Your Mind and Your Weight aims to help those who are considering bariatric surgery develop a psychological understanding of their eating behaviour and the changes needed in order to make surgery successful. It is also a resource for those who have undergone surgery to help them adapt to the physical, psychological and relationship adjustments that occur. Whilst the benefits of bariatric surgery are significant, the psychological challenges it presents for patients have been overlooked. This book will help patients develop a realistic view of bariatric surgery and the changes required. It incorporates the real-life experiences of people who have had bariatric surgery, showing how they have responded to the psychological and behavioural changes after surgery, and also features helpful psychoeducation, exercises and strategies to facilitate reflection and learning. Living with Bariatric Surgery will be an essential guide for anyone considering, preparing for or recovering from bariatric surgery, as well as mental health professionals working with these clients.\"-- Provided by publisher.

In recent decades, physical activity intervention programs have been developed to reduce overweight and obesity in adolescents. However, this population is considered hard to reach in physical activity programs due to lack of adherence and poor results. Interventions with mobile phones in the adolescent population with normal weight have shown benefits, so this line of research may provide benefits in adolescents with overweight or obesity, although it has not yet been explored in the scientific literature. This study aims to determine the changes produced by a 10-week intervention promoted during school lessons on physical education using step tracker mobile apps in out-of-school hours on physical activity, adherence to the Mediterranean diet, body composition, and the physical condition of adolescents who are overweight and obese, and to analyze the changes achieved by the 10-week intervention on the psychological state of adolescents who are overweight and obese. The study was based on a randomized controlled trial with an initial sample of 50 adolescents aged between 12 and 16 years (from the first to the fourth years of compulsory secondary education), whose body composition, physical activity level, physical condition, and psychological state were measured. Participants were divided into an experimental group (EG) and a control group (CG), where the EG performed a series of walking steps with a mobile app in their free time outside physical education classes. Adolescents in the CG continued to perform their physical activities as normal but did not use any mobile apps. Inclusion in the EG and CG was randomized, and the researchers were blinded. An increase was found in the EG in corrected arm girth (mean difference -0.46; P=.05), curl-up repetitions (mean difference -6.35; P=.02) and push-up repetitions (mean difference -2.27; P=.04) after the intervention. In the CG, there was a significant increase in hip girth (mean difference -1.37; P=.05), corrected thigh girth (mean difference -1.28; P=.04), and muscle mass (mean difference -0.87; P=.04), as well as a significant decrease in competence (mean difference 3.08; P=.03). The covariates gender and age showed an effect on corrected arm girth (gender: P=.04), curl-up repetitions (gender: P=.04) and push-up repetitions (gender: P=.04) in the EG; while in the CG it affected corrected thigh girth (gender: P=.04), adherence to the Mediterranean diet (gender: P=.04 and age: P=.047) competence (gender: P=.04 and age: P=.04) and relatedness (gender: P=.05 and age: P=.04). No significant differences were found when comparing changes in the CG and EG. A 10-week program of mobile app use by adolescents who are overweight and obese for physical activity outside of school hours does not appear effective in producing improvements in body composition, physical fitness, or adequate psychological state as it does not appear to significantly increase physical activity. ClinicalTrials.gov NCT06089876; http://clinicaltrials.gov/ct2/show/NCT06089876.

\"\"Fat\". In contemporary society the word never fails to elicit powerful emotions, especially as it relates to bodily health and appearance. But fat is a noun as well as an adjective and has a cultural life outside of its relationship with the human body. By focusing on the complex physical and experiential dimensions of this problematic substance, Fat: Culture and Materiality breaks new ground in the study of the relationship between culture and the material world. With contributions from well-respected international scholars, this innovative and interdisciplinary collection will appeal to a wide range of readers interested in fat and its relationship to culture, materiality and lived experience. The volume addresses the role of fats in a variety of cultural settings. Topics include the politics of Palestinian olive oil; the allure of pig fat in heritage pork; the material sources of fat stereotypes in classical and biblical texts; the use of harvested fat in aesthetic surgery; and the status of fat in the self-narratives of anorexics\"-- Provided by publisher.

