Multidisciplinary intervention in obese adolescents: predictors of dropout

Fidelix, Yara Lucy; Júnior, José Cazuza de Farias; Lofrano-Prado, Mara Cristina; Guerra, Ricardo Luís Fernandes; Cardel, Michelle; Prado, Wagner Luiz do

doi:10.1590/s1679-45082015ao3339

Cited by 20 publications

(17 citation statements)

References 27 publications

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“…In our study which represents conditions of usual obesity follow up in our unit, the attrition rate at the beginning is rather high, but is not significantly higher than in other studies on obesity [27]. Obviously, such an elevated number of drop outs may represent a bias.…”

Section: Discussionmentioning

confidence: 61%

Long term (3 years) weight loss after low intensity endurance training targeted at the level of maximal muscular lipid oxidation

Drapier¹,

Chérif²,

Richou³

et al. 2018

Integr Obesity Diabetes

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Among various strategies of exercise intensification proposed for the management of obesity and type 2 diabetes, endurance training remains a well recognized procedure. When targeted with exercise calorimetry at levels where lipid oxidation is maximal (LIPOXmax), it has been shown to improve mitochondrial respiration, blood glucose control and blood lipids, low grade inflammation and body composition, even at low weekly volume. We investigated in this study its long term effects over 3 years (3x45 min/week) compared to low fat diet without exercise (LFD) and a control group without any exercise or diet (C). 88 subjects that continued LIPOXmax training more than 1 year (23 men, 65 women, age=20-85 years, body mass index =23-48 kg/m 2 ) were compared to two matched groups (C and LFD). While C gained weight over this period, LFD and LIPOXmax group lose weight. Weight loss at 1 year was the same in exercise and diet group, but at 2 years and even more at 3 years there was a gradual weight regain in LFD so that results were better (p<0.01) in the exercise group who maintained weight loss in 80% of subjects. Average weight loss was -2,95 ± 0,37 kg after 3 months, -4,56 ± 0,68 kg after 1 year, -5,31 ± 1,26 kg at 2 years and -8,49 ± 2,39 kg at 3 years. The level at which LIPOXmax occurs is a predictor of weight loss at 1 year (r=-0,346 p<0,001) but not at 2 and 3 years. Weight loss at 3 months is a predictor of weight loss at 1 year (r=0,523 p<0,001) but not at 2 and 3 years. At 1 year subjects with LIPOX max in the lower quartile (<35% VO2max n=23) lose less weight than the others (-2.3 ± 0.98 vs -5.4 ± 0.83 p=0,05) but this difference vanishes over time. This study shows that this low intensity exercise training maintains its weight-reducing effect 3 years while diet is no longer efficient, and that this effect is initially related to muscular ability to oxidize lipids but that metabolic and behavioral adaptations have been further developed and contribute to a long lasting effect.By contrast, low intensity endurance, that promotes lipid oxidation, has been proposed since almost twenty years as a promising strategy against obesity [8][9][10][11][12] .When targeted with exercise calorimetry at levels where lipid oxidation is maximal (LIPOXmax), it has been shown to improve mitochondrial respiration [13], blood glucose control and blood lipids, low grade inflammation and body composition, even at low weekly volume [14]. Surprisingly, this approach generated less literature, perhaps because its weight-reducing effects over the short term, although significant, were not spectacular.However, its prolonged use has been shown to result in a sustained weight loss [15] which contrasts with the quite constant weight regain observed in almost all classical strategies [16]. In this study we aimed at determining over 3 years the kinetics of weight evolution of patients trained with low volumes of low intensity exercise targeted by exercise calorimetry in comparison with controls who did not change their lifestyle and class...

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Section: Discussionmentioning

confidence: 61%

Long term (3 years) weight loss after low intensity endurance training targeted at the level of maximal muscular lipid oxidation

Drapier¹,

Chérif²,

Richou³

et al. 2018

Integr Obesity Diabetes

View full text Add to dashboard Cite

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“…However, it is known the difficulty of permanence of the subjects in intervention programs 44 as well as that biological and psychosocial factors might be associated with desistance of obese adolescents from intervention programs. 45 In conclusion, we demonstrate that the interdisciplinary intervention program with physical exercises and nutritional and psychological counseling was effective for decreasing glucose, TC, and LDL cholesterol levels and increasing HDL cholesterol in overweight/obese adolescents with the A allele of FTO rs9939609 gene polymorphism, as well as the increasing of HDL cholesterol in TT genotype adolescents. However, adolescents with AA and AT genotype have the same answer to intervention when comparing with TT genotype adolescents, suggesting that the presence of the risk allele for obesity did not modify the subject's answer to anthropometric, biochemical, and blood pressure variables after an interdisciplinary intervention program.…”

