Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity
Abstract Background There are well‐recognized benefits of behavioral interventions that include exercise for children and adolescents with obesity. However, such behavioral weight management programs may precipitate unintended consequences. It is unclear if different exercise modalities impact eatin...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-04-01
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| Series: | Obesity Science & Practice |
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| Online Access: | https://doi.org/10.1002/osp4.620 |
| _version_ | 1797852060182380544 |
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| author | Angela S. Alberga Iyoma Y. Edache Ronald J. Sigal Kristin M. vonRanson Shelly Russell‐Mayhew Glen P. Kenny Steve Doucette Denis Prud'homme Stasia Hadjiyannakis Jameason D. Cameron Gary S. Goldfield |
| author_facet | Angela S. Alberga Iyoma Y. Edache Ronald J. Sigal Kristin M. vonRanson Shelly Russell‐Mayhew Glen P. Kenny Steve Doucette Denis Prud'homme Stasia Hadjiyannakis Jameason D. Cameron Gary S. Goldfield |
| author_sort | Angela S. Alberga |
| collection | DOAJ |
| description | Abstract Background There are well‐recognized benefits of behavioral interventions that include exercise for children and adolescents with obesity. However, such behavioral weight management programs may precipitate unintended consequences. It is unclear if different exercise modalities impact eating behaviors differently in youth with obesity. Objectives The purpose of this study was to examine the effects of aerobic, resistance, and combined aerobic and resistance exercise training on eating attitudes and behaviors (uncontrolled eating, restrained eating, emotional eating, external eating and food craving) among adolescents with overweight and obesity. Methods N = 304 (70% female) adolescents with overweight and obesity participated in the 6‐month Healthy Eating Aerobic and Resistance Training in Youth (HEARTY) randomized controlled trial. All participants were inactive post‐pubertal adolescents (15.6 ± 1.4 years) with a mean BMI = 34.6 ± 4.5 kg/m2. The Food Craving Inventory (food cravings), Dutch Eating Behavior Questionnaire (restrained eating, emotional eating, external eating), and the Three‐Factor Eating Questionnaire (uncontrolled eating) were used to assess eating attitudes and behaviors. Results All exercise groups showed within‐group decreases in external eating and food cravings. Participants randomized to the Combined training group and were more adherent showed the greatest improvements in eating behaviors and cravings. Conclusions A 6‐month exercise intervention produced improvements in disordered eating behaviors and food cravings, but effects may be gender and modality‐specific. Findings highlight the need to tailor exercise intervention to participant characteristics for the promotion of healthier eating and weight management outcomes in youth with obesity. Clinical Trial Registration # and Date: ClinicalTrials.Gov NCT00195858, September 12, 2005 |
| first_indexed | 2024-04-09T19:27:56Z |
| format | Article |
| id | doaj.art-926af328060c46dab78f36aab9968261 |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-04-09T19:27:56Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-926af328060c46dab78f36aab99682612023-04-05T05:36:05ZengWileyObesity Science & Practice2055-22382023-04-019215817110.1002/osp4.620Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesityAngela S. Alberga0Iyoma Y. Edache1Ronald J. Sigal2Kristin M. vonRanson3Shelly Russell‐Mayhew4Glen P. Kenny5Steve Doucette6Denis Prud'homme7Stasia Hadjiyannakis8Jameason D. Cameron9Gary S. Goldfield10Department of Health Kinesiology and Applied Physiology Concordia University Montreal Quebec CanadaDepartment of Health Kinesiology and Applied Physiology Concordia University Montreal Quebec CanadaDepartments of Medicine, Cardiac Sciences and Community Health Sciences, Faculties of Medicine and Kinesiology University of Calgary Calgary Alberta CanadaDepartment of Psychology University of Calgary Calgary Alberta CanadaWerklund School of Education University of Calgary Calgary Alberta CanadaClinical Epidemiology Program Ottawa Hospital Research Institute Ottawa Ontario CanadaDepartment of Community Health and Epidemiology Dalhousie University Halifax Nova Scotia CanadaUniversité de Moncton Moncton Nouveau‐Brunswick CanadaHealthy Active Living & Obesity Research Group (HALO) Children's Hospital of Eastern Ontario Research Institute Ottawa Ontario CanadaDepartment of Pharmacy Children's Hospital of Eastern Ontario Ottawa Ontario CanadaHealthy Active Living & Obesity Research Group (HALO) Children's Hospital of Eastern Ontario Research Institute Ottawa Ontario CanadaAbstract Background There are well‐recognized benefits of behavioral interventions that include exercise for children and adolescents with obesity. However, such behavioral weight management programs may precipitate unintended consequences. It is unclear if different exercise modalities impact eating behaviors differently in youth with obesity. Objectives The purpose of this study was to examine the effects of aerobic, resistance, and combined aerobic and resistance exercise training on eating attitudes and behaviors (uncontrolled eating, restrained eating, emotional eating, external eating and food craving) among adolescents with overweight and obesity. Methods N = 304 (70% female) adolescents with overweight and obesity participated in the 6‐month Healthy Eating Aerobic and Resistance Training in Youth (HEARTY) randomized controlled trial. All participants were inactive post‐pubertal adolescents (15.6 ± 1.4 years) with a mean BMI = 34.6 ± 4.5 kg/m2. The Food Craving Inventory (food cravings), Dutch Eating Behavior Questionnaire (restrained eating, emotional eating, external eating), and the Three‐Factor Eating Questionnaire (uncontrolled eating) were used to assess eating attitudes and behaviors. Results All exercise groups showed within‐group decreases in external eating and food cravings. Participants randomized to the Combined training group and were more adherent showed the greatest improvements in eating behaviors and cravings. Conclusions A 6‐month exercise intervention produced improvements in disordered eating behaviors and food cravings, but effects may be gender and modality‐specific. Findings highlight the need to tailor exercise intervention to participant characteristics for the promotion of healthier eating and weight management outcomes in youth with obesity. Clinical Trial Registration # and Date: ClinicalTrials.Gov NCT00195858, September 12, 2005https://doi.org/10.1002/osp4.620childreneating habitseating pathologyoverweightphysical activityyouth |
| spellingShingle | Angela S. Alberga Iyoma Y. Edache Ronald J. Sigal Kristin M. vonRanson Shelly Russell‐Mayhew Glen P. Kenny Steve Doucette Denis Prud'homme Stasia Hadjiyannakis Jameason D. Cameron Gary S. Goldfield Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity Obesity Science & Practice children eating habits eating pathology overweight physical activity youth |
| title | Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity |
| title_full | Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity |
| title_fullStr | Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity |
| title_full_unstemmed | Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity |
| title_short | Effects of the HEARTY exercise randomized controlled trial on eating behaviors in adolescents with obesity |
| title_sort | effects of the hearty exercise randomized controlled trial on eating behaviors in adolescents with obesity |
| topic | children eating habits eating pathology overweight physical activity youth |
| url | https://doi.org/10.1002/osp4.620 |
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