Effect of an interdisciplinary intervention with motivational approach on exercise capacity in obese adolescents: a randomized controlled clinical trial

Zanatta, Letiane Bueno; Heinzmann‐Filho, João Paulo; Vendrusculo, Fernanda Maria; Campos, Natália Evangelista; Oliveira, Margareth da Silva; Feóli, Ana Maria Pandolfo; Gustavo, Andréia da Silva; Donadio, Márcio Vinı́cius Fagundes

doi:10.31744/einstein_journal/2020ao5268

Cited by 3 publications

(5 citation statements)

References 37 publications

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“…1 ). Among the eligible 31 studies, more than half were conducted in the USA ( s = 17, 55%), followed by Europe ( s = 8, 26%) [ 33–40 ], Canada ( s = 2, 6%) [ 41 , 42 ], Brazil ( s = 1, 3%) [ 43 ], Hong Kong ( s = 1, 3%) [ 44 ], and Iran ( s = 1, 3%) [ 45 ]. The 31 studies included 19 randomized controlled trials (RCTs), four cluster RCTs [ 38–40 , 46 ], and eight quasi-experimental designs [ 42 , 44 , 47–52 ].…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Interventions were mostly conducted at clinics ( s = 21, 67%) [ 33–37 , 41 , 42 , 44 , 45 , 50 , 52–54 , 57 ], followed by schools ( s = 6) [ 38–40 , 46 , 47 , 58 ] and community settings ( s = 4) [ 43 , 54 , 56 , 60 , 61 ]. Mean intervention length was 9.13 months (range: 0.5–39 months), with 10 studies conducting post-intervention follow-ups [ 38–40 , 45 , 46 , 48 , 53 , 60 , 63 ] for various behavioral outcomes.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…Intervenor background included trained primary care providers (PCP), registered dieticians (RD), registered nurses (RN), and student research assistants (RA). The MIs were mostly delivered by trained RAs ( s = 12) [ 38–40 , 43 , 46 , 49 , 51 , 53 , 57 , 60 , 61 , 63 ] followed by a PCP alone ( s = 6) [ 33–35 , 37 , 50 , 56 ], or a PCP plus RD or RN ( s = 6) [ 45 , 50 , 52 , 54 , 55 , 59 ] and an RN ( s = 7) [ 36 , 39 , 41 , 44 , 47 , 48 , 58 ]. The MIs were delivered in-person ( s = 17, 55%), or as a mix of in-person and booster sessions, such as telephone calls and online chats ( s = 14, 45%).…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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Motivational Interviewing in Pediatric Obesity: A Meta-analysis of the Effects on Behavioral Outcomes

Kao

Ling

et al. 2023

Annals of Behavioral Medicine

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Background Currently, the effects of motivational interviewing (MI) on children’s behavioral changes remain obscure. Purpose This systematic review and meta-analysis examined the effects of MI on children’s lifestyle behavioral changes (fruits and vegetables [F/V], dairy, sugary beverages, calories, snacks, fat intake, moderate vigorous physical activity [MVPA], and screen time). Methods Six databases (CINAHL, Cochrane, Embase, PsycINFO, PubMed, and Web of Sciences) from 2005 to 2022 were searched. Thirty-one intervention studies with a comparison group met the criteria. Random-effects models were performed to estimate the pooled effects; exploratory moderation analyses with mixed-effects models were used to explore potential intervention moderators. Results The pooled effect size was 0.10 (p = .334) on ↑F/V, 0.02 (p = .724) on ↑dairy, −0.29 (p < .001) on ↓calories, −0.16 (p = .054) on ↓sugary beverages, −0.22 (p = .002) on ↓snacks, −0.20 (p = .044) on ↓fat, 0.22 (p = .001) on ↑MVPA, and −0.06 (p = .176) on ↓screen time. The effects of MIs were moderated by ↑MI sessions regarding ↓snacks (B = −0.04, p = .010). Multicomponent and clinical programs had greater effects on dairy intake than their counterparts (0.09 vs. −0.21, p = .034; 0.12 vs. −0.14, p = .027, respectively). Similarly, interventions with a fidelity check resulted in greater dairy intake than those without a check (0.29 vs. −0.15, p = .014). A few long-term follow-up assessments revealed effects on ↓F/V (−0.18; p = .143, k = 2), ↓dairy (−0.13, p = .399, k = 4), ↓MVPA (−0.04; p = .611, k = 6), and ↑screen time (0.12; p = .242, k = 4). Conclusions Our findings support the short-term effects of MI on improving children’s lifestyle behaviors. Additional investigations are needed to better sustain children’s long-term behavioral changes.

