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Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial

Adolescence is a complex period of human development in which young people are susceptible to unhealthy behaviors, such as physical inactivity and an unbalanced diet. This study aimed to analyze the effects of 12 weeks of multi-disciplinary family and individual intervention on cardiometabolic risk...

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Autores principales: de Souza Marques, Déborah Cristina, dos Santos Moraes, Lilian Rosana, de Souza Marques, Marilene Ghiraldi, Ryal, Joed Jacinto, Santos, Isabella Caroline, De Paula Silva Lalucci, Marielle Priscila, Mota, Jorge, Valdés-Badilla, Pablo, Westphal Nardo, Greice, Magnani Branco, Braulio Henrique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10606176/
https://www.ncbi.nlm.nih.gov/pubmed/37887692
http://dx.doi.org/10.3390/ijerph20206954
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author de Souza Marques, Déborah Cristina
dos Santos Moraes, Lilian Rosana
de Souza Marques, Marilene Ghiraldi
Ryal, Joed Jacinto
Santos, Isabella Caroline
De Paula Silva Lalucci, Marielle Priscila
Mota, Jorge
Valdés-Badilla, Pablo
Westphal Nardo, Greice
Magnani Branco, Braulio Henrique
author_facet de Souza Marques, Déborah Cristina
dos Santos Moraes, Lilian Rosana
de Souza Marques, Marilene Ghiraldi
Ryal, Joed Jacinto
Santos, Isabella Caroline
De Paula Silva Lalucci, Marielle Priscila
Mota, Jorge
Valdés-Badilla, Pablo
Westphal Nardo, Greice
Magnani Branco, Braulio Henrique
author_sort de Souza Marques, Déborah Cristina
collection PubMed
description Adolescence is a complex period of human development in which young people are susceptible to unhealthy behaviors, such as physical inactivity and an unbalanced diet. This study aimed to analyze the effects of 12 weeks of multi-disciplinary family and individual intervention on cardiometabolic risk parameters in overweight and obese adolescents and compare sub-groups, considering possible differences between sexes (males vs. females vs. intervention approach). Forty-three adolescents (13.73 ± 2.46 years old) of both sexes were divided into two groups: family group (FG) (n = 21; 14.24 ± 2.61 years old) and individual group (IG) (n = 22; 13.23 ± 2.27 years old). The following parameters were evaluated: anthropometry (body weight, height, waist circumference (WC), hip circumference (HC), abdominal circumference (AC), calculation of body mass index (BMI), and waist–hip ratio (WHR)), body composition (fat mass (FM), lean mass (LM), fat-free mass (FFM), skeletal muscle mass (SMM), body fat percentage (BF), and visceral fat), biochemical measures (fasting glucose, triglycerides (TG), total cholesterol (TC), low-density lipoproteins (LDL-c), and high-density lipoproteins (HDL-c)), and the measurement of systolic and diastolic blood pressure (SBP and DBP) before and after the interventions. The multi-disciplinary interventions occurred for 12 weeks (three days a week lasting 1 h and 30 min, in which 30 min were dedicated to theoretical interventions (nutrition: nutritional education and psychology: psychoeducation) and 1 h to physical exercises. A time effect was observed for LM, FFM, SMM, FM, and HDL-c, with higher values after intervention and a significant decrease for FM, BF, visceral fat, fasting glucose, TG, TC, LDL-c, and DBP (p < 0.05). However, no group, sub-group, or interaction effects were observed when comparing FG, IG, or sexes (p > 0.05). The responses of the present study show that both multi-disciplinary approaches (family and individual) promoted improvement in the body composition indicators, biochemical markers, and DBP of overweight and obese adolescents independently of the intervention group. Given this finding, health professionals, families, and adolescents could choose the type of intervention based on their preferences.
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spelling pubmed-106061762023-10-28 Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial de Souza Marques, Déborah Cristina dos Santos Moraes, Lilian Rosana de Souza Marques, Marilene Ghiraldi Ryal, Joed Jacinto Santos, Isabella Caroline De Paula Silva Lalucci, Marielle Priscila Mota, Jorge Valdés-Badilla, Pablo Westphal Nardo, Greice Magnani Branco, Braulio Henrique Int J Environ Res Public Health Article Adolescence is a complex period of human development in which young people are susceptible to unhealthy behaviors, such as physical inactivity and an unbalanced diet. This study aimed to analyze the effects of 12 weeks of multi-disciplinary family and individual intervention on cardiometabolic risk parameters in overweight and obese adolescents and compare sub-groups, considering possible differences between sexes (males vs. females vs. intervention approach). Forty-three adolescents (13.73 ± 2.46 years old) of both sexes were divided into two groups: family group (FG) (n = 21; 14.24 ± 2.61 years old) and individual group (IG) (n = 22; 13.23 ± 2.27 years old). The following parameters were evaluated: anthropometry (body weight, height, waist circumference (WC), hip circumference (HC), abdominal circumference (AC), calculation of body mass index (BMI), and waist–hip ratio (WHR)), body composition (fat mass (FM), lean mass (LM), fat-free mass (FFM), skeletal muscle mass (SMM), body fat percentage (BF), and visceral fat), biochemical measures (fasting glucose, triglycerides (TG), total cholesterol (TC), low-density lipoproteins (LDL-c), and high-density lipoproteins (HDL-c)), and the measurement of systolic and diastolic blood pressure (SBP and DBP) before and after the interventions. The multi-disciplinary interventions occurred for 12 weeks (three days a week lasting 1 h and 30 min, in which 30 min were dedicated to theoretical interventions (nutrition: nutritional education and psychology: psychoeducation) and 1 h to physical exercises. A time effect was observed for LM, FFM, SMM, FM, and HDL-c, with higher values after intervention and a significant decrease for FM, BF, visceral fat, fasting glucose, TG, TC, LDL-c, and DBP (p < 0.05). However, no group, sub-group, or interaction effects were observed when comparing FG, IG, or sexes (p > 0.05). The responses of the present study show that both multi-disciplinary approaches (family and individual) promoted improvement in the body composition indicators, biochemical markers, and DBP of overweight and obese adolescents independently of the intervention group. Given this finding, health professionals, families, and adolescents could choose the type of intervention based on their preferences. MDPI 2023-10-20 /pmc/articles/PMC10606176/ /pubmed/37887692 http://dx.doi.org/10.3390/ijerph20206954 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
de Souza Marques, Déborah Cristina
dos Santos Moraes, Lilian Rosana
de Souza Marques, Marilene Ghiraldi
Ryal, Joed Jacinto
Santos, Isabella Caroline
De Paula Silva Lalucci, Marielle Priscila
Mota, Jorge
Valdés-Badilla, Pablo
Westphal Nardo, Greice
Magnani Branco, Braulio Henrique
Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial
title Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial
title_full Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial
title_fullStr Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial
title_full_unstemmed Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial
title_short Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial
title_sort effects of 12 weeks of family and individual multi-disciplinary intervention in overweight and obese adolescents under cardiometabolic risk parameters: a clinical trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10606176/
https://www.ncbi.nlm.nih.gov/pubmed/37887692
http://dx.doi.org/10.3390/ijerph20206954
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