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Walters G, Dring KJ, Nevill BA, Cooper SB, Nevill AM, Nevill ME, Morris JG. Short-Term High-Intensity Rowing Ergometry Training Improves Rowing Performance Equally in Healthy Weight and Obese Adolescents. Med Sci Sports Exerc 2024; 56:885-892. [PMID: 38181216 DOI: 10.1249/mss.0000000000003366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2024]
Abstract
PURPOSE Childhood obesity is a major health concern and physical activity is commonly proposed as an intervention strategy to combat the increasing prevalence of overweight and obesity in young people. The aim of this study was to examine the effect of high-intensity, supervised, rowing ergometer training on maximal and submaximal rowing performance in healthy weight and centrally obese adolescents (12-13 yr). METHODS Participants were randomized to either 6 wk of supervised rowing ergometry, comprising of 2 sessions per week with each session comprising of 2 × 3-min bouts of high-intensity rowing ergometry ( n = 57), or a control group who continued with their habitual activities ( n = 45). At baseline and follow-up, rowing performance was assessed via a submaximal test and a 3-min maximal test. RESULTS Six weeks of rowing ergometer training significantly improved maximal exercise performance; total distance rowed in a 3-min maximal effort improved by 19.7 m (2.7%) (time × group, P = 0.018) and produced a significant reduction in perceived effort in response to a set submaximal load (60 W) (time × group, P = 0.040). At baseline total distance rowed during the 3-min maximal test was significantly affected by body mass (main effect of body mass, P = 0.002), whereby a higher body mass was associated with enhanced rowing performance. However, the pattern of change over time was not different between healthy weight and centrally obese adolescents (time × group × waist centile, P = 0.577). CONCLUSIONS A 6-wk high-intensity rowing ergometry training intervention improved maximal rowing performance. This improvement was similar in healthy weight versus overweight and obese adolescents; yet overall overweight and obese adolescents had superior rowing performance compared to their healthy weight counterparts, suggesting that rowing may be an attractive exercise modality for interventions in overweight and obese young people.
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Affiliation(s)
- Grace Walters
- Sport, Health, and Performance Enhancement (SHAPE) Research Centre, Department of Sport Science, School of Science and Technology, Nottingham Trent University, Nottingham, UNITED KINGDOM
| | - Karah J Dring
- Sport, Health, and Performance Enhancement (SHAPE) Research Centre, Department of Sport Science, School of Science and Technology, Nottingham Trent University, Nottingham, UNITED KINGDOM
| | | | - Simon B Cooper
- Sport, Health, and Performance Enhancement (SHAPE) Research Centre, Department of Sport Science, School of Science and Technology, Nottingham Trent University, Nottingham, UNITED KINGDOM
| | - Alan M Nevill
- School of Sport, Performing Arts and Leisure, University of Wolverhampton, Wolverhampton, UNITED KINGDOM
| | - Mary E Nevill
- Sport, Health, and Performance Enhancement (SHAPE) Research Centre, Department of Sport Science, School of Science and Technology, Nottingham Trent University, Nottingham, UNITED KINGDOM
| | - John G Morris
- Sport, Health, and Performance Enhancement (SHAPE) Research Centre, Department of Sport Science, School of Science and Technology, Nottingham Trent University, Nottingham, UNITED KINGDOM
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2
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Park J, Kim OY. Macronutrients modified dietary intervention in the management of overweight/obese children and adolescents: a systematic review. Clin Exp Pediatr 2024; 67:191-200. [PMID: 37448128 PMCID: PMC10990656 DOI: 10.3345/cep.2023.00262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 06/02/2023] [Accepted: 07/10/2023] [Indexed: 07/15/2023] Open
Abstract
The prevalence of obesity in adults and children is rapidly increasing worldwide. Obesity is among the main causes of chronic diseases and various problems, including economic consequences and they can also be affected by genetic, environmental, psychological, and socioeconomic factors. Dietary modification is a well-known and important factor in weight control, in particular, dietary macronutrient composition, food selection, dietary patterns, and energy restriction can affect weight reduction. Therefore, this systematic review aims to provide basic evidence for identifying the optimal macronutrient composition for managing obesity in Korean children and adolescents. We searched literature through an international database, studies were selected using our eligibility criteria and quality was assessed via a risk of bias tool. In our results, several studies have demonstrated that dietary macronutrient modifications affect body composition and metabolic markers in children and adolescents. In contrast, hypocaloric diets, regardless of macronutrient composition, are reportedly effective for weight loss in obese children. However, these findings were based on intervention studies that examined the association between dietary macronutrient composition and obesity in non-Korean children and adolescents. Therefore, in the future, more intervention studies are needed to elucidate this relationship and evidence between macronutrients and obesity in Korean children and adolescents.
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Affiliation(s)
- Jihyun Park
- Clinical Nutrition Major, Department of Health Science, Graduate School of Dong-A University, Busan, Korea
| | - Oh Yoen Kim
- Clinical Nutrition Major, Department of Health Science, Graduate School of Dong-A University, Busan, Korea
- Department of Food Science and Nutrition, Dong-A University, Busan, Korea
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3
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Kleppang AL, Abildsnes E, Haraldstad K, Stea TH. Changes in health-related quality of life and sleep habits after a 6-month non-randomised cluster-controlled trial among children with overweight or obesity. Eur Child Adolesc Psychiatry 2024:10.1007/s00787-024-02375-0. [PMID: 38396227 DOI: 10.1007/s00787-024-02375-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 01/08/2024] [Indexed: 02/25/2024]
Abstract
Being overweight or obese can have severe negative psychological impacts and reduce health-related functioning. To improve health-related quality of life (HRQoL) and sleep habits for children with overweight or obesity, it is important to design and implement effective interventions. The aim of this study was to evaluate the effects of a 6-month family-based lifestyle intervention on HRQoL and sleep habits in Norwegian children with overweight or obesity in a primary-care setting. This 6-month, non-randomised, cluster-controlled trial included Norwegian children aged 5-13 years with overweight or obesity and their parents. A questionnaire was filled out by the parents. A total of 33 and 52 children in the control group and 41 and 78 children in the intervention group answered the HRQoL and sleep habits questions, respectively, and were included. The intervention group received individual family counselling and participated in physical activity groups and nutrition courses. The Children's Sleep Habits Questionnaire (CSHQ) and Kidscreen-10 index were used to assess sleep habits and HRQoL. At baseline, the mean average scores for HRQoL were 50.0 [standard deviation (SD) 8.1] for the intervention group and 49.0 (SD 10.1) for the control group. For sleep habits at baseline, the mean average scores were 45.2 (SD 11.8) for the intervention group and 46.0 (SD 11.9) for the control group. No significant changes in HRQoL and sleep habits after the intervention were revealed. Overall, the family-based lifestyle intervention targeting overweight and obese children in a primary-care setting showed no significant effect on HRQoL or sleep quality.
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Affiliation(s)
- Annette Løvheim Kleppang
- Faculty of Health and Sport Sciences, Department of Health and Nursing Science, University of Agder, Post-Box 422, 4604, Kristiansand, Norway.
- Department of Public Health and Sport Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
| | - Eirik Abildsnes
- Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Kristin Haraldstad
- Faculty of Health and Sport Sciences, Department of Health and Nursing Science, University of Agder, Post-Box 422, 4604, Kristiansand, Norway
| | - Tonje Holte Stea
- Faculty of Health and Sport Sciences, Department of Health and Nursing Science, University of Agder, Post-Box 422, 4604, Kristiansand, Norway
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Dobell AP, Faghy MA, Pringle A, Roscoe CMP. Improving Fundamental Movement Skills during Early Childhood: An Intervention Mapping Approach. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1004. [PMID: 37371235 DOI: 10.3390/children10061004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 05/29/2023] [Accepted: 05/31/2023] [Indexed: 06/29/2023]
Abstract
The earlier in life that a child can begin mastering fundamental movement skills (FMS), the more positive their physical activity (PA) trajectories and health outcomes are. To achieve sufficient development in FMS, children must be guided with tuition and practice opportunities. Schools and educators provide an opportunity for interventions that improve health behaviours and outcomes for children. The aim of this study was to use intervention mapping (IM) to design a programme of school-based intervention to improve FMS for children aged 4-5 years old. Following the six steps of IM, with each step comprising three to five tasks that require the input of a planning group formed by key stakeholders, a programme of intervention was planned. Prior knowledge and primary and secondary evidence was used to support the development of the programme. A logic model of the problem as well as logic models of change, programme design, production, implementation, and evaluation were proposed or completed within the study. The results can be used to begin to implement an FMS-focussed intervention within school settings within England and propose a sustainable and realistic approach for helping children to develop FMS with the support of well-informed educators who are confident to deliver better FMS practice and PA opportunities.