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Section: Evidence Synthesismentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

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Motivational Interviewing in Pediatric Obesity: A Meta-analysis of the Effects on Behavioral Outcomes

Kao

Ling

et al. 2023

Annals of Behavioral Medicine

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“…Os estudos selecionados abrangeram variados elementos de intervenção para educação em saúde, com predomínio de orientações baseadas no apoio nutricional 7,8,18,28,34,35,36,38 e prática de atividade física ou exercício físico 7,15,29,34,35 .…”

Section: Métodos De Intervençãounclassified

Intervenções educativas na prevenção ou tratamento da obesidade em adolescentes: revisão integrativa

Ximenes¹,

Brandão²,

Gomes³

et al. 2020

Enferm. Actual Costa Rica (en línea)

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Objetivo: identificar a eficácia de intervenções educativas para prevenir ou tratar a obesidade em adolescentes. Método: Foi uma revisão integrativa da literatura, a partir da questão norteadora: "Qual a efetividade das intervenções de prevenção / tratamento da obesidade em adolescentes?" A busca foi realizada em seis bases de dados eletrônicas nos idiomas português, inglês e espanhol, em julho de 2020, o que permitiu a identificação de 5.401 artigos. Resultados:foram identificados 31 artigos que abrangem intervenções educativas baseadas no suporte nutricional e psicológico, atividade física e estilo de vida saudável. Predominaram atividades físicas, intervenções interdisciplinares comportamentais, nutricionais e de estilo de vida. As ações tiveram um efeito benéfico na qualidade de vida dos participantes, índice de massa corporal, hábitos de exercícios diários e comportamento alimentar positivo entre adolescentes. As intervenções para controle e prevenção da obesidade analisadas nesta revisão tiveram efeitos positivos na redução do peso corporal. Conclusão: Os achados apontaram para a necessidade de mais estudos para maior controle dos benefícios e adesão às intervenções voltadas para a prevenção e tratamento da obesidade

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“…Previous research from many countries, namely, the United States, South Korea, Brazil, and China, used a variety of strategies to reduce overweight and obesity in adolescents, such as promoting physical activity,[ 10 11 ] high-energy diet control,[ 10 12 ] high-energy diet control in children,[ 13 ] and various weight control programs. [ 14 15 ] However, the research results were different.…”

Section: Introductionmentioning

confidence: 99%

Effect of Weight Control Intervention on Body Mass Index among Adolescents with Overweight: A Systematic Review and Meta-Analysis

Narmkul,

Songserm,

Woradet

2024

Iranian Journal of Nursing and Midwifery Research

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Background: Due to the dramatic rise in overweight and obesity, adolescent weight management interventions are required. Therefore, this study aimed to study the components and the effect size of weight control programs for adolescents with overweight and obese. Materials and Methods: Following the PRISMA 2020 guidelines, we systematically searched electronic databases (PubMed, Google Scholar, ThaiJo, ThaiLis, and Embase) through December 2021 published in English and Thai, samples aged 15–22 years, and presenting the mean, SD a sample size of both experimental and control groups. However, we excluded articles other than full-text articles. In addition, a risk of bias assessment was performed according to the Cochrane Collaboration’s quality assessment tool. Finally, this meta-analysis included six studies that met the criteria. The meta-analysis used a fixed-effects model with a forest plot to compute effect sizes and Cochran’s Q and I2 statistics as measures of heterogeneity. Results: We found six primary studies which included 721 overweight adolescents. The analysis of the effectiveness of weight control programs for overweight adolescents revealed that 360 adolescents with overweight and obese (49.93%) who underwent the weight control programs changed body weight and body mass index values with the effect size of -0.80 (-1.03, -0.56) and I2 was 56.00%. Conclusions: The results indicate further studies should focus on constructing programs that consider adolescents’ changes in technology and lifestyles. Additionally, social and mobile tools should motivate and educate adolescents about body weight control to help them adapt to a healthy lifestyle and maintain weight control over time.

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Effect of an interdisciplinary intervention with motivational approach on exercise capacity in obese adolescents: a randomized controlled clinical trial

Cited by 3 publications

References 37 publications

Motivational Interviewing in Pediatric Obesity: A Meta-analysis of the Effects on Behavioral Outcomes

Motivational Interviewing in Pediatric Obesity: A Meta-analysis of the Effects on Behavioral Outcomes

Intervenções educativas na prevenção ou tratamento da obesidade em adolescentes: revisão integrativa

Effect of Weight Control Intervention on Body Mass Index among Adolescents with Overweight: A Systematic Review and Meta-Analysis

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