Effect of a multicomponent intervention in components of metabolic syndrome: a study with overweight/obese low-income school-aged children

Brand, Caroline; Lima, Rodrigo Antunes; Silva, Taís Feitosa da; Macêdo, Dafne Souto; Mota, Jorge; Andersen, Lars Bo; Martins, Clarice; Gaya, Anelise Reis

doi:10.1007/s11332-019-00590-w

Cited by 14 publications

(16 citation statements)

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“…Physical education (PE) classes are among the main intervention strategies for improving levels of muscular, cardiorespiratory fitness, and the increasing health of adolescents. For these benefits, classes should be planned and structured, considering the moderate to vigorous physical activity (MVPA) as an objective [ [1] , [2] , [3] , [4] ].…”

Section: Introductionmentioning

confidence: 99%

Associations among psychological satisfaction in physical education, sports practice, and health indicators with physical activity

Lemes

Gaya

Brand

et al. 2021

International Journal of Pediatrics and Adolescent Medicine

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Background and objectives Physical education (PE) classes are among the main intervention strategies for increasing levels of physical activity (PA) to adolescent's health improvements. However, low levels of psychological satisfaction in physical education classes (PE satisfaction) and multiple associations with some factors as sex, age, sedentarism, sports practice, sleep, quality of life can act as moderators of levels of physical activity. Considering these aspects, this study aims to propose a theoretical model of multivariate relationships to verify the association between PE satisfaction with PA levels, considering the contribution of sports practice, health indicators, age, and sex on these relations. Methods A cross-sectional study with 470 adolescents (230 boys) aged 11–17 years from the south of Brazil. Several questionnaires were applied to measure the study variables. The theoretical/statistical support of the structural equation model was evaluated according to fit parameters and strength of relations. Results Sports practice, health indicators, age, and sex were mediators of the relationship between PE satisfaction and PA levels. Conclusion There is a positive, however indirect, relationship between PE satisfaction with the levels of physical activity in adolescents, with greater strength of association in boys and at younger ages. It was identified that the practice of sport contributes to the main mediator factor for all relationships beneficial to the health of adolescents in the multivariate model. This means that adolescents who practiced sports showed greater PE satisfaction, more appropriate health indicators, associated with higher levels of physical activity as compared to nonpractitioners of sport.

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Section: Introductionmentioning

confidence: 99%

Associations among psychological satisfaction in physical education, sports practice, and health indicators with physical activity

Lemes

Gaya

Brand

et al. 2021

International Journal of Pediatrics and Adolescent Medicine

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“…About this, it is important to evaluate the changes and relations of BC and CRF in children and youth according to school physical education class participation (BLAIR;CHENG;HOLDER, 2001;COLQUITT et al, 2016;FAIRCLOUGH, 2003;KAHAN;LANGFORD et al, 2014;MILANESE et al, 2020), considering the school grade context, effects of sex, and age on BC and CRF (BARANOWSKI et al, 2013;BERGMANN et al, 2014;MILANESE et al, 2020;VALENTE-DOS-SANTOS et al, 2015;WERNECK et al, 2019). Some research suggests that is possible to increase the CRF condition and also is probable to reduce the fatness in BC at physical education interventions (BRAND et al, 2019(BRAND et al, , 2020GARCIÁ-HERMOSO et al, 2020;LEMES et al, 2019;OLIVEIRA et al, 2017). It occurs when well-planned and well-applicable classes with physical exercise, gymnastics, sports in school context (BRAND et al, 2019(BRAND et al, , 2020GARCIÁ-HERMOSO et al, 2020;LEMES et al, 2019;OLIVEIRA et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Some research suggests that is possible to increase the CRF condition and also is probable to reduce the fatness in BC at physical education interventions (BRAND et al, 2019(BRAND et al, , 2020GARCIÁ-HERMOSO et al, 2020;LEMES et al, 2019;OLIVEIRA et al, 2017). It occurs when well-planned and well-applicable classes with physical exercise, gymnastics, sports in school context (BRAND et al, 2019(BRAND et al, , 2020GARCIÁ-HERMOSO et al, 2020;LEMES et al, 2019;OLIVEIRA et al, 2017). In this kind of intervention, the longitudinal changes in body composition had effects for fatness reduction, about 5% to 10%, and CRF was improved by about 10% to 30% (BRAND et al, 2019(BRAND et al, , 2020GARCIÁ-HERMOSO et al, 2020;LEMES et al, 2019;OLIVEIRA et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…It occurs when well-planned and well-applicable classes with physical exercise, gymnastics, sports in school context (BRAND et al, 2019(BRAND et al, , 2020GARCIÁ-HERMOSO et al, 2020;LEMES et al, 2019;OLIVEIRA et al, 2017). In this kind of intervention, the longitudinal changes in body composition had effects for fatness reduction, about 5% to 10%, and CRF was improved by about 10% to 30% (BRAND et al, 2019(BRAND et al, , 2020GARCIÁ-HERMOSO et al, 2020;LEMES et al, 2019;OLIVEIRA et al, 2017). From this, it is possible to hightlight the importance of physical education content as gymnastic, sports and the professor role in planning actions together with schools to improve the quality of life and children's learning about human movement culture (JUNIOR et al, 2012;SANTOS et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal Multiple Relations of Physical Education Participation, School Grade, Age, and Sex With Cardiorespiratory Fitness Changes in Children: A Mediator Role of Changes in Body Composition