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Affiliation(s)
- Alexandra Patricia Dobell
- Institute of Applied Health Research, School of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
| | - Mark A Faghy
- Human Sciences Research Centre, College of Science and Engineering, University of Derby, Kedleston Road, Derby DE22 1GB, UK
| | - Andy Pringle
- Human Sciences Research Centre, College of Science and Engineering, University of Derby, Kedleston Road, Derby DE22 1GB, UK
| | - Clare M P Roscoe
- Human Sciences Research Centre, College of Science and Engineering, University of Derby, Kedleston Road, Derby DE22 1GB, UK
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5
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Cardiovascular endurance and psychosocial health predict short- and long-term BMI-SDS reduction: results from the CHILT III program. Eur J Pediatr 2023; 182:2225-2234. [PMID: 36867234 PMCID: PMC9982786 DOI: 10.1007/s00431-023-04876-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 02/09/2023] [Accepted: 02/11/2023] [Indexed: 03/04/2023]
Abstract
This longitudinal study analyzes data from the Children's Health Interventional Trial (CHILT) III, an 11-month juvenile multicomponent weight management program. The objective is to identify predictors of changes in body mass index standard deviation scores (BMI-SDS), so as to further enable the advancement of existing interventions with sustained impact. This study's sample consists of 237 children and adolescents with obesity (8-17 years, 54% girls) participating in the CHILT III program between 2003 and 2021. Anthropometrics, demographics, relative cardiovascular endurance (W/kg), and psychosocial health (i.e., physical self-concept and self-worth) were assessed at program entry ([Formula: see text]), end ([Formula: see text]), and one-year follow-up ([Formula: see text]; n = 83). From [Formula: see text] to [Formula: see text], the mean BMI-SDS was reduced by -0.16 ± 0.26 units (p < 0.001). Media use and cardiovascular endurance at baseline and improvements in endurance and self-worth over the course of the program predicted changes in BMI-SDS (adj. R2 = 0.22, p < 0.001). From [Formula: see text] to [Formula: see text], mean BMI-SDS increased ([Formula: see text], p = 0.005). Changes in BMI-SDS from [Formula: see text] to [Formula: see text] were associated with parental education, improvements in cardiovascular endurance and physical self-concept, and BMI-SDS, media use, physical self-concept, and endurance level at program end (adj. R2 = 0.39, p < 0.001). Conclusions: This study highlights the need for comprehensive, sustainable weight management approaches, in order to sustain the initial treatment benefits. In this context, improvements in cardiovascular endurance and psychosocial health could be essential strategies to pursue in practice, as they significantly predicted reductions in BMI-SDS - both pre- to post-intervention and at follow-up. TRIAL REGISTRATION DRKS00026785; date of registration: 13.10.202, retrospectively registered. WHAT IS KNOWN • Childhood obesity is associated with the onset of noncommunicable diseases, many of which are likely to carry into adulthood. Thus, effective weight management strategies for affected children and their families are vital. However, achieving lasting positive health outcomes with multidisciplinary weight management programs remains challenging. WHAT IS NEW • According to this study, short- and longer-term BMI-SDS reductions are associated to cardiovascular endurance and psychosocial health. These factors should therefore be given even greater consideration in weight management strategies, as they may be important not only in themselves but also for long-term weight loss (maintenance).
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6
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Robertson D, Carins J, Rundle‐Thiele S, Harris J. Evaluation of Social Impact Within Primary School Health Promotion: A Systematic Review. THE JOURNAL OF SCHOOL HEALTH 2022; 92:739-764. [PMID: 35365879 PMCID: PMC9544285 DOI: 10.1111/josh.13160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 01/22/2022] [Accepted: 01/23/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Health promotion programs and interventions are designed to encourage behavioral changes in children, encouraging them to make safe and healthy life choices. This systematic review seeks to examine how social impact is measured in primary school health promotion interventions. METHOD A systematic search and review process was used to identify and examine primary school health promotion interventions. The PRISMA guidelines were followed to source articles from 6 electronic databases reporting school health promotion programs or interventions in Australia, Canada, New Zealand, or the United Kingdom. RESULTS A total of 77 studies were located, representing 55 health promotion interventions delivered in primary school settings. Of these interventions, only 8 (15%) measured or attempted to measure social impact, whereas another 8 (15%) alluded to social impact. The predominant theories reported were social based theories (theories which examine the social influences on people, environments, and behaviors) (n = 17, 59%), with almost a third not informed by an overt health promotion framework or model (n = 34, 59%). A systematic rating system identified some level of stakeholder engagement (n = 30, 53%). CONCLUSIONS This systematic review highlights the need for social impact measurement within health promotion to illuminate the role of school programs in delivering lasting change.
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Affiliation(s)
- Dianne Robertson
- Social Marketing @ GriffithDepartment of Marketing, Griffith University170 Kessels RoadNathanQLD4111Australia
| | - Julia Carins
- Social Marketing @ GriffithDepartment of Marketing, Griffith University170 Kessels RoadNathanQLD4111Australia
| | - Sharyn Rundle‐Thiele
- Social Marketing @ GriffithDepartment of Marketing, Griffith University170 Kessels RoadNathanQLD4111Australia
| | - Jessica Harris
- Social Marketing @ GriffithDepartment of Marketing, Griffith University170 Kessels RoadNathanQLD4111Australia
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7
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Caron T, Bernard P, Gadais T. Clinical and school-based intervention strategies for youth obesity prevention: A systematic review. Front Sports Act Living 2022; 4:906857. [PMID: 36923584 PMCID: PMC10008876 DOI: 10.3389/fspor.2022.906857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 12/31/2022] [Indexed: 03/03/2023] Open
Abstract
Introduction In the last couple of decades, numerous intervention strategies (ISs) have been formulated in school/community or clinical sectors using physical activity (PA) in order to prevent youth obesity because they have been highly effective in addressing this issue. These two sectors have revealed some interesting information in terms of efficient results and best practice mechanisms, but comparisons between them to learn about their functioning have been rare. Methods Therefore, the aim of this systematic review was to analyze and synthesize PA ISs from school/community or clinical domains for the period 2013-2017, in French or English, targeting youths aged 5-19 years old through primary, secondary, and tertiary prevention. Results In total, 68 full articles were reserved for data extraction and synthesis and 617 were excluded because they did not meet eligibility criteria (61 of 68 were kept for the final analysis). The results identified a number of differences between the studies of the various IS sectors and also a third type of IS, mixed sector. Mixed ISs (clinical and school-community) have a special advantage because they can benefit from the strengths of both school/community-based and clinical-based ISs. Mixed ISs showed the most promising results. This review also highlighted the differences between sectors and their ISs in terms of intervention teams, prevention objectives, duration, materials, and efficiency. Conclusion Future studies should focus on establishing a prevention program in a given geographical area involving all stakeholders with their respective skills/knowledge, in the area of decision-making and in the development of ISs, to ensure that the program is the most efficient and best adapted to its environment.
