Exercise for Obese Youth

Shaibi, Gabriel Q.; Ryder, Justin R.; Kim, Joon Young; Barraza, Estela

doi:10.1249/jes.0000000000000034

Cited by 21 publications

(7 citation statements)

References 42 publications

(54 reference statements)

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“…In support of this notion, the observed effect sizes for changes in generic QoL scores in our study were 0.51 at 12-weeks and 0.19 at 12-month, considerably smaller than the observed effect sizes for weight-specific QoL (0.97 and 0.73). As interventions for youth with obesity move beyond a singular focus on weight loss to improving cardiometabolic and psychosocial health outcomes, the field may benefit from a broader definition of clinical significance ( 41 ).…”

Section: Discussionmentioning

confidence: 99%

Effects of a Community‐Based Diabetes Prevention Program for Latino Youth with Obesity: A Randomized Controlled Trial

Soltero

Olson

Williams

et al. 2018

Obesity

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Objective: This study examined the short- and long-term effects of a community-based lifestyle intervention among Latino youth with obesity. Methods: Latino adolescents (14–16 years old) were randomized to a 3-month lifestyle intervention ( N =67) or comparison control ( N =69) and followed for 12-months. The intervention included weekly nutrition and health classes delivered to groups of families and exercise sessions (3 days/week) delivered to groups of adolescents. Comparison youth received laboratory results and general health information. Primary outcomes included insulin sensitivity and weight-specific quality of life (QoL) with secondary outcomes of BMI%, waist circumference and percent body fat. Results: At 3-months, youth in the intervention group exhibited significant increases in insulin sensitivity (p<0.05) and weight-specific QoL (p<0.001) as well as reductions in BMI%, waist circumference and percent body fat compared to controls. Increases in weight-specific QoL and reductions in BMI% and percent body fat remained significant at 12-months (p<0.001) while changes in insulin sensitivity did not. In a subsample of youth with prediabetes at baseline, insulin sensitivity (p=0.01), weight-specific QoL (p<0.001), and BMI% (p<0.001) significantly improved at 3-months. Conclusions: Lifestyle intervention can improve cardiometabolic and psychosocial health in a vulnerable population of Latino adolescents at high risk for developing type 2 diabetes.

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Section: Discussionmentioning

confidence: 99%

Effects of a Community‐Based Diabetes Prevention Program for Latino Youth with Obesity: A Randomized Controlled Trial

Soltero

Olson

Williams

et al. 2018

Obesity

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“…36 Correspondingly, increasing physical activity could yield many important improvements in cardiometabolic health without the necessity for further weight loss. 37 Therefore, by reducing musculoskeletal pain, bariatric surgery may make many activities of daily life less burdensome for youth with severe obesity and could contribute to reducing factors which effect long-term health risks.…”

Section: Discussionmentioning

confidence: 99%

Changes in Functional Mobility and Musculoskeletal Pain After Bariatric Surgery in Teens With Severe Obesity

