Efeitos do exercício físico e da orientação nutricional no perfil de risco cardiovascular de crianças obesas

Poeta, Lisiane Schilling; Duarte, Maria de Fátima da Silva; Caramelli, Bruno; Mota, Jorge; Giuliano, Isabela de Carlos Back

doi:10.1590/s0104-42302013000100012

Cited by 15 publications

(12 citation statements)

References 22 publications

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“…However for how long these changes could be sustained needs to be investigated. Similar to our results, Poeta 20 verified the effectiveness of nutritional counseling for parents and children in combination with physical activity promotion (3 times per week) in older children (8-11 years). The authors observed a significant decrease in body fat, BMI, skinfold thickness, arm circumference, and increased hand grip strength and physical fitness levels after 3 months of intervention.…”

Section: Discussionsupporting

confidence: 90%

“…In addition, Poeta 20 verified that 12 weeks of intervention (nutritional counseling for parents and children) for changing lifestyle in older children (8-11 years) resulted in positive effects in children's health parameters. In a study conducted by our group, it was reported significant improvement in children's (9-11 years) health parameters (anthropometrics, biochemical parameters, physical activity level, and fruit consumption) after attendance in a program supported by a physical educator and parents, which included health guidelines, the use of an educational-motivational tool, and the introduction of recreational activities for ten weeks 21 .…”

Section: Filling a Diary Improves Physical Activity And Nutritionmentioning

confidence: 91%

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Recording daily routines with guidance on healthy lifestyle to improve health parameters in children and their families

Pereira

Rauber

Ramos

et al. 2016

Motriz: rev. educ. fis.

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Abstract--This study investigated the efficacy of using a diary to record daily routines, combined with guidance on healthy lifestyle (GHL) by a physical educator, on promoting changes in health parameters in children. Sixty-three children (10 ± 0.8 years) were allocated to one of the three following groups: a control group (CON, n = 18); a group that did not use the diary, but received GHL (G, n = 23); or a group that both used the diary and received GHL (DG, n = 22). Blood pressure, body composition, physical fitness tests (PF), physical activity levels (PAL), and dietary intake profiles were assessed in children and their parents before and after 2 months of intervention. The DG group improved their performance in PF, increased PAL, and reduced body fat (p < 0.05). Additionally, 56% of families from both DG and G reduced their consumption of unhealthy foods and 70,6% increased their consumption of healthy foods. Overall, it was concluded that 2 months of using a diary to record daily routines combined with GHL by a physical educator improved PAL, PF, body composition, and dietary intake profiles of children and their families.

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Section: Discussionsupporting

confidence: 90%

Section: Filling a Diary Improves Physical Activity And Nutritionmentioning

confidence: 91%

Recording daily routines with guidance on healthy lifestyle to improve health parameters in children and their families

Pereira

Rauber

Ramos

et al. 2016

Motriz: rev. educ. fis.

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“…These results are consistent with other short-term studies of overweight and obese children and adolescents who have combined diet and exercise 20,21. Although there was a reduction in FG in the IG and an increase in FG in the CG, these results were not significant.…”

Section: Discussionsupporting

confidence: 91%

Effects of a recreational physical activity and healthy habits orientation program, using an illustrated diary, on the cardiovascular risk profile of overweight and obese schoolchildren: a pilot study in a public school in Brasilia, Federal District, Brazil