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Affiliation(s)
- Théo Caron
- Faculté des Sports et de l'EP, Université D'Artois, Liévin, France
| | - Paquito Bernard
- Département des Sciences de l'activité physique, Université du Québec à Montréal, Montréal, QC, Canada.,Research Center, University Institute of Mental Health at Montreal, Montréal, QC, Canada
| | - Tegwen Gadais
- Département des Sciences de l'activité physique, Université du Québec à Montréal, Montréal, QC, Canada.,UNESCO Chair in Curriculum Development (UCCD), Université du Québec à Montréal, Montréal, QC, Canada
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8
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Validity of the Perceived Physical Ability Scale for Children: An Actigraphic Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211900. [PMID: 34831655 PMCID: PMC8619525 DOI: 10.3390/ijerph182211900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/09/2021] [Accepted: 11/11/2021] [Indexed: 11/16/2022]
Abstract
This study aimed to provide evidence of the validity of the Perceived Physical Ability Scale for Children against an external-objective criterion of the 24 h motor activity pattern assessed through actigraphy. A total of 107 children (60 females; mean age 10.25 ± 0.48) were originally enrolled. Children wore the actigraph model Actiwatch AW64 (Cambridge Neurotechnology Ltd., Fenstanton, UK) for seven days, 24 h per day, around the non-dominant wrist. At the beginning of the actigraphic recording, participants filled in the Perceived Physical Ability Scale for Children. Functional Linear Modeling was used to examine variation in the 24 h motor activity pattern according to the total score in the Perceived Physical Ability Scale for Children. Higher physical self-efficacy was significantly related to greater levels of motor activity in the afternoon. Overall, this pattern of results supports the validity of the Perceived Physical Ability Scale for Children against the external-objective criterion of the 24 h motor pattern. The Perceived Physical Ability Scale for Children could represent a promising endpoint for studies assessing the effectiveness of physical activity promotion interventions.
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9
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Pettoello-Mantovani M, Mestrovic J, Namazova-Baranova Md PhD L, Giardino I, Somekh E, Vural M. Ensuring Safe Food for Infants: The Importance of an Integrated Approach to Monitor and Reduce the Risks of Biological, Chemical, and Physical Hazards. J Pediatr 2021; 229:315-316.e2. [PMID: 33152369 DOI: 10.1016/j.jpeds.2020.10.074] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 10/29/2020] [Indexed: 11/18/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy.
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Medical School of Split, University Hospital of Split, Split, Croatia
| | - Leyla Namazova-Baranova Md PhD
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Russian Academy of Pediatrics, Department of Pediatrics, University of Moscow, Moscow, Russia
| | - Ida Giardino
- Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Cerrahpasa Medical Faculty, University of Istanbul, Istanbul, Turkey
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Branco BHM, Mariano IR, de Oliveira LP, Bertolini SMMG, de Oliveira FM, Araújo CGA, Adamo K. Sports and Functional Training Improve a Subset of Obesity-Related Health Parameters in Adolescents: A Randomized Controlled Trial. Front Psychol 2021; 11:589554. [PMID: 33551909 PMCID: PMC7859634 DOI: 10.3389/fpsyg.2020.589554] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 12/14/2020] [Indexed: 11/13/2022] Open
Abstract
To investigate the effects of two different modes of physical activity on body composition, physical fitness, cardiometabolic risk, and psychological responses in female adolescents participating in a multi-disciplinary program. The 12-week randomized intervention included 25-adolescents with overweight divided into two groups: sports practice-SPG and functional training-FTG. The SPG intervention was divided into three sports: basketball, handball, and futsal. SPG participants performed one sport 3-times/week, over the course of 1 month. The FTG performed concurrent exercises 3-times/week. This study was registered in Clinical Trials Registry Platform under number: RBR-45ywtg and registered in Local Ethics Committee number: 2,505.200/2018. The intensity of physical exercises-PE was matched between groups by the rating of perceived exertion. The primary outcome was body composition, and secondary outcomes were physical fitness, cardiometabolic risk, and psychological responses. There was a significant time-effect for body mass, body mass index, and low-density lipoprotein (LDL-c), all being reduced. There were increases over time for musculoskeletal mass, aerobic fitness, and high-density lipoprotein (HDL-c) (p < 0.05). There was a group time interaction with body fat percentage being lower post-intervention in the SPG (p < 0.05). No significant differences were observed for the other variables. Both physical activity models were effective in improving a subset of obesity-related health parameters. The findings should be extended by further investigation using more sophisticated measures of energy expenditure. Clinical Trial Registration: https://ensaiosclinicos.gov.br/, identifier: RBR-45ywtg.
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Affiliation(s)
- Braulio Henrique Magnani Branco
- Research Group in Physical Education, Physiotherapy, Sports, Nutrition and Performance, Unicesumar University, Maringa, Brazil
- Graduate Program in Health Promotion, Unicesumar University, Maringa, Brazil
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
| | - Isabela Ramos Mariano
- Research Group in Physical Education, Physiotherapy, Sports, Nutrition and Performance, Unicesumar University, Maringa, Brazil
- Graduate Program in Biological Sciences, State University of Maringa, Maringa, Brazil
| | | | | | - Fabiano Mendes de Oliveira
- Research Group in Physical Education, Physiotherapy, Sports, Nutrition and Performance, Unicesumar University, Maringa, Brazil
- Graduate Program in Health Promotion, Unicesumar University, Maringa, Brazil
| | - Cynthia Gobbi Alves Araújo
- Research Group in Physical Education, Physiotherapy, Sports, Nutrition and Performance, Unicesumar University, Maringa, Brazil
| | - Kristi Adamo
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
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11
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Magnani Branco BH, Carvalho IZ, Garcia de Oliveira H, Fanhani AP, Machado Dos Santos MC, Pestillo de Oliveira L, Macente Boni S, Nardo N. Effects of 2 Types of Resistance Training Models on Obese Adolescents' Body Composition, Cardiometabolic Risk, and Physical Fitness. J Strength Cond Res 2021; 34:2672-2682. [PMID: 30557175 DOI: 10.1519/jsc.0000000000002877] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Magnani Branco, BH, Carvalho, IZ, Garcia de Oliveira, H, Fanhani, AP, Machado dos Santos, MC, Pestillo de Oliveira, L, Macente, SB, and Nelson, NJ. Effects of 2 types of resistance training models on obese adolescents' body composition, cardiometabolic risk, and physical fitness. J Strength Cond Res 34(9): 2672-2682, 2020-The main objective of this study was to investigate the effects of 2 types of resistance training (RT) models in conjunction with interdisciplinary interventions by other health professionals to reduce the body fat and cardiometabolic risk of obese adolescents while improving their general health-related physical fitness. The 12-week analyses involved 18 male adolescents who were split into 2 groups (weight lifting: n = 9 and functional: n = 9), with equalization according to the primary muscle group (whenever possible), the effort:pause ratio, and intensity. The results showed reductions in fat mass and body fat, as well as in waist and hip circumferences (p < 0.05) after the intervention period. However, no significant differences were observed in terms of the body mass, body mass index, neck circumference, systolic and diastolic blood pressures, and for lean mass (p > 0.05) after the respective period. Maximal isometric strength, abdominal strength resistance, flexibility, and maximal oxygen consumption all produced significant increases after the interventions (p < 0.05). There were reductions in low-density lipoproteins and triglyceride levels after the intervention period (p < 0.05). For fasting glycemia, high-density lipoproteins, and alanine aminotransferase, no differences were observed (p > 0.05). In addition, no differences were observed in rating of perceived recovery, internal training load, or caloric intake (p > 0.05). With the results presented, it is concluded that both RT methods were effective at reducing both fat mass and body fat, thus improving health-related physical fitness components and decreasing cardiometabolic risk.
