Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference
Introduction and Objectives: This study aimed to assess the impact of a structured medical intervention in adolescents with overweight or obesity at medical discharge and after 5 years and identify the factors responsible for the reappearance of anthropometric alterations. Methods: A total of 42 ado...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-10-01
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| Series: | Obesity Facts |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/519270 |
| _version_ | 1818899923835289600 |
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| author | Luisa Macieira Jorge Saraiva Lélita da Conceição dos Santos |
| author_facet | Luisa Macieira Jorge Saraiva Lélita da Conceição dos Santos |
| author_sort | Luisa Macieira |
| collection | DOAJ |
| description | Introduction and Objectives: This study aimed to assess the impact of a structured medical intervention in adolescents with overweight or obesity at medical discharge and after 5 years and identify the factors responsible for the reappearance of anthropometric alterations. Methods: A total of 42 adolescents with overweight, obesity, and/or increased waist circumference (WC) participated in a survey on eating habits, physical exercise, and sedentary habits. Body mass index (BMI), fat mass (FM), and WC were evaluated quarterly during a structured medical intervention, with a maximum duration of 3 years (2007–2010) and 5 years after its conclusion (2015–2016). SPSS 19.0®was used for statistical analysis. Results: Initially, 23.8% adolescents were overweight, 28.6% were obese, 83.3% had increased FM, and 95.2% had high WC. A significant improvement was noted until medical discharge with respect to BMI, FM, and WC (p < 0.001) owing to an increased number of meals; reduction in the consumption of hypercaloric foods/drinks (p < 0.001); increase in the consumption of fruits, vegetables, and soup (p < 0.001); increase in physical exercise and daily walks (p < 0.001); and reduction in sedentary habits (p < 0.001). At reassessment, after 5 years, the majority had normal BMI, FM, and WC (p < 0.001), although 45.2% had abandoned sports (p < 0.001). Conclusions: A relation exists between the improvement or normalization of BMI, FM, and WC and the number of meals, healthy eating habits, physical exercise, and less sedentary habits. The intervention was associated with an improvement in the parameters during the short and medium terms. |
| first_indexed | 2024-12-19T19:55:41Z |
| format | Article |
| id | doaj.art-3604b93708874be485e0809c676b24b9 |
| institution | Directory Open Access Journal |
| issn | 1662-4025 1662-4033 |
| language | English |
| last_indexed | 2024-12-19T19:55:41Z |
| publishDate | 2021-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Obesity Facts |
| spelling | doaj.art-3604b93708874be485e0809c676b24b92022-12-21T20:07:49ZengKarger PublishersObesity Facts1662-40251662-40332021-10-0111110.1159/000519270519270Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist CircumferenceLuisa Macieira0Jorge Saraiva1Lélita da Conceição dos Santos2University of Coimbra, Faculty of Medicine, University Pediatric Clinic, Coimbra, PortugalUniversity of Coimbra, Faculty of Medicine, University Pediatric Clinic, Coimbra, PortugalUniversity of Coimbra, Faculty of Medicine, Coimbra, PortugalIntroduction and Objectives: This study aimed to assess the impact of a structured medical intervention in adolescents with overweight or obesity at medical discharge and after 5 years and identify the factors responsible for the reappearance of anthropometric alterations. Methods: A total of 42 adolescents with overweight, obesity, and/or increased waist circumference (WC) participated in a survey on eating habits, physical exercise, and sedentary habits. Body mass index (BMI), fat mass (FM), and WC were evaluated quarterly during a structured medical intervention, with a maximum duration of 3 years (2007–2010) and 5 years after its conclusion (2015–2016). SPSS 19.0®was used for statistical analysis. Results: Initially, 23.8% adolescents were overweight, 28.6% were obese, 83.3% had increased FM, and 95.2% had high WC. A significant improvement was noted until medical discharge with respect to BMI, FM, and WC (p < 0.001) owing to an increased number of meals; reduction in the consumption of hypercaloric foods/drinks (p < 0.001); increase in the consumption of fruits, vegetables, and soup (p < 0.001); increase in physical exercise and daily walks (p < 0.001); and reduction in sedentary habits (p < 0.001). At reassessment, after 5 years, the majority had normal BMI, FM, and WC (p < 0.001), although 45.2% had abandoned sports (p < 0.001). Conclusions: A relation exists between the improvement or normalization of BMI, FM, and WC and the number of meals, healthy eating habits, physical exercise, and less sedentary habits. The intervention was associated with an improvement in the parameters during the short and medium terms.https://www.karger.com/Article/FullText/519270adolescentsobesityoverweightdietexercise |
| spellingShingle | Luisa Macieira Jorge Saraiva Lélita da Conceição dos Santos Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference Obesity Facts adolescents obesity overweight diet exercise |
| title | Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference |
| title_full | Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference |
| title_fullStr | Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference |
| title_full_unstemmed | Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference |
| title_short | Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference |
| title_sort | short and medium term impact of a structured medical intervention in adolescents with overweight obesity or increased waist circumference |
| topic | adolescents obesity overweight diet exercise |
| url | https://www.karger.com/Article/FullText/519270 |
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