Effects of a multiprofessional approach on anthropometric variables, body composition and food profile of overweight or obese adolescents

Abstract

Introduction: To investigate the effects of a multiprofessional approach on anthropometric parameters and body composition and the level of food processing in adolescents. Methods: Twelve overweight/obese male adolescents between 13-17 years old participated in a series of 12-week multiprofessional interventioms led by physical education, nutrition and psychology professionals. The participants were assessed before the intervention as well as at 6 and 12 weeks into it. Anthropometric assessments were performed, including body weight, stature and body mass index; body composition, with fat mass (FM), body fat (%BF), skeletal muscle mass (SMM) and resting metabolic rate (RMR) and by filling in a three-day food record, in order to calculate the ingested foods, by the level of processing of the food: fresh, minimally processed, processed and ultra-processed. Results: No differences were observed for the anthropometric parameters performed at different stages (p>0.05). Reductions for FM and %BF and increases in SMM and RMR (p<0.05) were identified, all after 12-week of the intervention. There was an increase in the consumption of natural foods/g, and an increase in the caloric consumption of processed foods/kcal, after 12-week of interventions (p<0.05). Conclusion: The model resulted in decreases in FM and %BF, an increase in SMM, RMR, natural foods/g and processed foods/kcal.

Impacts of a Multi-Professional Family versus Isolated Intervention on Food Level Processing in Overweight Adolescents: A Randomized Trial

“…Therefore, multi-professional interventional actions can help with the prevention and progression of some complications associated with excess weight [ 6 ]. The complexity of achieving changes in behavior and adherence to healthy eating habits requires the action of different health professionals to adopt effective strategies and make the recovery process from health conditions more effective [ 17 , 21 , 24 ].…”

“…Participants filled in the 24hR at the beginning and end of the interventions in detail during two non-consecutive weekdays and one day at the weekend. The average ((day 1 + day 2 + day 3)/3) was used to establish the grams and kilocalories (kcals) of foods classified according to food processing [ 5 , 17 ]. Participants were asked to detail each food item, such as brand or restaurant names, and to label specific items (low-fat, 1% milk).…”

Effects of a multidisciplinary approach on the anthropometric and body composition responses of obese adolescents (Efectos de un abordaje multidisciplinario sobre las respuestas antropométricas y de composición corporal de adolescentes obesos)

“…Consequently, the increase in WC is correlated with changes in the lipid profile, insulin resistance, and SAH (Fontana & Giannini, 2014). Therefore, the early adoption of lifestyle changes, with the stimulus to increase the level of physical activity and improve the dietary pattern through multidisciplinary actions, becomes substantial to recovering the health conditions of children and adolescents (Branco et al, 2019;de Oliveira et al, 2021;Branco et al, 2021). Accordingly, targeting interventions for the treatment of obesity according to the sex of adolescents can improve perceived physical competence.…”

“…Obesity is defined as the excessive accumulation of body fat (Pulgaron & Delamater, 2014) and brings significantly more significant complications associated with adult morbidity and mortality, with the advancement of non-communicable chronic diseases (NCDs), such as type 2 diabetes mellitus (T2DM), neoplasms, systemic arterial hypertension (SAH), cardiovascular diseases (CVD's), dyslipidemias and chronic respiratory diseases (Vukovic et al, 2019). If treated early in life, obesity has a less negative impact on health, quality of life, and health care costs in the medium and long term (de Oliveira et al, 2021;Branco et al, 2021).…”

The effect of negationism on public health

“…In this line, Journal of Human Growth and Development brings articles [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] that contribute to the development of science, full knowledge of public health and evidence in the scientific field to corroborate scientific practice and its full application in modern society.…”