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Affiliation(s)
- Braulio Henrique Magnani Branco
- University Center of Maringa (UniCesumar), Parana, Brazil.,Postgraduate Program in Health Promotion, UniCesumar, Parana, Brazil.,Physical Education, Physiotherapy, Sports, Nutrition and Performance Study Group (GEFFEND), UniCesumar, Parana, Brazil; and
| | - Isabelle Zanquetta Carvalho
- University Center of Maringa (UniCesumar), Parana, Brazil.,Physical Education, Physiotherapy, Sports, Nutrition and Performance Study Group (GEFFEND), UniCesumar, Parana, Brazil; and
| | - Humberto Garcia de Oliveira
- University Center of Maringa (UniCesumar), Parana, Brazil.,Physical Education, Physiotherapy, Sports, Nutrition and Performance Study Group (GEFFEND), UniCesumar, Parana, Brazil; and
| | - Ana Paula Fanhani
- University Center of Maringa (UniCesumar), Parana, Brazil.,Physical Education, Physiotherapy, Sports, Nutrition and Performance Study Group (GEFFEND), UniCesumar, Parana, Brazil; and
| | - Michelle Cardoso Machado Dos Santos
- University Center of Maringa (UniCesumar), Parana, Brazil.,Physical Education, Physiotherapy, Sports, Nutrition and Performance Study Group (GEFFEND), UniCesumar, Parana, Brazil; and
| | - Leonardo Pestillo de Oliveira
- University Center of Maringa (UniCesumar), Parana, Brazil.,Postgraduate Program in Health Promotion, UniCesumar, Parana, Brazil
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12
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Barros WMA, da Silva KG, Silva RKP, Souza APDS, da Silva ABJ, Silva MRM, Fernandes MSDS, de Souza SL, Souza VDON. Effects of Overweight/Obesity on Motor Performance in Children: A Systematic Review. Front Endocrinol (Lausanne) 2021; 12:759165. [PMID: 35126307 PMCID: PMC8812008 DOI: 10.3389/fendo.2021.759165] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 12/06/2021] [Indexed: 11/28/2022] Open
Abstract
UNLABELLED Childhood obesity is a serious public health problem. Childhood obesity and overweight are associated with the appearance of coordination deficit disorder and can cause impaired motor performance. We searched online databases for all related articles using comprehensive international databases from the Medline PubMed Institute, Web of Science, ScienceDirect, SCOPUS, and PsycINFO up to December 20, 2020. Overall, 33 studies were included in this systematic review. The present review demonstrated that children with higher percentage of body fat had lower levels of moderate to vigorous physical activity, as well as decreased levels of gross motor coordination, as shown by tests for neuromuscular performance. These results corroborate the hypothesis that overweight and obesity in children and adolescents are associated, not only with insufficient performance during gross motor coordination activities, but also with a greater risk to physical health. SYSTEMATIC REVIEW REGISTRATION [https://www.crd.york.ac.uk/prospero/], identifier [CRD42020182935].
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Affiliation(s)
- Waleska Maria Almeida Barros
- Programa de Pós-graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife, Brazil
- Centro Integrado de Tecnologias em Neurociência (CITENC)–Centro Integrado de Tecnologia e Pesquisa (CINTEP)–Centro Universitário Osman Lins (UNIFACOL), Vitória de Santo Antão, Brazil
| | - Karollainy Gomes da Silva
- Centro Integrado de Tecnologias em Neurociência (CITENC)–Centro Integrado de Tecnologia e Pesquisa (CINTEP)–Centro Universitário Osman Lins (UNIFACOL), Vitória de Santo Antão, Brazil
| | - Roberta Karlize Pereira Silva
- Centro Integrado de Tecnologias em Neurociência (CITENC)–Centro Integrado de Tecnologia e Pesquisa (CINTEP)–Centro Universitário Osman Lins (UNIFACOL), Vitória de Santo Antão, Brazil
| | - Ana Patrícia da Silva Souza
- Programa de Pós-graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife, Brazil
- Centro Integrado de Tecnologias em Neurociência (CITENC)–Centro Integrado de Tecnologia e Pesquisa (CINTEP)–Centro Universitário Osman Lins (UNIFACOL), Vitória de Santo Antão, Brazil
| | - Ana Beatriz Januário da Silva
- Programa de Pós-graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife, Brazil
- Centro Integrado de Tecnologias em Neurociência (CITENC)–Centro Integrado de Tecnologia e Pesquisa (CINTEP)–Centro Universitário Osman Lins (UNIFACOL), Vitória de Santo Antão, Brazil
- *Correspondence: Ana Beatriz Januário da Silva,
| | - Mariluce Rodrigues Marques Silva
- Programa de Pós-graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife, Brazil
- Centro Integrado de Tecnologias em Neurociência (CITENC)–Centro Integrado de Tecnologia e Pesquisa (CINTEP)–Centro Universitário Osman Lins (UNIFACOL), Vitória de Santo Antão, Brazil
| | - Matheus Santos de Sousa Fernandes
- Programa de Pós-graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife, Brazil
| | - Sandra Lopes de Souza
- Programa de Pós-graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife, Brazil
| | - Viviane de Oliveira Nogueira Souza
- Programa de Pós-graduação em Nutrição, Atividade Física e Plasticidade Fenotípica, Universidade Federal de Pernambuco (CAV) - UFPE, Vitória de Santo Antão, Brazil
- Núcleo de Nutrição, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco (CAV) - UFPE, Vitória de Santo Antão, Brazil
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13
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Multicomponent Exercise Training Combined with Nutritional Counselling Improves Physical Function, Biochemical and Anthropometric Profiles in Obese Children: A Pilot Study. Nutrients 2020; 12:nu12092723. [PMID: 32899955 PMCID: PMC7551745 DOI: 10.3390/nu12092723] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Revised: 08/24/2020] [Accepted: 09/02/2020] [Indexed: 01/15/2023] Open
Abstract
Aerobics or strength exercise plus diet interventions have been shown to counteract childhood obesity. However, little is known with regard to periodized multicomponent exercise interventions combined with nutritional counselling, which might be less demanding but more enjoyable and respectful of children and adolescents’ nature. In order to analyze the impact of such a multimodal approach, 18 obese children (10.8 ± 1.6 years; 63% females; z Body Mass Index 3 ± 0.4) trained for 60 min, twice weekly and were measured for body composition, biochemical parameters and physical function. We found that 16 weeks of multimodal intervention (14 of training), based on fun-type skill-learning physical activities and physical conditioning with challenging circuits and games, together with nutritional counselling, led to an attendance > 80%, with significant overall health improvement. Body composition was enhanced (p < 0.01 for z BMI, mid-upper-arm-circumference, waist-to-height ratio, tricipital and subscapular skinfolds, body-fat % by Slaughter equation and Dual energy X-ray absorptiometry body fat% and trunk fat%), as well as metabolic profile (LDL cholesterol, gamma-glutamyl transferase , alanine aminotransferase ; p < 0.05), homeostatic model assessment of insulin resistance (HOMA-IR; p < 0.05) and inflammatory response (C-Reactive Protein; p < 0.05). Physical fitness was also improved (p < 0.01) through better cardiovascular test scores and fundamental movement patterns (Functional Movement Screen-7, FMS-4). Tailoring multimodal supervised strategies ensured attendance, active participation and enjoyment, compensating for the lack of strict caloric restrictions and the low volume and training frequency compared to the exercise prescription guidelines for obesity. Nutritional counselling reinforced exercise benefits and turned the intervention into a powerful educational strategy. Teamwork and professionals’ specificity may also be key factors.
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Physical Activity and Physical Competence in Overweight and Obese Children: An Intervention Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17176370. [PMID: 32883044 PMCID: PMC7504542 DOI: 10.3390/ijerph17176370] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 08/28/2020] [Accepted: 08/31/2020] [Indexed: 11/16/2022]
Abstract
With the current obesity epidemic and the decline of fitness among school-aged children, the importance of obesity interventions to promote physical activity and healthy habits has become indisputable. The purpose of this study was to assess the efficacy of a school-based multicomponent intervention in increasing physical activity (PA) levels, actual physical abilities, and perceived physical abilities in clinical and nonclinical samples of overweight/obese boys and girls aged 10-12 years. The clinical intervention group (n = 35) participated in a 7-month after-school program in addition to curricular physical education lessons, while the nonclinical control group (n = 29) received usual curricular lessons. Measures included levels of PA and fitness and individual's perceptions of physical ability. After treatment, the intervention group showed improved PA levels, perceived physical ability, and throwing and jumping task performances compared to the control group. Results indicate that a multicomponent program can improve levels of PA, fitness, and perceived competence of overweight participants. Findings highlight the importance of a comprehensive healthy lifestyle program that includes physical, psychosocial, and behavioral factors and suggest practical implications for educators, trainers, and teachers in identifying best practices targeting childhood obesity.
