Background. A systematised review was conducted to examine the effectiveness of school-based interventions that focus on changing dietary intake and physical activity levels to reduce childhood obesity. Methods. Multiple databases were searched for randomised and nonrandomised interventions from 2007 to 2016 in full-time elementary schools, which were delivered to the whole class, included dietary and physical activity components, involved both sexes, were written in English, and used body mass index (BMI) as an outcome. Results. The database search produced 8,866 titles from which 78 were deemed relevant and assessed for inclusion resulting in 15 studies meeting all inclusion criteria. From these 15 studies, 9 yielded a reduction or stabilisation in BMI or BMI z-score in the entire intervention group and/or subgroups. Programmes lasting between 6 and 12 months that involve multiple environmental, educational, and physical strategies appear to be most likely to result in BMI or BMI z-score improvement. Moderators most likely influencing an improvement in BMI included increased physical activity, decreased sugar sweetened beverages intake, and increased fruit intake. Conclusions. School-based interventions may be an effective means for child obesity prevention. The identification of consistent elements used in school-based interventions that have demonstrated effectiveness may aid in preventing child obesity.
Although traditional high-intensity interval training (HIIT) has been effective in improving body composition and physical fitness, it is unclear how multimodal HIIT affects these variables. This study compared the differences between these two training programs on body composition and physical fitness in apparently healthy, nonobese young adult females. A total of 16 participants (mean age = 23 ± 5.08 years) completed a 12-week HIIT intervention with two treatment groups: rowing and multimodal. Immediately before and after the intervention, the following measures were assessed: body mass index (BMI), total body mass, waist circumference, waist-to-height ratio, total body fat %, visceral adipose tissue, lean mass, bone mineral outcomes, cardiovascular fitness, and muscular fitness. A general linear model with repeated measures was used to assess changes over time for the group as a whole, as well as between-group differences. For the group as a whole, there were significant decrease in total body fat % (p = 0.04) and significant increases in BMI (p = 0.015), total body mass (p = 0.003), lean mass (p < 0.001), bone mineral content (BMC) (p < 0.001), VO2max (p = 0.01), broad jump (p = 0.001), squat endurance (p = 0.006), press (p < 0.001), back squat (p < 0.001), and deadlift (p < 0.001) one repetition maximum (1RM). The multimodal group (p < 0.001) increased deadlift 1RM significantly more than the rowing group (p = 0.002). HIIT can be an effective means for improving cardiovascular and muscular fitness, increasing lean mass and BMC, and thereby improving cardiometabolic as well as musculoskeletal health in nonobese females. Using a multimodal approach may give the added benefit of superior muscular strength increases.
The modified Clinical Test of Sensory Integration and Balance (mCTSIB) is a popular protocol used to assess key sources of sensory feedback utilized during upright standing. The present study aimed to expand the age range of a previous normative sample of only young adult mCTSIB reference data collected using the Balance Tracking System (BTrackS). In total, 1,276 adults between ages 20 and 59 years old completed the BTrackS mCTSIB protocol in this study. The protocol consisted of four, 20‐s trials that systematically manipulated the relative contributions of vision, proprioception and vestibular sensory systems. Total Center of Pressure Path Length results showed that females generally outperformed males in all age groups and sensory conditions. Both sexes showed reduced balance with age that started at age 50–59 years in Standard and Proprioception conditions. In the Vestibular condition, both sexes had reduced balance starting at age 30–39 years. In contrast, the pattern of reduction was different between females and males in the Vision condition. In this case, females showed a decline in balance at age 30–39 years compared to 40–49 years in males. These results provide important information demonstrating sensory feedback processing for balance can decline at differential rates based on age and sex characteristics. Percentile ranking look‐up tables were also calculated as a practical tool for researchers and clinicians who regularly perform mCTSIB testing.
Purpose: Force plate balance testing technology has traditionally been underutilized in clinical and research settings due to the high cost and lack of portability. A relatively new force plate called the Balance Tracking System (BTrackS) has been developed to overcome these barriers. BTrackS recently implemented the modified Clinical Test of Sensory Integration and Balance (mCTSIB) as a means of evaluating various sources of sensory information for postural sway control. The present study aimed to provide much needed normative data for the BTrackS mCTSIB protocol. Materials and methods: Data from 604 healthy adults (308 women; 296 men) between the ages of 18 and 29 years were collected according to the BTrackS mCTSIB protocol. The protocol consisted of four, 20-second static standing trials that manipulated relative contributions of the vision, proprioception and vestibular sensory systems through various eyes open/closed and foam/no foam conditions. Comparisons of men versus women and the impact of body size (ie body mass index) were determined so that relevant percentile rankings could be calculated. Results: Analysis of variance showed an interaction between sex and task condition on the BTrackS mCTSIB ( p <0.001). This interaction indicated that women outperformed men on all conditions, but especially in the fourth trial where eyes were closed and standing was done on a compliant foam surface. Percentile rankings were calculated based on sex and BTrackS mCTSIB condition. No relationship was found between BTrackS mCTSIB results and body size. Conclusion: Normative data provided in this study are vital for establishing potential sensory feedback-based balance dysfunctions that may exist clinically or in laboratory settings. In addition, this data can aid in the tracking of changes over a rehabilitation period and/or the effectiveness of balance interventions.
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