Lemes¹,

Moreira²

2021

POBS

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To verify the multiple relations of physical education participation, school grade, age, and sex with longitudinal cardiorespiratory fitness changes in children and to identify if there is a mediator role of longitudinal body composition changes in these relations. Methodology: This is a longitudinal study, carried out from March to November of 2019, with children from 6 to 12 years old, 150 boys and 80 girls. Children were classified according to a cut point of 70% of participation in physical education classes (>70%= High PE x <70%=Low PE). Outcomes were Body Composition (BC): body mass index, skinfolds, waist to height ratio, and Cardiorespiratory fitness (CRF). Individual delta variation (D%), Cohens D, Bonferroni test, generalized estimative equations (GEE), and structural equations model (SEM) were estimated. Results: The results show a general boy’s and girl’s increasing in BC variables and a decrease in CRF at follow-up which more strength in the Low PE group compared to the High PE group. The SEM model showed that Children in the High PE group have the most decrease in BC variables and it is a role to relations between the High PE group with increasing in CRF. Conclusions: High PE group was associated with a D%CRF increase, it is an indirect association mediated by D% BC reduction. The SEM presents children that reduce BC also increasing CRF and vice-versa. The present study appoints that High PE participation is important to minimize the negative longitudinal effects of fatness on CRF.

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“…An intervention study carried out with obese adolescents showed significant improvements in aerobic indexes and cardiovascular efficiency within only 12 weeks of exercise interspersed with sports, circuits, and swimming three times a week (Klijn et al, 2007 ). In the study by Brand et al ( 2019 ), overweight and obese children had no effect on CRF after a multicomponent intervention program with intense exercise sessions twice a week for 12 weeks. Indeed, CRF is considered a predictor of mortality and a physiological, psychosocial, and cognitive indicator in children and adolescents (Lang et al, 2018 ).…”

Section: Discussionmentioning

confidence: 93%

A Multicomponent Intervention Program With Overweight and Obese Adolescents Improves Body Composition and Cardiorespiratory Fitness, but Not Insulin Biomarkers

Schneiders

Brand

Borfe

et al. 2021

Front. Sports Act. Living

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Objective: To verify the effect of a multicomponent intervention with overweight/obese adolescents on physical fitness, body composition, and insulin biomarkers.Methods: A quasi-experimental study with 37 adolescents, aged 10 to 17 years, of both sexes, overweight and obese, allocated in two groups (Intervention—IG Group, n = 17; Control—GC Group, n = 20). The IGs were submitted to a multicomponent intervention for 6 months (three weekly sessions) consisting of physical exercises (sports, functional circuit, recreational, and water activities) and nutritional and psychological guidance. Participants were assessed before and after intervention on body composition [body mass index (BMI), body fat, waist circumference, and waist-to-hip ratio (WHR)], physical fitness [cardiorespiratory fitness (CRF) and abdominal strength], and biomarkers of insulin (glucose, insulin, evaluation of the homeostasis model of insulin, and resistin resistance). The prevalence of responders in both groups was obtained according to the theoretical model applied in previous studies similar to this one to determine the cutoff points for response to intervention. Poisson regression was used to verify the difference in the prevalence ratio (PR) of the interviewees between the groups.Results: The responders' prevalence between groups CG and IG showed significant differences for body fat (CG = 30.0%; IG = 70.6%; PR = 1.396; p < 0.001), WHR (CG = 30.0%; IG = 76.5%; PR = 1.730; p < 0.001), and CRF (CG = 15.0%; IG = 52.5%; PR = 1.580; p < 0.001).Conclusions: A 6-month multicomponent intervention program improved certain body composition parameters and the CRF of overweight and obese adolescents but did not improve insulin biomarkers.Clinical Trial Registration: Clinical Trials under Protocol ID: 54985316.0.0000.5343.

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Effect of a multicomponent intervention in components of metabolic syndrome: a study with overweight/obese low-income school-aged children

Cited by 14 publications

References 38 publications

Associations among psychological satisfaction in physical education, sports practice, and health indicators with physical activity

Associations among psychological satisfaction in physical education, sports practice, and health indicators with physical activity

Longitudinal Multiple Relations of Physical Education Participation, School Grade, Age, and Sex With Cardiorespiratory Fitness Changes in Children: A Mediator Role of Changes in Body Composition

A Multicomponent Intervention Program With Overweight and Obese Adolescents Improves Body Composition and Cardiorespiratory Fitness, but Not Insulin Biomarkers

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