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15
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Importance of Self-Efficacy in Eating Behavior and Physical Activity Change of Overweight and Non-Overweight Adolescent Girls Participating in Healthy Me: A Lifestyle Intervention with Mobile Technology. Nutrients 2020; 12:nu12072128. [PMID: 32709005 PMCID: PMC7400873 DOI: 10.3390/nu12072128] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 07/11/2020] [Accepted: 07/15/2020] [Indexed: 02/08/2023] Open
Abstract
Very little is known about how multicomponent interventions directed to entire populations work in selected groups of adolescents. The aim was to evaluate the effectiveness of the Healthy Me one-year program on changes in healthy eating and physical activity among overweight and non-overweight female students. Randomization involved the allocation of full, partial or null intervention. The randomized field trial was implemented in 48 secondary schools (clusters) all over Poland among 1198 15-year-old girls. In this study, a sample of N = 1111 girls who participated in each evaluation study was analyzed. Using multimedia technologies, efforts were made to improve health behaviors and increase self-efficacy. The main outcome was a health behavior index (HBI), built on the basis of six nutritional indicators and one related to physical activity. HBI was analyzed before and immediately after intervention and at three months' follow-up, and the HBI change was modeled. Statistical analysis included nonparametric tests and generalized linear models with two-way interactions. Comparing the first and third surveys, in the overweight girls, the HBI index improved by 0.348 (SD = 3.17), while in the non-overweight girls it had worsened. After adjusting for other factors, a significant interaction between body weight status and level of self-efficacy as predictors of HBI changes was confirmed. The program turned out to be more beneficial for overweight girls.
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16
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Durá-Travé T, Gallinas-Victoriano F, Urretavizcaya-Martinez M, Ahmed-Mohamed L, Chueca-Guindulain MJ, Berrade-Zubiri S. Effects of the application of a prolonged combined intervention on body composition in adolescents with obesity. Nutr J 2020; 19:49. [PMID: 32460845 PMCID: PMC7254633 DOI: 10.1186/s12937-020-00570-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Accepted: 05/20/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND The aim of this study is to describe the effects of a prolonged dietary-behavioral-physical activity intervention (24 months) on body composition in a group of adolescents with obesity. METHODS Longitudinal study in 196 individuals with obesity (86 boys and 110 girls) aged 10.1-14.9 years that completed a prolonged combined intervention (24 months). Values for weight, height, skinfold thickness, waist circumference, BMI, body fat, fat mass index (FMI) and fat-free mass index (FFMI) were registered or calculated. A good response to treatment was reported when a BMI z-score reduction of greater than or equal to 0.5 units of the initial value occurred after 24 month of follow up. RESULTS A good response after 24 months of follow-up reached 58.2% (n = 114). In boys with obesity and BMI status improvement, weight z-score, BMI z-score, body fat, and FMI significantly decreased (p < 0.05). In girls with obesity and BMI status improvement, weight z-score, BMI z-score, waist circumference, waist z-score, body fat and FMI significantly decreased (p < 0.05). In both sexes the height and FFMI increased significantly (p < 0.05). The multiple logistic regression analysis showed that girls and younger age were associated with BMI status improvement; concurrently, the place of residence (urban or rural) and degree of obesity were not associated with BMI status improvement. CONCLUSION The application of long-term combined strategies in the treatment of childhood obesity seems to be effective. As BMI decreases, a reduction in fat mass is also detected, with evident sexual dimorphism, in the absence of changes in fat-free mass and, consequently, in longitudinal growing.
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Affiliation(s)
- Teodoro Durá-Travé
- Department of Pediatrics, School of Medicine, University of Navarra, Pamplona, Spain. .,Department of Pediatrics, Navarra Hospital Complex, Avenue Irunlarrea, 431008, Pamplona, Spain. .,Navarra Institute for Health Research (IdisNA), Pamplona, Spain.
| | | | | | - Lotfi Ahmed-Mohamed
- Department of Pediatrics, Navarra Hospital Complex, Avenue Irunlarrea, 431008, Pamplona, Spain
| | - María Jesús Chueca-Guindulain
- Department of Pediatrics, Navarra Hospital Complex, Avenue Irunlarrea, 431008, Pamplona, Spain.,Navarra Institute for Health Research (IdisNA), Pamplona, Spain
| | - Sara Berrade-Zubiri
- Department of Pediatrics, Navarra Hospital Complex, Avenue Irunlarrea, 431008, Pamplona, Spain.,Navarra Institute for Health Research (IdisNA), Pamplona, Spain
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17
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Rochira A, Tedesco D, Ubiali A, Fantini MP, Gori D. School Gardening Activities Aimed at Obesity Prevention Improve Body Mass Index and Waist Circumference Parameters in School-Aged Children: A Systematic Review and Meta-Analysis. Child Obes 2020; 16:154-173. [PMID: 32091934 DOI: 10.1089/chi.2019.0253] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Background: Childhood obesity, due to its increasing prevalence, is one of the most challenging problems in public health and prevention. Recent strategies have been implemented to tackle this trend, including school gardening projects. This systematic review analyzes the main elements of school gardening with a specific meta-analysis about its impact on anthropometric parameters. Materials and Methods: We searched studies in PubMed, EMBASE, and Cochrane Library on school gardening projects carried out until February 2019 and addressed to children aged 6 to 13 years. Results: Thirty-three studies passed the screening selection. Outcomes analyzed were fruits and vegetables consumption/knowledge, nutritional attitudes and behavior, anthropometric outcomes (i.e., BMI, waist circumference-WC) and other outcomes (i.e., blood pressure, science achievement, and physical activity). We performed descriptive analyses of these outcomes and found a general benefit from school gardening projects. We subsequently performed a meta-analysis on anthropometric outcomes, highlighting a significant reduction of both BMI percentile (%) (-1.37%) and WC (-1.30 cm). Conclusions: Although more high-quality studies are needed on this topic, along with a greater homogeneity of anthropometric measurements, the results of our article show a modest but positive impact of school gardening projects on anthropometric measures and more generally on children's health.
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Affiliation(s)
- Andrea Rochira
- School of Hygiene and Preventive Medicine, University of Bologna, Bologna, Italy
| | - Dario Tedesco
- IRCCS Rizzoli Orthopedic Institute Hospital Health Direction, Bologna, Italy.,Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
| | - Andrea Ubiali
- School of Hygiene and Preventive Medicine, University of Bologna, Bologna, Italy
| | - Maria Pia Fantini
- School of Hygiene and Preventive Medicine, University of Bologna, Bologna, Italy.,Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
| | - Davide Gori
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
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18
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Aquilanti L, Alia S, Pugnaloni S, Coccia E, Mascitti M, Santarelli A, Limongelli L, Favia G, Mancini M, Vignini A, Rappelli G. Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study. MEDICINA (KAUNAS, LITHUANIA) 2020; 56:E130. [PMID: 32188041 PMCID: PMC7143926 DOI: 10.3390/medicina56030130] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 03/09/2020] [Accepted: 03/12/2020] [Indexed: 12/15/2022]
Abstract
Background and Objectives: Masticatory limitations on the dietary habits of edentulous subjects restrict their access to adequate nutrition, exposing them to a greater risk of protein energy malnutrition. The aim of this study is to verify the existence of an association between Masticatory Performance (MP) and nutritional changes in the elderly. Materials and Methods: 76 participants were enrolled. MP testing was performed using the two-color chewing gum mixing test. The system used reveals the extent to which the two differently colored chewing gums mix, and allows discrimination between different MPs. The assessment of the participants' nutritional statuses was carried out through a food interview. Anthropometric parameters were collected, and bioimpedance analysis was performed. Results: Mean MP was 0.448 ± 0.188. No statistically significant differences were detected between male and female subjects (p > 0.05). According to the Body Mass Index (BMI), obese patients had a lower MP than overweight and normal weight subjects (0.408 ± 0.225, 0.453 ± 0.169 and 0.486 ± 0.181, respectively). MP values were lower both in male and female subjects with a waist circumference above the threshold than those below it (0.455 ± 0.205 vs. 0.476 ± 0.110, respectively, in males and 0.447 ± 0.171 vs. 0.501 ± 0.138, respectively, in females). No relationship was noticed between MP and bioimpedance parameters (p > 0.05). Conclusions: A statistically significant relation was observed between MP and the number of missing teeth. A reduced MP could worsen nutritional parameters. A reduced MP did not seem to negatively affect bioimpedance parameters.
