This study aims to assess the effects of a 16-week multidisciplinary program of obesity treatment on the control of metabolic syndrome (MS) and dyslipidemia in obese adolescents. Eighty-six adolescents aged 10-18 years were allocated in either the intervention group (IG; n = 44) or control group (CG; n = 42). IG was submitted to a multidisciplinary intervention based on cognitive behavioral therapy that aimed to modify eating habits and exercise behavior. We analyzed, before and after the intervention period, anthropometric parameters, body composition, bone mineral density, cardiorespiratory fitness, blood pressure, glucose, insulin, and lipid profile of the subjects. MS was classified according to International Diabetes Federation (2007) and the presence of dyslipidemia according to Back et al. (Arq Bras Cardiol 85:4-36, 2005). In the beginning of the intervention, the median number (range) of risk factors for MS present was 2.0 (0.0-5.0) in the IG and 2.0 (0.0-4.0) in the CG. After the intervention, this parameter reduced significantly in the IG (1.0 (0.0-5.0); p = 0.004) while no change was observed in the CG (2.0 (0.0-4.0); p = 0.349). In addition, we observed improvements in body mass index, waist circumference, hip circumference, maximal oxygen uptake, absolute and relative body fat, systolic blood pressure, diastolic blood pressure, and total cholesterol in the IG which was not identified in the CG. Conclusio n: We suggest that a 16-week multidisciplinary intervention based on cognitive behavioral therapy was adequate to reduce risk factors for MS in obese adolescents.
The differences between self-report of overweight adolescent and perceptions of their parents about the HRQoL of their children are influenced by adolescent gender and age and parent gender.
ResumoNosso objetivo foi avaliar aspectos positivos e negativos de um programa multiprofissional de tratamento da obesidade (PMTO) sob o ponto de vista dos seus participantes e seus responsáveis. Foi realizada pesquisa exploratória descritiva com adolescentes obesos participantes do PMTO e seus pais. Após quatro meses de intervenção ambos descreveram os aspectos positivos e negativos da participação no PMTO. As respostas foram categorizadas e apresentadas em figuras com os valores de freqüência relativa. Os resultados demonstraram melhoras no comportamento alimentar, condicionamento físico e aspectos psicológicos. Os aspectos negativos citados relacionam-se à adaptação ao exercício, dificuldades com transporte e choque de horários. Os resultados ressaltam o impacto positivo promovido pelo PTMO nos aspectos físicos, nutricionais e psicológicos de adolescentes obesos, e nos pontos negativos que devem ser reavaliados para aprimorar o programa. O estudo ainda possibilita uma nova perspectiva de avaliação dos resultados de programas de intervenção. Palavras-chave: obesidade, adolescentes, intervenção precoce.
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