The effect of a physical activity consultation on body mass index z-score of overweight adolescents: results from a pediatric outpatient obesity clinic

Videira-Silva, Antonio; Fonseca, Helena

doi:10.1007/s00431-017-2892-1

Cited by 16 publications

(11 citation statements)

References 24 publications

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“…This investigation compared two groups: first group consisted of children with traditional pediatric consultation, and second involved patients with physical activity (PA) consultation. In the second group, BMI z-score significantly decline (-0.05 vs. -0.12) [20]. In our research, we observed that .…”

Section: Discussionsupporting

confidence: 53%

Effectiveness of behavioral therapy in obese children in outpatient clinic

Gibala

Springwald

Różana³

et al. 2018

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Objective: The aim of the study was to evaluate the effectiveness of behavioral therapy in childhood obesity in metabolic outpatient clinic. Material and methods: Records of the 587 (289 boys) obese children in the age of 10.73 ± 3.57 were retrospectively analyzed (2005-2016). The therapy included lifestyle modification (increased physical activity, and support from the dietician and psychologist). Anthropometrical assessment was based on BMI z-score index. Results: Initial BMI z-score was higher in boys (3.29 SD vs. 2.66 SD, p < 0.00001). At follow-up visit for an average of 3 months, with a 66.8% of the children reported, an improvement was observed in 70% of them, and greater weight loss was found in boys (∆BMI Z-score: 0.28 SD vs.-0.15 SD). Improvement of the nutritional status (∆BMI Z-score) correlated with the age of children and the initial weight (vs. age: r = 0.233, p < 0.01; vs. BMI Z-score: r =-0.610, p < 0.00001). Further follow-up showed a reduction in the number of children continuing the treatment (at the 3 rd visit: 28.3%; at the 4 th visit: 19.1%; at the 5 th visit or more: 12.7%). In children, who remained under control of the outpatient clinic, a reduction in BMI z-score (p < 0.00001) was observed from the 3 rd visit. Conclusions: Behavioral therapy on the outpatient clinic level is effective, but its effectiveness is pointedly reduced by the high number of children and their parents who avoid the treatment or refuse to continue this model of therapy. The essential challenge is to keep the motivation of both parents and children. Key words: childhood obesity, behavioral treatment, BMI, outpatient clinic. 3.7% girls and 3.6% boys [3,4], and this is the reason why we should pay special attention to these children in clinical practice. In consequence, they are likely to stay obese in future. The obesity epidemic is a serious and growing problem for public health systems worldwide [5-7], affecting all age groups including very young children [8]. The main and the most important problem of obesity are the short-and long-term consequences. Obesity can lead to numerous comorbidities such as diabetes mellitus type 2, hypertension, hyperlipidemia, or metabolic syndrome [8,9]. These progressive disorders lead to decline life expectancy. Regardless of multiple organic diseases, obesity often conduce to psychological distresses because is inevitably accompanied by discrimination and stigmatization

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Section: Discussionsupporting

confidence: 53%

Effectiveness of behavioral therapy in obese children in outpatient clinic

Gibala

Springwald

Różana³

et al. 2018

noms

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“…Notably however, the use of an arbitrary median value for duration of participation means that the resultant measure can only be considered a proxy measure of time spent in sports. Lastly, while waist circumference is a valid anthropometric proximal measure of abdominal obesity, waist-to-height ratio may be a more suitable measure among adolescents who are still growing [26].…”

Section: Discussionmentioning

confidence: 99%

Organised sports participation and adiposity among a cohort of adolescents over a two year period

Vella

Cliff

2018

PLoS ONE

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BackgroundOverweight and obesity among young people is alarmingly high. While hundreds of millions of children participate in organised sports worldwide, it is currently unknown whether time spent in organised sports is associated with levels of adiposity among young people. This study aimed to investigate bidirectional associations between participation in organised sports and adiposity over a two year period.MethodData were drawn from the Longitudinal Study of Australian Children. In total, 4033 participants (51% male) reported time spent in organised sports and had their body mass index, body fat percentage, and waist circumference measured at age 12, and again two years later. A cross-lagged panel model was used to examine bidirectional relationships over time, as well as interaction effects.ResultsTotal sport participation at age 12 was not associated with subsequent BMI-z scores (β = 0.01 [95% CI, -0.02, 0.04]), body fat (β = 0.01 [95% CI, -0.02, 0.03]), or waist circumference (β = -0.01 [95% CI, -0.05, 0.02]). Similarly, measure of adiposity at age 12 were not associated with subsequent sports participation (BMI-z score: β = -0.01 [95% CI, -0.02, 0.04]; body fat percentage: β = -0.02 [95% CI, -0.05, 0.02]; waist circumference: β = -0.01 [95% CI, -0.01, 0.03]). There were no differences in the strength or direction of the relationships by type of sport or by sex (p < .05).ConclusionPolicy and programmatic changes may be needed before organised youth sports are considered a preventative strategy for overweight and obesity. However, a more nuanced understanding of why organised youth sports are not associated with adiposity is needed before evidence-based changes can be made.

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“…18 Due to the increased obesity severity and its related comorbidities, several authors have suggested that waist circumference (WC) and waist-height ratio (WHtR) should be routinely assessed and used as measures of central adiposity. 19,20 It is crucial to identify early life-stage factors associated with overweight in order to prevent excessive BMI increase till reaching adulthood. In fact, it has been shown that adolescent obesity is associated with increased risk of obesity during adulthood with 70.5% of severely obese adolescents remaining obese as adults.…”

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confidence: 99%

Life-stage factors associated with overweight severity in adolescents

Dut¹,

Videira-Silva

Vilardouro

et al. 2020

Turk J Pediatr

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Background. Investigating life-stage factors associated with overweight may be useful in the prevention of excessive BMI increase. The main aim of this study was to investigate the influence of the route of delivery, birth weight and overweight onset on overweight severity in a sample of overweight adolescents followed at a Pediatric Obesity Clinic. Methods. Clinical data from 412 adolescents with overweight (BMI ≥ p85), aged 10-18 were retrospectively collected and analyzed. Results. Adolescents born by cesarean section (CS) showed a lower age of overweight onset, compared to other methods of delivery (d= 0.33, p= .009). Birth weight was positively associated with BMI z-score (r=.164, p= 002) and waist circumference (WC) (r=.191, p=.001). The overweight onset was negatively associated with BMI z-score (r= -.277, p < .001), WC (r= -.270, p < .001) and body fat mass (r= -.199, p=.001). Overweight duration was the best predictor of BMI z-score, explaining in 75% its variation (F=1,317)=26.94, p < .001), which increased to 99% when birth weight was included in the model (F(2,316)=18.47, p < .001). Conclusions. This study suggests that lifestyle may interrupt the burden of CS on BMI z-score throughout growth. Moreover, increased birth weight may anticipate overweight onset, and consequently overweight duration in the presence of inadequate lifestyle behaviors.

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The effect of a physical activity consultation on body mass index z-score of overweight adolescents: results from a pediatric outpatient obesity clinic

Cited by 16 publications

References 24 publications

Effectiveness of behavioral therapy in obese children in outpatient clinic

Effectiveness of behavioral therapy in obese children in outpatient clinic

Organised sports participation and adiposity among a cohort of adolescents over a two year period

Life-stage factors associated with overweight severity in adolescents

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