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Affiliation(s)
- Luca Aquilanti
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
| | - Sonila Alia
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
| | - Sofia Pugnaloni
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
| | - Erminia Coccia
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
| | - Marco Mascitti
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
| | - Andrea Santarelli
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
- Dentistry Clinic, National Institute of Health and Science of Ageing, IRCCS INRCA, 60126 Ancona, Italy
| | - Luisa Limongelli
- Department of Interdisciplinary Medicine, University of Bari, 70124 Bari, Italy; (L.L.); (G.F.)
| | - Gianfranco Favia
- Department of Interdisciplinary Medicine, University of Bari, 70124 Bari, Italy; (L.L.); (G.F.)
| | - Margherita Mancini
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
| | - Arianna Vignini
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
| | - Giorgio Rappelli
- Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy; (L.A.); (S.A.); (S.P.); (E.C.); (M.M.); (A.S.); (G.R.)
- Dentistry Clinic, National Institute of Health and Science of Ageing, IRCCS INRCA, 60126 Ancona, Italy
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Julian V, Thivel D, Miguet M, Pereira B, Lambert C, Costes F, Richard R, Duclos M. Eccentric Cycling Training Improves Health-Related Quality of Life in Adolescents with Obesity. Obes Facts 2020; 13:548-559. [PMID: 33190133 PMCID: PMC7802461 DOI: 10.1159/000509961] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Accepted: 07/03/2020] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION While eccentric (ECC) training appears to be more efficient than concentric (CON) training at improving body composition in adolescent with obesity, its impact on health-related quality of life (HRQOL) has never been studied. OBJECTIVE The aim of this study is to compare the effects of 2 cycling training modalities, i.e., ECC vs. CON, in adolescents with obesity on HRQOL and health perception (HP). METHODS A total of 24 adolescents with obesity, aged 12-16 years, were randomized to either a 12-week ECC or a CON cycling training program performed at the same oxygen consumption (VO2). Anthropometric measurements, body composition, maximal incremental tests, HRQOL (Vécu et Santé Percue de l'Adolescent [VSP-A], Medical Outcome Study Short Form [SF-36]), and HP were assessed at before and after training. RESULTS AND CONCLUSION Both CON and ECC cycling trainings promoted significant improvements in BMI, VO2peak, total fat mass, and fat-free mass, with better improvements in body composition parameters in the ECC group (p < 0.05). The VSP-A total score increased after CON (p < 0.01) and ECC (p < 0.001) training, with better enhancement for the ECC group (p < 0.05). The SF-36 physical score increased after both CON (p < 0.01) and ECC (p < 0.001) trainings. The global HP score increased only after ECC training (p < 0.001). Except for the energy-vitality item, no significant correlation was found between changes in HRQOL and its subdomains and anthropometric, body composition, and functional parameters. Both ECC and CON cycling trainings are associated with positive changes in HRQOL and HP. However, ECC seems to induce greater improvements in HRQL and HP than CON cycling training, which is probably not due to the anthropometric, body composition, and functional changes.
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Affiliation(s)
- Valérie Julian
- Department of Sport Medicine and Functional Explorations, University Teaching Hospital of Clermont-Ferrand, CRNH, INRA, University of Clermont Auvergne, Clermont-Ferrand, France,
| | - David Thivel
- Laboratory AME2P, University of Clermont Auvergne, Aubière, France
| | - Maud Miguet
- Laboratory AME2P, University of Clermont Auvergne, Aubière, France
| | - Bruno Pereira
- Department of Biostatistics, University Teaching Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - Céline Lambert
- Department of Biostatistics, University Teaching Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - Frédéric Costes
- Department of Sport Medicine and Functional Explorations, University Teaching Hospital of Clermont-Ferrand, CRNH, INRA, University of Clermont Auvergne, Clermont-Ferrand, France
| | - Ruddy Richard
- Department of Sport Medicine and Functional Explorations, University Teaching Hospital of Clermont-Ferrand, CRNH, INRA, University of Clermont Auvergne, Clermont-Ferrand, France
| | - Martine Duclos
- Department of Sport Medicine and Functional Explorations, University Teaching Hospital of Clermont-Ferrand, CRNH, INRA, University of Clermont Auvergne, Clermont-Ferrand, France
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20
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Poeta M, Lamberti R, Di Salvio D, Massa G, Torsiello N, Pierri L, Delli Bovi AP, Di Michele L, Guercio Nuzio S, Vajro P. Waist Circumference and Healthy Lifestyle Preferences/Knowledge Monitoring in a Preschool Obesity Prevention Program. Nutrients 2019; 11:E2139. [PMID: 31500234 PMCID: PMC6769722 DOI: 10.3390/nu11092139] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 09/01/2019] [Accepted: 09/04/2019] [Indexed: 01/28/2023] Open
Abstract
Weight and body mass index (BMI) changes appear to be poor measures for assessing the success of most pediatric obesity prevention programs (POPP). The aim of this study is to evaluate the effectiveness of the preschool-age prevention program (3P) in improving and maintaining overtime preschoolers' knowledge/preferences about healthy nutrition and physical activity (PA), and the relationship between acquired healthy behaviors and anthropometrics including waist circumference (WC). Twenty-five preschoolers underwent a 24-month healthy lifestyle multi-component pilot intervention followed by a one-year wash-out period; 25 age-matched served as controls. Anthropometric/behavioral data were monitored. After the 2-year study and wash-out, the rates of children overweight and with obesity decreased only in the intervention group, where, also, normal-weight children with visceral obesity attained WC normal values (p = 0.048). While mean values of BMI Z-scores remained unchanged in both the intervention and control groups, WC (values and percentiles) showed a significant reduction only in the intervention group. Children's adherence to the Mediterranean diet remained acceptable among the entire sample. Although daily sweet beverage consumption remained unchanged in both groups, knowledge/preferences improved significantly more in the intervention group. In conclusion, WC may be more sensitive than BMI for monitoring preschoolers in POPP and reflects healthy behavioral changes acquired during the intervention.
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Affiliation(s)
- Marco Poeta
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Rossella Lamberti
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Dario Di Salvio
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Grazia Massa
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Nives Torsiello
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Luca Pierri
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Anna Pia Delli Bovi
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Laura Di Michele
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Salvatore Guercio Nuzio
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
| | - Pietro Vajro
- Pediatrics, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Salerno, Italy.
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Morano M, Bortoli L, Ruiz MC, Vitali F, Robazza C. Self-efficacy and enjoyment of physical activity in children: factorial validity of two pictorial scales. PeerJ 2019; 7:e7402. [PMID: 31392100 PMCID: PMC6673428 DOI: 10.7717/peerj.7402] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Accepted: 07/03/2019] [Indexed: 11/20/2022] Open
Abstract
Background Self-efficacy and enjoyment are two main constructs proposed within many motivational theories in any human endeavor, sport and physical activity included. Methods The purpose of this study was to examine the factor structure of two pictorial scales measuring self-efficacy and enjoyment levels in a sample of 14,035 Italian schoolchildren (7,075 boys and 6,960 girls, 6- to 7-year-olds). An important feature of the two scales is that they are in a pictorial format in order to prompt a straightforward understanding in children. The whole sample was randomly split in two subsamples according to gender and age and the factor structure of the measures was examined across subsamples. Results Data were subjected to confirmatory factor analysis, which yielded satisfactory fit indices on the measures of both subsamples. Overall findings supported the single factor structure of the scales, which can be easily administered to 6- to 7-year-old children to assess two relevant psychological constructs in physical education.