et al. 2016

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IMPORTANCE Severe obesity is associated with mobility limitations and higher incidence of multijoint musculoskeletal pain. It is unknown whether substantial weight loss improves these important outcomes in adolescents with severe obesity.OBJECTIVE To examine the association of bariatric surgery with functional mobility and musculoskeletal pain in adolescents with severe obesity up to 2 years after surgery. DESIGN, SETTING, AND PARTICIPANTSThe Teen-Longitudinal Assessment of Bariatric Surgery Study is a prospective, multicenter, observational study, which enrolled 242 adolescents (Յ19 years of age) who were undergoing bariatric surgery from March 2007 through February 2012 at 5 US adolescent bariatric surgery centers. This analysis was conducted in November 2015.INTERVENTIONS Roux-en-Y gastric bypass (n = 161), sleeve gastrectomy (n = 67), or laparoscopic adjustable gastric band (n = 14). MAIN OUTCOMES AND MEASURESParticipants completed a 400-m walk test prior to bariatric surgery (n = 206) and at 6 months (n = 195), 12 months (n = 176), and 24 months (n = 149) after surgery. Time to completion, resting heart rate (HR), immediate posttest HR, and HR difference (resting HR minus posttest HR) were measured and musculoskeletal pain concerns, during and after the test, were documented. Data were adjusted for age, sex, race/ethnicity, baseline body mass index (calculated as weight in kilograms divided by height in meters squared), and surgical center (posttest HR and HR difference were further adjusted for changes in time to completion). RESULTSOf the 206 adolescents with severe obesity included in the study, 156 were female (75.7%), the mean (SD) age was 17.1 (1.6) years, and the mean (SD) body mass index was 51.7 (8.5). Compared with baseline, significant improvements were observed at 6 months for the walk test time to completion (mean, 376 seconds; 95% CI, 365-388 to 347 seconds; 95% CI, 340-358; P < .01), resting HR (mean, 84 beats per minute [bpm]; 95% CI, 82-86 to 74 bpm; 95% CI, 72-76), posttest HR (mean, 128 bpm; 95% CI, 125-131 to 113 bpm; 95% CI, 110-116), and HR difference (mean, 40 bpm; 95% CI, 36-42 to 34 bpm; 95% CI, 31-37). These changes in time to completion, resting HR, and HR difference persisted at 12 months and 24 months. Posttest HR further improved from 6 months to 12 months (mean, 113 bpm; 95% CI, 110-116 to 108 bpm; 95% CI, 105-111). There were statistically significant reductions in musculoskeletal pain concerns at all points.CONCLUSIONS AND RELEVANCE These data provide evidence that bariatric surgery in adolescents with severe obesity is associated with significant improvement in functional mobility and in the reduction of walking-related musculoskeletal pain up to 2 years after surgery.

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“…Our curriculum emphasizes specific changes in behaviors and proximal diabetes outcomes in which participants are provided their OGTT results during intervention sessions to anchor the conversation around diabetes and health . This approach acknowledges that reductions in T2D risk factors among youths may occur in the absence of weight loss, which may be a particularly relevant strategy when tailoring diabetes prevention efforts for minority populations . Furthermore, stabilizing or maintaining weight and BMI among youths with obesity may be considered a clinically meaningful outcome …”

Section: Discussionmentioning

confidence: 99%

Effects of a Diabetes Prevention Program on Type 2 Diabetes Risk Factors and Quality of Life Among Latino Youths With Prediabetes

et al. 2022

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IMPORTANCELatino youths are disproportionately impacted by prediabetes and type 2 diabetes (T2D). Lifestyle intervention is the first-line approach for preventing or delaying T2D among adults with prediabetes. OBJECTIVE To assess the efficacy of a diabetes prevention program among Latino youths aged 12 to 16 years with prediabetes. DESIGN, SETTING, AND PARTICIPANTS This 2-group parallel randomized clinical trial with 2:1 randomization assessed a lifestyle intervention against usual care among Latino youths with prediabetes and obesity with 6-and 12-month follow-up. The study was conducted at YMCA facilities in Phoenix, Arizona from May 2016 to March 2020. INTERVENTION Participants were randomized to lifestyle intervention (INT) or usual care control (UCC). The 6-month INT included 1 d/wk of nutrition and health education and 3 d/wk of physical activity. UCC included 2 visits with a pediatric endocrinologist and a bilingual, bicultural registered dietitian to discuss diabetes risks and healthy lifestyle changes. MAIN OUTCOMES AND MEASURES Insulin sensitivity, glucose tolerance, and weight-specific quality of life (YQOL-W) at 6-and 12-month follow-up. RESULTS A total of 117 Latino youths (mean [SD] age, 14 [1] years; 47 [40.1%] girls) were included in the analysis. Overall, 79 were randomized to INT and 38 to UCC. At 6 months, the INT led to significant decreases in mean (SE) 2-hour glucose (baseline: 144 [3] mg/dL; 6 months: 132 [3] mg/dL; P = .002) and increases in mean (SE) insulin sensitivity (baseline

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Exercise for Obese Youth

Cited by 21 publications

References 42 publications

Effects of a Community‐Based Diabetes Prevention Program for Latino Youth with Obesity: A Randomized Controlled Trial

Effects of a Community‐Based Diabetes Prevention Program for Latino Youth with Obesity: A Randomized Controlled Trial

Changes in Functional Mobility and Musculoskeletal Pain After Bariatric Surgery in Teens With Severe Obesity

Effects of a Diabetes Prevention Program on Type 2 Diabetes Risk Factors and Quality of Life Among Latino Youths With Prediabetes

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