Militão

Karnikowski²,

Silva³

et al. 2013

DMSO

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IntroductionEducative strategies need to be adopted to encourage the consumption of healthy foods and to promote physical activity in childhood and adolescence. The effects of recreational physical activity and a health-habit orientation program using an illustrated diary on the cardiovascular risk profile of overweight and obese children was investigated.MethodsThe weight and height of 314 schoolchildren aged between 9 and 11 years old, in a public school in Brasilia, Federal District, Brazil, were recorded. According to the body mass index (BMI) classification proposed by the World Health Organization, 84 were overweight or obese for their age and sex. Of these children, 34 (40%) participated in the study. Students were divided into two groups matched for sex, age, BMI, percent body fat (%BF): the intervention group (IG, n = 17) and the control group (CG, n = 17). The IG underwent a program of 10 weeks of exercise with recreational activities and health-habit orientation using an illustrated diary of habits, while no such interventions were used with the CG during the study period. Before and after the intervention, the children’s weight, height, BMI, %BF, waist circumference (WC), maximum oxygen intake (VO2max), total cholesterol (TC), high density lipoprotein (HDL), low density lipoprotein (LDL), triglycerides, glucose, eating habits, and physical activity level (PAL) were assessed. In analyzing the data, we used descriptive statistics and paired and unpaired t-tests, using a significance level of 0.05. For assessment of dietary habits, a questionnaire, contingency tables, and the chi-squared test were used, with <0.05 set as the significance level.ResultsAfter 10 weeks of intervention, the IG showed a reduction in BMI (pre: 22.2 ± 2.1 kg/m2 versus [vs] post: 21.6 ± 2.1 kg/m2, P < 0.01); WC (pre: 70.1 ± 6.1 cm vs post: 69.1 ± 5.8 cm, P < 0.01); %BF (pre: 29.2% ± 4.6% vs post: 28.0% ± 4.8%, P < 0.01); systolic blood pressure (P < 0.01); VO2max (P = 0.014); TC (P < 0.01); LDL (P < 0.01); triglycerides (P < 0.01); and intake of candy (P < 0.01) and soda drinks (P < 0.01), while an increase in the consumption of fruit (P < 0.01) and PAL (P < 0.01) were observed. The CG did not show any change in the health parameters assessed.ConclusionThe program was effective in reducing risk factors for cardiovascular disease and the use of an illustrative diary may have been the key to this result, since students were motivated to change their poor eating habits and to increase their physical activity level.

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“…Our data corroborate the findings of an intervention study involving obese children, in which a reduction in CCA-IMT was observed after 12 weeks of exercise, even in the absence of significant changes in C-reactive protein or triglyceride levels. 20 The reduction in CCA-IMT after exercise may be explained by hemodynamic, antioxidant and antiatherogenic mechanisms (e.g., altered physical strength, upregulation of vascular eNOS and superoxide dismutase expression, downregulation of P-selectin, V-CAM and MCP-1 expression), as most of these changes occur after 4 weeks of training. 21 Likewise, we hypothesize that regression of IMT occurred rapidly due to the plasticity of the cardiovascular tissue during the pubertal period, to hypoactivity as seen in chronic diseases, 3 or to a "less favorable scenario" such as pediatric HIV infection.…”

Section: 1517mentioning

confidence: 99%

Exercise Improves Cardiovascular Risk Factors, Fitness, and Quality Of Life in Hiv+ Children and Adolescents: Pilot Study

Lima

Back

Beck

et al. 2017

International Journal of Cardiovascular Sciences

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Children and adolescents infected by HIV through mother-to-child transmission are at high risk of developing premature cardiovascular diseases due to dyslipidemia, insulin resistance and low-grade chronic inflammation. The aim of the pilot study was to verify the effect of a playful exercise program on cardiovascular, morphological, metabolic, fitness, and quality of life outcomes. A non-randomized clinical trial consisting of 24 sessions of playful aerobic and resistive exercises was applied to 10 children and adolescents living with HIV from Florianopolis, Brazil. The following variables were obtained before and after the program: fasting total cholesterol, HDL-c, LDL-c, triglycerides, glucose, C-reactive protein, blood pressure, common carotid artery intima-media thickness (CCA-IMT), flexibility, muscular endurance, aerobic fitness, anthropometry, and measured quality of life. After the intervention, a decrease in systolic blood pressure (-6.8 mmHg, 6.6%; p = 0.019) and CCA-IMT (-60.0 µm, 12.2%; p = 0.002) was observed after 24 sessions. There was an increase in upper-limb muscular endurance (+3.3 rep.min -1 , 63.5%; p = 0.002), flexibility (+5.7 cm, 26.0%; p = 0.001), and quality of life (+10.4 points, 27.5%; p = 0.003). In our sample of children and adolescents living with HIV, a short-term exercise program was associated with improvement in cardiovascular risk, fitness, and quality of life.

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Efeitos do exercício físico e da orientação nutricional no perfil de risco cardiovascular de crianças obesas

Abstract: The program proved effective in the reduction of obesity indicators and of the intima-media thickness, a direct and early signal of atherosclerosis.

Cited by 15 publications

References 22 publications

Recording daily routines with guidance on healthy lifestyle to improve health parameters in children and their families

Recording daily routines with guidance on healthy lifestyle to improve health parameters in children and their families

Effects of a recreational physical activity and healthy habits orientation program, using an illustrated diary, on the cardiovascular risk profile of overweight and obese schoolchildren: a pilot study in a public school in Brasilia, Federal District, Brazil

Exercise Improves Cardiovascular Risk Factors, Fitness, and Quality Of Life in Hiv+ Children and Adolescents: Pilot Study

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