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Affiliation(s)
- Milena Morano
- Parisi-De Sanctis Institute, MIUR (Italian Ministry of Education, University and Research), Foggia, Italy.,School of Medicine and Health Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - Laura Bortoli
- BIND-Behavioral Imaging and Neural Dynamics Center, Department of Medicine and Aging Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - Montse C Ruiz
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Francesca Vitali
- Department of Neurosciences, Biomedicine, and Movement, University of Verona, Verona, Italy
| | - Claudio Robazza
- BIND-Behavioral Imaging and Neural Dynamics Center, Department of Medicine and Aging Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
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Ashi H, Campus G, Klingberg G, Forslund HB, Lingström P. Childhood obesity in relation to sweet taste perception and dental caries - a cross-sectional multicenter study. Food Nutr Res 2019; 63:1682. [PMID: 30992699 PMCID: PMC6451031 DOI: 10.29219/fnr.v63.1682] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Revised: 01/21/2019] [Accepted: 02/21/2019] [Indexed: 11/20/2022] Open
Abstract
Background Obesity is a multifactorial disease that is increasing worldwide and is caused by different environmental and genetic factors, with an increase in the consumption of high-energy–containing food and a decrease in physical activity constituting two of the main reasons. Sweet taste perception may have an effect on the subject’s dietary choices and affect his or her predisposition to obesity. Objectives The aim was to study the sweet taste perception and dental caries in relation to body mass index (BMI) in 13–15-year-old schoolchildren from three different countries and to compare the BMI among the countries. Design The sweet taste perception level, determined as the sweet taste threshold and preference, was assessed in a total of 669 schoolchildren from Italy, Mexico and Saudi Arabia, examined in school settings. Height and weight were collected and BMI was calculated, after which the children were grouped as underweight, normal, overweight, and obese. For caries registration, the International Caries Detection and Assessment System and Decayed Missing Filled Surfaces indices were used. Results A statistically significant difference was found for BMI among the children from the three countries (p < 0.001), with the highest mean found among Saudi children, followed by Mexican and Italian children. A statistically significant difference regarding sweet taste threshold when comparing the BMI groups was only found for Saudi Arabia (p < 0.01). No significant correlation was found between BMI and sweet taste threshold or preference and dental caries variables, respectively. Conclusions BMI was found to differ between countries, with a further significant difference among the groups among the Saudi Arabia schoolchildren.
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Affiliation(s)
- Heba Ashi
- Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,Department of Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Guglielmo Campus
- Klinik für Zahnerhaltung, Präventiv- und Kinderzahnmedizin, Zahnmedizinische Kliniken (ZMK), University of Bern, Switzerland and Department of Surgery, Microsurgery.,WHO Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy
| | - Gunilla Klingberg
- Department of Paediatric Dentistry, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Heléne Bertéus Forslund
- Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Peter Lingström
- Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.,WHO Collaborating Centre for Epidemiology and Preventive Dentistry, Milan, Italy
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23
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Carlone Baldino Garcia N, Lopes WA, Locateli JC, Ferraz Simões C, de Oliveira GH, de Souza Mendes VH, Spagnol Pereira IA, Nardo Junior N. Multidisciplinary obesity treatment program improved health-related quality of life and positively correlated with anthropometric and body composition but not with cardiorespiratory fitness parameters in adolescents. Qual Life Res 2019; 28:1803-1812. [PMID: 30790154 DOI: 10.1007/s11136-019-02141-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2019] [Indexed: 12/12/2022]
Abstract
PURPOSE The aim of the present study was to verify the effects of a 16-week multidisciplinary obesity treatment program (MOTP) on health-related quality of life (HRQoL) in adolescents with weight excess. In addition, we verified a possible association between changes on HRQoL and anthropometric, body composition, and cardiorespiratory fitness (CRF) parameters. METHODS Two hundred four adolescents aged from 15 to 18 years were distributed in control group (CG) and intervention group (IG). They underwent a 16-week MOTP composed by nutritional, psychological, and health-related physical activity group sessions. Moreover, they performed physical exercise sessions three times per week during the whole 16-week program. Data on HRQoL, body composition, CRF and anthropometry were collected using standard protocols and validated questionnaires. RESULTS The MOTP promoted significant enhancements in all HRQoL domains, except for the school domain in IG. Furthermore, positive correlations between HRQoL and body weight (BW), body fat (BF), waist circumference (WC), and body mass index (BMI) z-score were verified. Higher scores of HRQoL might be achieved by improving these variables. CONCLUSIONS The 16-week MOTP was effective to improve HRQoL in adolescents with weight excess. This improvement has a positive correlation with enhancements in BW, BMI z-score, WC, and BF. Nevertheless, these findings have not reached a consensus on literature and still need to be further enlightened.
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Affiliation(s)
- Natália Carlone Baldino Garcia
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil
| | - Wendell Arthur Lopes
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.,Clinical Research Center, University Hospital of Maringa, 1590 Mandacaru Avenue, Parque das Laranjeiras, Maringá, Paraná, 87083-240, Brazil.,Postgraduate Program in Physical Education, State University of Londrina, Rodovia Celso Garcia Cid, Londrina, Paraná, 86057-970, Brazil
| | - João Carlos Locateli
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil. .,Postgraduate Program in Physical Education, State University of Londrina, Rodovia Celso Garcia Cid, Londrina, Paraná, 86057-970, Brazil.
| | - Caroline Ferraz Simões
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.,Postgraduate Program in Physical Education, State University of Londrina, Rodovia Celso Garcia Cid, Londrina, Paraná, 86057-970, Brazil
| | - Gustavo Henrique de Oliveira
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.,Postgraduate Program in Physical Education, State University of Londrina, Rodovia Celso Garcia Cid, Londrina, Paraná, 86057-970, Brazil
| | - Victor Hugo de Souza Mendes
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil
| | - Igor Alisson Spagnol Pereira
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil
| | - Nelson Nardo Junior
- Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.,Clinical Research Center, University Hospital of Maringa, 1590 Mandacaru Avenue, Parque das Laranjeiras, Maringá, Paraná, 87083-240, Brazil.,Postgraduate Program in Physical Education, State University of Londrina, Rodovia Celso Garcia Cid, Londrina, Paraná, 86057-970, Brazil
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24
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Durá-Travé T, Gallinas-Victoriano F, Urretavizcaya-Martinez M, Ahmed-Mohamed L, Guindulain MJC, Berrade-Zubiri S. Assessment of body composition changes during a combined intervention for the treatment of childhood obesity. Nutrition 2018; 59:116-120. [PMID: 30496955 DOI: 10.1016/j.nut.2018.08.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 07/30/2018] [Accepted: 08/07/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVE One of the main objectives in the treatment of childhood obesity is to reduce the percentage of body fat mass without negatively affecting fat-free mass (FFM) and, consequently, longitudinal growth. The aim of this study was to analyze the changes that take place in body compartments in a group of patients with obesity under combined treatment. METHODS This was a longitudinal study with 109 children with obesity 9.1 to 13.9 y of age included in a combined dietary-behavioral-physical activity intervention. Weight, height, skinfold thickness, and waist circumference were registered, and body mass index (BMI), fat mass index (FMI), FFM and waist-to-height ratio (WHR) were calculated over a period of 12 mo. The BMI z-score allowed us to establish two groups: obesity (n = 50) and severe obesity (n = 59). A nutritional improvement was considered when a decrease of BMI z-score of the initial value occurred after 12 mo of follow-up. RESULTS The improvement in nutritional status reached 61.5% (n = 67). In the obesity group with nutritional improvement (n = 32), FMI significantly decreased (P < 0.005) and there were no significant differences in weight, height z-score, FFM, and WHR throughout the combined intervention. In the severe obesity group with nutritional improvement (n = 35), there were no significant differences in weight, height z-score, FMI, FFM, and WHR throughout combined intervention. CONCLUSIONS Maintaining a constant weight in the mid- to long term to improve nutritional status would be adequate in children with infantile-juvenile obesity. However, maintaining a steady weight would not be sufficient for those patients diagnosed with severe obesity.
