{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T13:10:38Z","timestamp":1781615438585,"version":"3.54.5"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T00:00:00Z","timestamp":1426550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Obese adults are at an increased risk for mobility\u2010related problems. National guidelines recommend calorie restrictions and exercise for obese adults as a means to improve functional fitness capacity and to increase mobility. Yet, lifestyle weight loss interventions often fail to measure fitness changes. The aim of this study was to assess whether a 1\u2010month, intensive behavioural change, diet and fitness intervention for overweight and obese adults would result in statistically significant and clinically meaningful changes in functional exercise.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A pre\u2013post test design was used in this study. Seventy\u2010two participants (40 women, 32 men; mean baseline body mass index (BMI)\u2009=\u200942.6\u2009+\u20099.0; mean age\u2009=\u200945.8\u2009+\u200916.8) completed a modified 6\u2010minute walk test (6MWT), performed on a treadmill, at baseline and at end of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant improvements included decreased BMI (2.7\u2009+\u20091.7\u2009kg\u2009m<jats:sup>\u22122<\/jats:sup>, p &lt; 0.001) and increased 6MWT distance (66.4\u2009+\u200973.0\u2009m, p &lt; 0.001). The 6MWT improved by 66\u2009m on average, a reported clinically meaningful difference. Greater improvements in the 6MWT were significantly correlated with greater weight loss and BMI reduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our findings suggest that rehabilitation beyond weight loss may be derived from participation in a brief, intensive behavioural change, diet and fitness programme. Physiotherapists are in a prime position to address the physical and motivational challenges participants face while living with severe obesity: targeting functional exercise capacity is one key strategy for addressing immobility associated with obesity. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.1623","type":"journal-article","created":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T13:01:34Z","timestamp":1426597294000},"page":"84-90","source":"Crossref","is-referenced-by-count":3,"title":["Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults"],"prefix":"10.1002","volume":"21","author":[{"given":"Sadye Paez","family":"Errickson","sequence":"first","affiliation":[{"name":"Duke University School of Medicine, Doctor of Physical Therapy Program  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronette L.","family":"Kolotkin","sequence":"additional","affiliation":[{"name":"Duke University Medical Center Community and Family Medicine  Durham NC USA"},{"name":"Quality of Life Consulting, PLLC  Durham NC USA"},{"name":"Department of Health Studies Sogn og Fjordane University College  F\u00f8rde Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan Simmons","family":"Skidmore","sequence":"additional","affiliation":[{"name":"Lincoln Community Health Center  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Endress","sequence":"additional","affiliation":[{"name":"Lincoln Community Health Center  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Truls","family":"\u00d8stbye","sequence":"additional","affiliation":[{"name":"Duke University Medical Center Community and Family Medicine  Durham NC USA"},{"name":"Duke University NUS Graduate Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Crosby","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute  Fargo ND USA"},{"name":"University of North Dakota School of Medicine and Health Sciences Clinical Neuroscience  Fargo ND USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Eisenson","sequence":"additional","affiliation":[{"name":"Duke University Medical Center Community and Family Medicine  Durham NC USA"},{"name":"Lincoln Community Health Center  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1231043"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552012005000036"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181949333"},{"key":"e_1_2_6_6_1","unstructured":"EisensonHJ BinksM.The Duke diet: the world\u2010renowned program for healthy and lasting weight loss. 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