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

A Clinical Trial

Bibliographic Data

ID15515401
AuthorsDéborah Marques (0000-0003-2132-1578, Centro Universitário Cesumar), Déborah de Souza Marques (Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil), Lilian Moraes (Centro Universitário Cesumar), Lilian dos Santos Moraes (Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil), Marilene Ghiraldi de Souza Marques (0000-0001-6700-4645, Centro Universitário Cesumar), Joed Ryal (0000-0002-2571-0194, Centro Universitário Cesumar), Isabella Santos (0000-0003-4490-6026, Centro Universitário Cesumar), Marielle De Paula Silva Lalucci (Centro Universitário Cesumar), J Mota (0000-0001-7571-9181, Universidade do Porto), Pablo Valdés-Badilla (0000-0002-3948-8280, Catholic University of the Maule), Greice Westphal Nardo (Catholic University of the Maule, corresponding author), Braulio Henrique Magnani Branco (0000-0002-4625-9128, Universidade do Porto)
Year2023
Volume20
Issue20
Pages6954-6954
Publication date2023-10-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20206954
PMID37887692
OpenAlexW4387806954
LanguageEN
Citations received2
References cited36

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

Discipline · Environmental health · Intervention (counseling · Obesity · Overweight · Psychiatry · Cardiac Health and Mental Health · Health and Lifestyle Studies · Medicine · Obesity, Physical Activity, Diet · Internal Medicine

Tools

Open DOIOpen Access