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Affiliation(s)
- Teodoro Durá-Travé
- Department of Pediatrics, School of Medicine, University of Navarra, Pamplona, Spain; Department of Pediatrics, Navarra Hospital Complex, Pamplona, Spain; Navarra Institute for Health Research (IdisNA), Pamplona, Spain.
| | | | | | | | - María Jesús Chueca Guindulain
- Department of Pediatrics, Navarra Hospital Complex, Pamplona, Spain; Navarra Institute for Health Research (IdisNA), Pamplona, Spain
| | - Sara Berrade-Zubiri
- Department of Pediatrics, Navarra Hospital Complex, Pamplona, Spain; Navarra Institute for Health Research (IdisNA), Pamplona, Spain
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25
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Hu Y, He JR, Liu FH, Li WD, Lu JH, Xing YF, Lin SF, Liu X, Bartington S, Feng Q, Xia HM, Lam KBH, Cheng KK, Qiu X. Effectiveness of a Kindergarten-Based Intervention for Preventing Childhood Obesity. Pediatrics 2017; 140:peds.2017-1221. [PMID: 29127208 DOI: 10.1542/peds.2017-1221] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/18/2017] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Interventions to prevent childhood obesity targeting school age children have mostly reported limited effectiveness, suggesting such prevention programs may need to start at an earlier age, but evidence has been scarce. We reported a pilot study aiming to demonstrate the feasibility of a multifaceted intervention for preschool children and to provide a preliminary assessment of the effectiveness. METHODS This nonrandomized controlled trial recruited children aged 3 to 6 years from 6 kindergartens in Guangzhou, China. Based on the preference of the School and Parents Committees, 4 kindergartens (648 children) received a 3-component intervention (training of kindergarten staff, initiating healthy curriculum for children, and close collaboration between families and kindergartens) over 12 months, while the other 2 kindergartens (336 children), serving as controls, received routine health care provision. Outcome measures were the changes in BMI z score between baseline and the end of 12 months, and the prevalence of postintervention children who were overweight or obese. RESULTS By 12 months, children within the intervention group had a smaller BMI z score increase (0.24) compared to the control (0.41), with a difference of -0.31 (95% CI -0.47 to -0.15). The prevalence of overweight or obesity was also lower among the intervention group at the end of the study (OR: 0.43, 95% CI 0.19 to 0.96), adjusted for baseline status. CONCLUSIONS Our results indicated a multicomponent health behavior intervention might be effective in reducing the prevalence of obesity, but the longer term effects will need confirmation from randomized controlled trials.
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Affiliation(s)
- Yan Hu
- Division of Birth Cohort Study and.,Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Jian-Rong He
- Division of Birth Cohort Study and.,Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | | | - Wei-Dong Li
- Division of Birth Cohort Study and.,Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Jin-Hua Lu
- Division of Birth Cohort Study and.,Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Yan-Fei Xing
- Division of Birth Cohort Study and.,Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Sui-Fang Lin
- Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Xian Liu
- Division of Birth Cohort Study and.,Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Suzanne Bartington
- Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom; and
| | - Qiong Feng
- Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | | | - Kin Bong Hubert Lam
- Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
| | - Kar Keung Cheng
- Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom; and
| | - Xiu Qiu
- Division of Birth Cohort Study and .,Department of Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
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Patsopoulou A, Tsimtsiou Z, Katsioulis A, Malissiova E, Rachiotis G, Hadjichristodoulou C. Evaluating the Efficacy of the Feeding Exercise Randomized Trial in Overweight and Obese Adolescents. Child Obes 2017; 13:128-137. [PMID: 28075147 DOI: 10.1089/chi.2016.0192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND The Feeding Exercise Trial in Adolescents (FETA) aimed to evaluate whether a community-based, parents-involving, combined physical activity and nutritional education program was effective in improving adiposity profiles in overweight and obese adolescents. METHODS A total of 181 overweight and obese adolescents aged 13-15 years old were randomized in the three study groups ("Diet & Activity," "Activity," and Control). The Activity intervention included a 45-minute, 3-day per week supervised training program, while the Diet & Activity intervention included a supplementary 15 minutes of group-based sessions attended by the parents. The intervention lasted 3 months and the participants were followed for another 3 months after the intervention. The participants were assessed for anthropometric measures and activity and fulfilled the modified version of the questionnaire "Family Eating and Activity Habits Questionnaire" (FEAHQ). RESULTS Both "Activity" only and "Diet & Activity" groups reduced significantly (p < 0.001) their mean body mass index (BMI) (-1.1, 95% CI -1.3, -0.8, and -1.4, 95% CI -1.7, -1.2, respectively), waist circumference, systolic and diastolic blood pressure, pulses per minute, and 50 m sprint run test at 3 months, while greater reductions in BMI were observed at 6 months (-2.3, 95% CI -2.6, -2.0, and -3.1, 95% CI -3.3, -2.8). Significant changes in the total FEAHQ score were achieved only in the "Diet & Activity" group both at 3 months and at 6 months. CONCLUSIONS FETA resulted in significant effects on improving adiposity profiles in overweight and obese adolescents, as well as family activity and feeding habits, maintained at 3 months follow-up.
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Affiliation(s)
- Anna Patsopoulou
- 1 Department of Hygiene and Epidemiology, Medical Faculty, School of Health Science, University of Thessaly , Greece, Larissa, Greece
| | - Zoi Tsimtsiou
- 1 Department of Hygiene and Epidemiology, Medical Faculty, School of Health Science, University of Thessaly , Greece, Larissa, Greece
| | - Antonios Katsioulis
- 1 Department of Hygiene and Epidemiology, Medical Faculty, School of Health Science, University of Thessaly , Greece, Larissa, Greece
| | - Eleni Malissiova
- 2 Food Technology Department, Technological Educational Institute of Thessaly , Karditsa, Greece
| | - George Rachiotis
- 1 Department of Hygiene and Epidemiology, Medical Faculty, School of Health Science, University of Thessaly , Greece, Larissa, Greece
| | - Christos Hadjichristodoulou
- 1 Department of Hygiene and Epidemiology, Medical Faculty, School of Health Science, University of Thessaly , Greece, Larissa, Greece
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27
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Improvements in self-reported and parent-proxy perceptions of adolescents’ health-related quality of life following a multidisciplinary obesity treatment program. SPORT SCIENCES FOR HEALTH 2017. [DOI: 10.1007/s11332-016-0341-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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28
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Stea TH, Haugen T, Berntsen S, Guttormsen V, Øverby NC, Haraldstad K, Meland E, Abildsnes E. Using the Intervention Mapping protocol to develop a family-based intervention for improving lifestyle habits among overweight and obese children: study protocol for a quasi-experimental trial. BMC Public Health 2016; 16:1092. [PMID: 27756346 PMCID: PMC5070224 DOI: 10.1186/s12889-016-3766-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2016] [Accepted: 10/12/2016] [Indexed: 12/22/2022] Open
Abstract
Background In light of the high prevalence of childhood overweight and obesity, there is a need of developing effective prevention programs to address the rising prevalence and the concomitant health consequences. The main aim of the present study is to systematically develop and implement a tailored family-based intervention for improving lifestyle habits among overweight and obese children, aged 6–10 years old, enhancing parental self-efficacy, family engagement and parent-child interaction. A subsidiary aim of the intervention study is to reduce the prevalence of overweight and obesity among those participating in the intervention study. Methods/design The Intervention Mapping protocol was used to develop a tailored family-based intervention for improving lifestyle habits among overweight and obese children. In order to gather information on local opportunities and barriers, interviews with key stakeholders and a 1-year pilot study was conducted. The main study has used a quasi-experimental controlled design. Locally based Healthy Life Centers and Public Health Clinics are responsible for recruiting families and conducting the intervention. The effect of the study will be measured both at completion of the 6 months intervention study and 6 and 18 months after the intervention period. An ecological approach was used as a basis for developing the intervention. The behavioral models and educational strategies include individual family counselling meetings, workshops focusing on regulation of family life, nutrition courses, and physical activity groups providing tailored information and practical learning sessions. Parents will be educated on how to use these strategies at home, to further support their children in improving their behaviors. Discussion A systematic and evidence-based approach was used for development of this family-based intervention study targeting overweight and obese children, 6–10 years old. This program, if feasible and effective, may be adjusted to local contexts and implemented in all municipal health care institutions in Norway. Trial registration NCT02247219. Prospectively registered on October 26, 2014.
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Affiliation(s)
- Tonje Holte Stea
- Department of Public Health, Sport and Nutrition, University of Agder, Kristiansand, Norway.
| | - Tommy Haugen
- Department of Public Health, Sport and Nutrition, University of Agder, Kristiansand, Norway
| | - Sveinung Berntsen
- Department of Public Health, Sport and Nutrition, University of Agder, Kristiansand, Norway
| | - Vigdis Guttormsen
- Department of Public Health, Sport and Nutrition, University of Agder, Kristiansand, Norway
| | - Nina Cecilie Øverby
- Department of Public Health, Sport and Nutrition, University of Agder, Kristiansand, Norway
| | - Kristin Haraldstad
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
| | - Eivind Meland
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Eirik Abildsnes
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
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