Changes in fat mass, fat-free mass and aerobic fitness in severely obese children and adolescents following a residential treatment programme

Deforche, Benedicte; Bourdeaudhuij, Ilse De; Debode, Patrick; Vinaimont, Freddy; Hills, Andrew P.; Verstraete, Stefanie; Bouckaert, Jacques

doi:10.1007/s00431-003-1247-2

Cited by 45 publications

(61 citation statements)

References 49 publications

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“…It has been suggested that moderate aerobic training at least twice a week for at least six weeks may improve the metabolic profile 6,16,18 and cardiovascular fitness 1,7,12,13,20,38 . Our proposal consisted of a workload of 120 min/week of moderate physical activity (40 to 75% of VO2peak), divided into three weekly sessions, combined with nutritional guidance.…”

Section: Discussionmentioning

confidence: 99%

“…This is especially true because such investigations require a multidisciplinary team and longterm study to detect the changes induced in this population [20][21] . Thus, the aim of the present study was to evaluate the effect of physical training and nutritional guidance on body composition, physical fitness, lipid profile and insulin resistance among obese adolescents with and without metabolic syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Effects of physical exercise and nutritional guidance on metabolic syndrome in obese adolescents

Leite¹,

Ge²,

Cieslak³

et al. 2009

Rev. bras. fisioter.

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Objectives: To analyze the effects of physical exercise and nutritional guidance on body composition, physical fitness, lipid profile and insulin resistance among obese adolescents with and without metabolic syndrome. Methods: Sixty-four obese adolescents (26 boys), 10-16 years of age, were divided into two groups: with metabolic syndrome (n=29) and without metabolic syndrome (n=35). They were classified as having metabolic syndrome if they met three or more criteria for age and sex according to the Adult Treatment Panel III (ATP III). Blood pressure, waist circumference, maximum oxygen uptake (VO 2peak ), blood glucose, blood insulin, homeostatic model assessment (HOMA-IR), quantitative insulin sensitivity check index (QUICKI) and lipid profile were assessed at baseline and after 12 weeks of intervention. Both groups participated in 12 weeks of physical education and two nutritional guidance sessions. Each physical education session consisted of 50 min indoor cycling, 50 min of walking/running and 20 min of stretching, three times a week. Results:Fifty-five participants (with metabolic syndrome=25; without metabolic syndrome=30) completed the treatment. After 12 weeks, both groups showed reductions in body weight, BMI z-score, waist circumference, fat mass and triglycerides; and increases in height, HDL-C and VO 2peak (p<0.05). In addition, the group with metabolic syndrome presented reduced systolic blood pressure and increased insulin sensitivity (p<0.05). The risk factors for metabolic syndrome decreased by 72%. Conclusion: Following the multidisciplinary intervention, the risk factors decreased, with improvements in physical fitness and metabolic profile. The multidisciplinary intervention was effective in reducing metabolic syndrome.Key words: cardiovascular diseases; physical exercise; obesity. ResumoObjetivos: Analisar os efeitos de exercícios físicos (EF) e orientação nutricional (ON) sobre a composição corporal, aptidão física, perfil lipídico e resistência insulínica em adolescentes obesos com e sem síndrome metabólica (SM). Métodos: 64 obesos (26 meninos), com idade entre 10 a 16 anos, divididos em dois grupos: com SM (n=29) e sem SM (n=35). Utilizou-se como critério de classificação de SM a presença de três ou mais critérios para idade e sexo de acordo com Adult Treatment Panel III (ATP III). Mensuraram-se antes e após 12 semanas de intervenção: pressão arterial, circunferência abdominal, consumo máximo de oxigênio (VO2 pico ), glicemia, insulinemia, (HOMA-IR), Quantitative Insulin Sensitivity Check Index (QUICKI) e perfil lipídico. Os dois grupos participaram de 12 semanas de EF e duas sessões de ON. Cada sessão de EF consistiu em 50 minutos de ciclismo indoor, 50 minutos de caminhada e 20 minutos de alongamento, três vezes por semana. Resultados: 55 sujeitos (com SM=25; sem SM=30) completaram o tratamento. Após 12 semanas, houve diminuição na massa corporal, IMC escore-z, circunferência abdominal, massa gorda, TG e aumento na estatura, HDL-C e VO2 pico , em ambos os grupos. Além disso, hou...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of physical exercise and nutritional guidance on metabolic syndrome in obese adolescents

Leite¹,

Ge²,

Cieslak³

et al. 2009

Rev. bras. fisioter.

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show abstract

“…For example, since the early 1980s, there have been only 13 published randomised controlled trials (RCTs) of obesity management among adolescents. [28][29][30][31][32][33][34][35][36][37][38][39][40] All but four of these were performed in North America, usually in a tertiary care setting, and all involved intense behavioural management support. Follow-up periods for the majority of studies were 6 months or less.…”

Section: The Opportunities In Adolescent Researchmentioning

confidence: 99%

Clinical research in adolescents: challenges and opportunities using obesity as a model

et al. 2008

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Adolescent medicine is relatively young, compared to paediatric or adult medicine. Descriptive and observational studies have dominated the adolescent literature, including those studies published in the International Journal of Obesity. In addition, many studies have combined child and adolescent age groups, making it difficult to determine adolescent-specific outcomes. It is important that high quality intervention studies in adolescents occur. Adolescence is a time of extraordinary plasticity. Habits, attitudes and physical morbidity that develop during adolescence set up trajectories that have a profound influence on health and wellbeing for the long term. Overweight and obesity are an excellent example of the need for high quality intervention studies and yet in the last two decades there have been very few randomized, controlled trials of overweight and obesity management in adolescents. There are a number of complexities in adolescent research that create additional challenges to those that accompany any clinical research. These include recruitment and retention, issues around consent and confidentiality and the central role that parents play in supporting the research protocol. Pubertal stage is a potential confounder and needs to be accurately measured. This is certainly true for studies in overweight and obesity where excess adiposity influences pubertal and other hormones. The opportunities to undertake quality research in adolescents are likely to be enhanced by the use of novel approaches which acknowledge the unique features of adolescents and their world.

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“…Seseorang yang secara fisik bugar dapat melakukan aktivitas fisik sehari-harinya dengan giat, memiliki risiko rendah dalam masalah kesehatan dan dapat menikmati olahraga serta berbagai aktivitas lainnya. 4,5 Widhalm dkk 6 tahun 2004 di Austria melakukan penelitian pada 14 anak obes yang diasramakan selama tiga minggu dengan program olahraga dan diet yang ketat. Didapatkan penurunan berat badan sebesar 4,7 kg, namun pada penelitian tersebut tidak dilaporkan pengaruhnya terhadap lemak tubuh.…”

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Pengaruh Intervensi Diet dan Olah Raga Terhadap Indeks Massa Tubuh, Lemak Tubuh, dan Kesegaran Jasmani pada Anak Obes

Anam

Mexitalia

Widjanarko

et al. 2016

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Changes in fat mass, fat-free mass and aerobic fitness in severely obese children and adolescents following a residential treatment programme

Cited by 45 publications

References 49 publications

Effects of physical exercise and nutritional guidance on metabolic syndrome in obese adolescents

Effects of physical exercise and nutritional guidance on metabolic syndrome in obese adolescents

Clinical research in adolescents: challenges and opportunities using obesity as a model

Pengaruh Intervensi Diet dan Olah Raga Terhadap Indeks Massa Tubuh, Lemak Tubuh, dan Kesegaran Jasmani pada Anak Obes

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