This study aimed to assess the impact of physical education teachers’ verbal encouragements on the psychophysiological aspects, physical enjoyment, and mood states of obese children (OC) in a physical education context. Sixteen OC students (mean age = 13.81 ± 0.73 years) from a preparatory school participated in two test sessions, conducted in a randomized order. Each session involved a series of passing games (games of 10 successive passes) with and without verbal encouragement, with a one-week interval between sessions. The games, formatted as 3 vs. 3 with two additional obese joker’ players, lasted 18 minutes. Each game comprised four 3-minute active periods interspersed with 2-minute passive recovery bouts, played on a 10 × 20-m pitch. Heart rate was continuously measured throughout each session. Additionally, the Brunel Mood Scale (BMS) was assessed before and after the PG. Furthermore, rating of perceived exertion (OMNI-RPE) and physical activity enjoyment (PACES) were assessed after the testing sessions. Video analysis was used to quantify technical actions during PG. PGs with VE induced higher HR (% maximum HR and mean HR), OMNI-RPE, and PACES scores than PGs without VE (ES=−1.51, ES=−0.78, ES=−0.73, ES=2.07, respectively). Compared with PGs without VE, SSGs with VE resulted in an increased percentage of successful passes, number of Goal (10 passes) and fewer lost balls (ES=O.70, ES=−0.54, ES=−0.86, respectively). The PGVE trial also showed higher vigor and lower total mood disturbance (TMD) compared to the PGNVE trial (ES = −1.11, d = 0.78, respectively). Physical education teachers are encouraged to incorporate joker exercises with verbal encouragement to enhance game intensity, mood state, physical enjoyment and technical performance during games among OCs.

Henry \"Biggie\" Abbott has hidden behind his weight for years, and although he is the son and stepson of two of Finch, Minnesota's most famous athletes, he prefers academic success until the girl of his dreams suggests he join the baseball team, and, with his stepbrother's help, he discovers he is a great pitcher.

Background Exercise is an effective strategy to improve quality of life and physical fitness in breast cancer survivors; however, few studies have focused on the early survivorship period, minorities, physically inactive and obese women, or tested a combined exercise program and measured bone health. Here, we report the effects of a 16-week aerobic and resistance exercise intervention on patient-reported outcomes, physical fitness, and bone health in ethnically diverse, physically inactive, overweight or obese breast cancer survivors. Methods One hundred breast cancer survivors within 6 months of completing adjuvant treatment were assessed at baseline, post-intervention, and 3-month follow-up (exercise group only) for physical fitness, bone mineral density, serum concentrations of bone biomarkers, and quality of life. The exercise intervention consisted of moderate-vigorous (65–85% heart rate maximum) aerobic and resistance exercise thrice weekly for 16 weeks. Differences in mean changes for outcomes were evaluated using mixed-model repeated measure analysis. Results At post-intervention, the exercise group was superior to usual care for quality of life (between group difference: 14.7, 95% CI: 18.2, 9.7; p  < 0.001), fatigue (p < 0.001), depression (p < 0.001), estimated VO 2max (p < 0.001), muscular strength (p < 0.001), osteocalcin ( p  = 0.01), and BSAP ( p  = 0.001). At 3-month follow-up, all patient-reported outcomes and physical fitness variables remained significantly improved compared to baseline in the exercise group ( p  < 0.01). Conclusions A 16-week combined aerobic and resistance exercise program designed to address metabolic syndrome in ethnically-diverse overweight or obese breast cancer survivors also significantly improved quality of life and physical fitness. Our findings further support the inclusion of supervised clinical exercise programs into breast cancer treatment and care. Trial registration This trial is registered on ClinicalTrials.gov: NCT01140282 as of June 9, 2010.

Oral semaglutide at a dose of 25 mg may provide an alternative treatment option to injectable semaglutide (2.4 mg) and higher-dose oral semaglutide (50 mg) for persons with overweight or obesity. In a 71-week, double-blind, randomized, placebo-controlled trial conducted at 22 sites in four countries, we enrolled persons without diabetes who had a body-mass index (BMI; the weight in kilograms divided by the square of the height in meters) of 30 or higher or a BMI of 27 or higher with at least one obesity-related complication. The participants were randomly assigned in a 2:1 ratio to receive oral semaglutide (25 mg) or placebo once daily, plus lifestyle interventions. The coprimary end points at week 64 were the percent change in body weight and a reduction of 5% or more in body weight; confirmatory secondary end points included reductions in body weight of 10% or more, 15% or more, and 20% or more and the change in the Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function score. A total of 205 participants were randomly assigned to receive oral semaglutide, and 102 to receive placebo. The estimated mean change in body weight from baseline to week 64 was -13.6% in the oral semaglutide group and -2.2% in the placebo group (estimated difference, -11.4 percentage points; 95% confidence interval, -13.9 to -9.0; P<0.001). Participants in the oral semaglutide group were significantly more likely than those in the placebo group to have body-weight reductions of 5% or more, 10% or more, 15% or more, and 20% or more (P<0.001 for all comparisons) and to have an improved IWQOL-Lite-CT Physical Function score (P<0.001). Gastrointestinal adverse events were more common with oral semaglutide than with placebo (74.0% vs. 42.2%). Oral semaglutide at a dose of 25 mg once daily resulted in a greater mean reduction in body weight than placebo in participants with overweight or obesity. (Funded by Novo Nordisk; OASIS 4 ClinicalTrials.gov number, NCT05564117.).

