Tratamento multidisciplinar reduz o tecido adiposo visceral, leptina, grelina e a prevalência de esteatose hepática não alcoólica (NAFLD) em adolescentes obesos

Dâmaso, Ana Raimunda; Tock, Lian; Tufik, Sérgio; Prado, Wagner Luiz do; Stella, Sérgio; Fisberg, Mauro; Cintra, Isa de Pádua; Caranti, Danielle Arisa; Siqueira, Kãli O.; Nascimento, Cláudia Maria da Penha Oller do; Oyama, Lila Missae; Lederman, Henrique Manoel; Cristofalo, Dejaldo; Antunes, Hanna Karen Moreira; Comparoni, Aniella; Santos, Luana Caroline dos; Mello, Marco Túlio de

doi:10.1590/s1517-86922006000500008

Cited by 30 publications

(45 citation statements)

References 37 publications

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“…Considerando-se que o patrimônio genético da espécie humana não sofreu mudanças significativas, certamente os fatores ambientais podem explicar esta pandemia. Acredita-se que mudanças no comportamento alimentar e a adoção de hábitos de vida sedentários podem atuar sobre genes de susceptibilidade sendo determinante ao crescimento da obesidade no mundo 4 . Entretanto, as causas exatas ainda são desconhecidas e continuam em debate 5 .…”

Section: Introductionunclassified

Influencia do indice de massa corporal no equilibrio e na configuracao plantar em obesos adultos

Liu

Neves

Areia

et al. 2014

Rev Bras Med Esporte

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Section: Introductionunclassified

Influencia do indice de massa corporal no equilibrio e na configuracao plantar em obesos adultos

Liu

Neves

Areia

et al. 2014

Rev Bras Med Esporte

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“…[17][18][19][20] Table I contains details of each study, including the country where the intervention was conducted, the focus and duration of the intervention, frequency of sessions, effect sizes for primary outcomes, and study designs. The total number of sessions for the entire duration of the intervention ranged, from 4 to 120 with a median of 41 sessions.…”

Section: Resultsmentioning

confidence: 99%

“…Every study had significant changes in BMI, three had significant changes in weight, 17,18,20 and one had a significant change in percent body fat.…”

mentioning

confidence: 98%

Interventions for the treatment of obesity among children and adolescents in Latin America: a systematic review

et al. 2013

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Objective. The objective of this systematic literature review was to identify evidence-based strategies associated with effective healthcare interventions for prevention or treatment of childhood obesity in Latin America. Materials and methods. A systematic review of peer-reviewed, obesityrelated interventions implemented in the healthcare setting was conducted. Inclusion criteria included: implementation in Latin America, aimed at overweight or obese children and evaluation of at least one obesity-related outcome (e.g., body mass index (BMI), z-score, weight, and waist circumference, and body fat). Results. Five interventions in the healthcare setting targeting obese children in Latin America were identified. All five studies showed significant changes in BMI, and the majority produced sufficient to large effect sizes through emphasizing physical activity and health eating. Conclusion. Despite the limited number of intervention studies that treat obesity in the healthcare setting, there is evidence that interventions in this setting can be effective in creating positive anthropometric changes in overweight and obese children.Key words: overweight; quality of health care; child; adolescents; intervention studies; review Nagle BJ, Holub CK, Barquera S, Sánchez-Romero LM, Eisenberg CM, Rivera-Dommarco JA, Mehta SM, Lobelo F, Arredondo EM, Elder JP. Intervenciones para el tratamiento de la obesidad en niños y adolescentes en Latinoamérica: una revisión sistemática. Salud Publica Mex 2013;55 supl 3:S434-S440. ResumenObjetivo. El objetivo de esta revisión sistemática de la literatura fue identificar estrategias basadas en evidencia asociadas con intervenciones en salud efectivas para la prevención y el tratamiento de la obesidad infantil en Latinoamérica. Material y métodos. Se realizó una revisión sistemática por pares de intervenciones relacionadas con la obesidad, que fueron llevadas a cabo en clínicas de atención para la salud. Criterios de inclusión: implementadas en Latinoamérica, dirigidas a niños con obesidad y sobrepeso y evaluación de por lo menos un reultado relacionado con obesidad (ej. ín-dice de masa corporal (IMC), puntaje Z, peso, circunferencia de cintura o grasa corporal). Resultados. Se identificaron cinco intervenciones dirigidas a niños obesos en clínicas de salud en Latinoamérica. Todas las intervenciones mostraron cambios significativos en IMC y la mayoría obtuvo un tamaño del efecto grande a través de la promoción de actividad física y alimentación saludable. Conclusión. A pesar del número limitado de estudios de intervención para tratar la obesidad en clínicas de salud, existe evidencia que las intervenciones en estos lugares pueden ser efectivas en alcanzar cambios antropométricos positivos en los niños con obesidad y sobrepeso. In countries where prospective data are available increases in the prevalence of obesity have been found, especially in areas that are more developed.2,7 The increase in obesity prevalence is believed to be related to globalization and progression through the...

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“…Within this context, it is important to mention that a recent study of our study group (53) , demonstrated that the majority of the obese female adolescents who registered in our Multidisciplinary Program for obesity treatment, presented exacerbated hyperleptinemia. Such fact could suggest resistance to this hormone's action derived from alterations in their receptors, which would result in lower thermogenesis and MRM reduction of these patients.…”

Section: Bmr In Obese Subjects and Leptinmentioning

confidence: 90%

Efeito do consumo excessivo de oxigênio após exercício e da taxa metabólica de repouso no gasto energético

Foureaux

Pinto

Dâmaso

2006

Rev Bras Med Esporte

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The constant growth of obesity and overweight only goes to show the need of intervention to reverse those figures. In this context, physical activity can contribute with a double effect, through acute and chronic physiological changes: in the first condition one can find the energetic cost from exercising and recovery (EPOCexcess post-exercise oxygen consumption), and in the second, the resting metabolic rate (RMR). Thus, this revision's goal was to investigate the effect of EPOC and RMR as supporting factors in weight-control programs, willing to discuss the different results found in literature, concerning both magnitude and length of EPOC, as well as discussing the effects of exercising in RMR. Research shows, in general terms, that the most intense exercises are able to promote a bigger EPOC when compared to exercises of lower intensity, while a bigger EPOC was found in resistive exercises when compared to aerobic ones. Concerning RMR changes, the acute results show significant increase at it; however, long-term results are more discrepant, due to the difficulty in measuring this variable without overestimating it. In summary, literature points that periodicity of a training that can maximize both EPOC and RMR may be an important factor to weight-losing and, although energetic cost of these variables in a therapy session seem rather small, it can be significant in a long-term relation. However, new studies are important to confirm these evidences.

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Tratamento multidisciplinar reduz o tecido adiposo visceral, leptina, grelina e a prevalência de esteatose hepática não alcoólica (NAFLD) em adolescentes obesos

Cited by 30 publications

References 37 publications

Influencia do indice de massa corporal no equilibrio e na configuracao plantar em obesos adultos

Influencia do indice de massa corporal no equilibrio e na configuracao plantar em obesos adultos

Interventions for the treatment of obesity among children and adolescents in Latin America: a systematic review

Efeito do consumo excessivo de oxigênio após exercício e da taxa metabólica de repouso no gasto energético

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