Section: Discussionmentioning

confidence: 60%

Anthropometric and Metabolic Responses in FTO rs9939609 Gene Polymorphism after a Multidisciplinary Lifestyle Intervention in Overweight and Obese Adolescents

et al. 2019

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Few studies show the potential changing effect of fat-mass and obesity-associated (FTO) rs9939609 gene on cardiometabolic risk after a lifestyle intervention. This study aims to evaluate whether overweight and obese adolescents, carriers of the risk genotypes for obesity of the FTO rs9939609 gene polymorphism, have different anthropometric and biochemical responses to an interdisciplinary intervention program. The quasi-experimental study involved 34 adolescents aged 10 to 15 years. Schoolchildren with AA/AT genotype decreased glucose, total cholesterol, low-density lipoprotein cholesterol, and increased high-density lipoprotein cholesterol. However, there were no differences between the genotypes, suggesting that the “A” allele did not modify the subject's response to the intervention program.

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“…Estudos [45][46][47] demonstram que a dificuldade em manter uma dieta saudável pode estar relacionada a um conflito de objetivos, que seriam o prazer de comer e o controle de peso. A maioria dos obesos que tentam manter uma dieta falha ao se deparar com a alta disponibilidade de alimentos calóricos e, por sua vez, opta pelo prazer ao invés de manter o peso saudável.…”

Section: Resultsunclassified

Obesidade, depressão e estresse: relato de uma intervenção multidisciplinar em grupo com adolescentes

Lüdtke

Silva

Peuker

et al. 2018

RIPS

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma liença Creative Commons -Atribuição 4.0 Internacional. http://creativecommons.org/licenses/by/4.0/ RESUMO Objetivo: o presente estudo é do tipo quase-experimental e tem como objetivo avaliar a relação entre obesidade, depressão e estresse. Método: trata-se de uma amostra de 46 escolares da cidade de Santa Cruz do Sul -RS, com idades entre 11 e 17 anos e de ambos os sexos, que foram divididos em grupo controle (GC) e grupo experimental (GE). O GE participou de um programa de intervenção no período de 3 meses que englobou as áreas de Educação Física, Nutrição e Psicologia. O GE participou de um programa previamente estruturado de 13 sessões, no formato de grupo, do tipo orientação e treinamento cognitivo-comportamental. Para avaliar a presença e a fase do estresse foi utilizada a Escala de Stress Infantil e a Escala de Stress para Adolescentes. Para avaliar a presença de sintomas depressivos e sua intensidade, foi utilizado o Inventário de Depressão de Beck (BDI-II). Resultados: não foram encontrados índices significativos de estresse no comparativo dos grupos. A amostra apresentou níveis de significância em relação à intensidade do quadro depressivo, reduzindo nos comparativos de pré e pós teste. Os resultados do presente estudo podem ser observados conforme os Índices de Massa Corporal (IMC) comparados através do teste "t student" entre GC e GE. Para o GE, observa-se uma redução média do IMC de M=-1,21 kg/m² / DP= 2,26, aproximadamente o dobro quanto ao GC uma redução de M=-0,63 kg/m² / DP=1,42; em relação ao peso, o GE apresentou redução de M= -1,19 kg / DP=4,94 e o GC M= -0,71 kg / DP=3,56. Estes dados mostram uma redução significativa no IMC e na perda de peso do GE quando comparados ao GC. Conclusão: houve eficiência na intervenção quanto à perda de peso, redução de sintomas depressivos e a mudança cognitiva, com aquisição de novas habilidades mentais pelo GE. ABSTRACTObjective: this was a quasi-experimental study that aimed to evaluate the relationship among obesity, depression and stress. Method: a sample of 46 schools was selected in the city of Santa Cruz do Sul-Rio Grande do Sul, with male and female students between the ages of 11 and 17 years, which were divided into a control group (CG) and an experimental group (EG). The EG participated in a three-month intervention program that covered the areas of physical education, nutrition and psychology. The EG participated in a program structured in 13 group counseling and cognitive-behavioral training sessions. To evaluate the presence and phase of stress, the Infant Stress scale and the Adolescent Stress scale were employed. The presence and intensity of depressive symptoms were measured using the Beck Depression Inventory (BDI-II). Results: no significant differences were found in the stress indexes between the groups. The intensity of depression significantly decreased from pre to post intervention. The results of the body mass index (BMI) between th...

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Multidisciplinary intervention in obese adolescents: predictors of dropout

Cited by 20 publications

References 27 publications

Long term (3 years) weight loss after low intensity endurance training targeted at the level of maximal muscular lipid oxidation

Long term (3 years) weight loss after low intensity endurance training targeted at the level of maximal muscular lipid oxidation

Anthropometric and Metabolic Responses in FTO rs9939609 Gene Polymorphism after a Multidisciplinary Lifestyle Intervention in Overweight and Obese Adolescents

Obesidade, depressão e estresse: relato de uma intervenção multidisciplinar em grupo com adolescentes

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