We assessed if a 17-item score capturing adherence to a traditional Mediterranean diet (MedDiet) was associated with better health-related quality of life among older Spanish men and women with overweight or obesity harboring the metabolic syndrome. We analyzed baseline data from 6430 men and women (age 55-70 years) participating in the PREDIMED-Plus study. PREDIMED-Plus is a multi-centre randomized trial testing an energy-restricted MedDiet combined with promotion of physical activity and behavioral therapy for primary cardiovascular prevention compared to a MedDiet alone. Participants answered a 36-item questionnaire about health-related quality of life (HRQoL) and a 17-item questionnaire that assessed adherence to an MedDiet. We used ANCOVA and multivariable-adjusted linear regression models to compare baseline adjusted means of the quality of life scales according to categories of adherence to the MedDiet. Higher adherence to the MedDiet was independently associated with significantly better scores in the eight dimensions of HRQoL. Adjusted differences of > = 3 points between the highest and the lowest dietary adherence groups to the MedDiet were observed for vitality, emotional role, and mental health and of > = 2 points for the other dimensions. In conclusion, this study shows a positive association between adherence to a MedDiet and several dimensions of quality of life.

Background: Severe adolescent obesity (body mass index (BMI) >99.6th centile) is a significant public health challenge. Current non-invasive treatments, including community-based lifestyle interventions, are often of limited effectiveness in this population, with NICE guidelines suggesting the use of bariatric surgery as the last line of treatment. Health professionals are understandably reluctant to commission bariatric surgery and as an alternative, the use of an intra-gastric balloon as an adjunct to a lifestyle programme might offer a reversible, potentially safer and less invasive option. Objectives: Explore the use of an intra-gastric balloon as an adjunct to a lifestyle support programme, to promote weight loss in severely obese adolescents. Outcomes included weight loss, waist and hip measurements, psychosocial outcomes including health-related quality of life (HRQoL) and physical self perceptions, physical activity and cardiorespiratory fitness. Method: Non-randomised pilot study. Results: Twelve severely obese adolescents (5 males, 7 females; mean age 15 years; BMI >3.5 s.d.; puberty stage 4 or more) and their families were recruited. Mean weight loss at 12 months ( n =9) was 3.05 kg±14.69; d =0.002, P =0.550, and a BMI Z -score ( n =12) change of 0.2 s.d.; d =0.7, P =0.002 was observed at 6 months with a large effect, but was not sustained at 12 months (mean change 0.1 s.d.; d =0.3, P =0.146). At 24 months ( n =10), there was a weight gain from baseline of +9.9 kg±1.21 (d=0.4; P =0.433). Adolescent and parent HRQoL scores exceeded the minimal clinical important difference between baseline and 12 months for all domains but showed some decline at 24 months. Conclusion: An intra-gastric balloon as an adjunct to a lifestyle support programme represents a safe and well-tolerated treatment approach in severely obese adolescents, with short-term effects on weight change. Improvements in psychosocial health, physical activity and cardiorespiratory fitness were maintained at 12 months, with varying results at 24 months.

In this clinical trial, an 18-month behavioral weight-loss intervention resulted in significant weight loss in persons with serious mental illness. This vulnerable population should not be excluded from weight-loss intervention. Persons with serious mental illness, such as schizophrenia, bipolar disorder, and major depression, have mortality rates that are two to more than three times as high as the rate in the overall population, and the primary cause of death in such persons is cardiovascular disease. 1 – 4 Concomitantly, this vulnerable population has an extremely high prevalence of obesity, nearly twice that of the overall population. 5 – 9 Therefore, it is not surprising that persons with serious mental illness have an increased burden of weight-related conditions, including heightened risk of diabetes mellitus, hypertension, dyslipidemia, and certain cancers. 10 – 15 Obesity is multifactorial in persons . . .