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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Autores principales:	Luisa Macieira, Jorge Saraiva, Lélita da Conceição dos Santos
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	adolescents obesity overweight diet exercise Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/3604b93708874be485e0809c676b24b9
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spelling	oai:doaj.org-article:3604b93708874be485e0809c676b24b92021-11-04T14:40:31ZShort- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference1662-40251662-403310.1159/000519270https://doaj.org/article/3604b93708874be485e0809c676b24b92021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519270https://doaj.org/toc/1662-4025https://doaj.org/toc/1662-4033Introduction 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.Luisa MacieiraJorge SaraivaLélita da Conceição dos SantosKarger PublishersarticleadolescentsobesityoverweightdietexerciseNutrition. Foods and food supplyTX341-641Nutritional diseases. Deficiency diseasesRC620-627ENObesity Facts, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescents obesity overweight diet exercise Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	adolescents obesity overweight diet exercise Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 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
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.
format	article
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
title	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_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_sort	short- and medium-term impact of a structured medical intervention in adolescents with overweight, obesity, or increased waist circumference
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/3604b93708874be485e0809c676b24b9
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Short- and Medium-Term Impact of a Structured Medical Intervention in Adolescents with Overweight, Obesity, or Increased Waist Circumference

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