Yli-Piipari Sami, Berg Alison, Laing Emma M, Hartzell Diane L, Parris Kenneth O, Udwadia Jon, Lewis Richard D
1 Children's Physical Activity, Fitness, and School Health Promotion, Department of Kinesiology, College of Education, University of Georgia , Athens, GA.
2 Department of Foods and Nutrition, College of Family and Consumer Sciences, University of Georgia , Athens, GA.
J Altern Complement Med. 2018 Feb;24(2):132-138. doi: 10.1089/acm.2017.0130. Epub 2017 Oct 10.
To examine the effectiveness of a 12-week lifestyle program on cardiometabolic, behavioral, and psychological outcomes among overweight Hispanic children and adolescents.
A case series study with pre- and post-test analyses. Subjects/Settings/Location: A convenience sample of high-risk pediatric primary care patients (n = 22; 6 girls, 16 boys; M age = 11.73 ± 1.39 years) and their guardians in the Southeast United States.
Twice per week 60 min (total of 24 h) of moderate-to-vigorous intensity boxing exercise training, 12 h of nutrition education for guardians, and a 30-min pediatrician appointment.
Cardiometabolic (height [m], weight [kg], waist circumference [cm], body-mass index [BMI], BMI-z, BMI%, cholesterol [mg/dL], triglycerides [mg/dL], glucose [mg/dL], and low-density lipoprotein and high-density lipoprotein cholesterol [mg/dL]), behavioral (objective free time physical activity [PA] and sedentary time [min/day]), and psychological (self-determined exercise motivation) outcomes were measured/calculated, and paired-samples t-tests were conducted.
A significant reduction was observed in waist circumference t(17) = -2.57, p = 0.020, d = 0.64; BMI% t(15) = -2.53, p = 0.023, d = 0.20; fasting glucose t(15) = -6.43, p < 0.001, d = 1.67; and amotivation (-) t(17) = -2.29, p = 0.036, d = 0.64; whereas a significant increase was identified in moderate t(10) = 4.01, p = 0.002, d = 1.23 and vigorous t(10) = 3.41, p = 0.007, d = 1.07 intensity PA; intrinsic motivation t(17) = 2.71, p = 0.015, d = 0.38; and introjected regulation t(17) = 2.74, p = 0.014, d = 0.64.
A 12-week lifestyle program can be effective in improving selected health markers among overweight Hispanic children and adolescents. The positive changes in fasting glucose, BMI, and waist suggest that the participants are currently at lower risk for both type 2 diabetes and cardiovascular disease as a result of the Confidence, Ownership, Responsibility, and Exercise program.
探讨一项为期12周的生活方式计划对超重西班牙裔儿童和青少年的心脏代谢、行为及心理结局的有效性。
一项前后测试分析的病例系列研究。受试者/设置/地点：美国东南部高危儿科初级保健患者（n = 22；6名女孩，16名男孩；平均年龄 = 11.73 ± 1.39岁）及其监护人的便利样本。
每周两次，每次60分钟（共24小时）的中等到剧烈强度拳击运动训练，为监护人提供12小时的营养教育，以及30分钟的儿科医生预约。
测量/计算心脏代谢指标（身高[米]、体重[千克]、腰围[厘米]、体重指数[BMI]、BMI-z、BMI%、胆固醇[毫克/分升]、甘油三酯[毫克/分升]、血糖[毫克/分升]以及低密度脂蛋白和高密度脂蛋白胆固醇[毫克/分升]）、行为指标（客观自由活动时间的身体活动[PA]和久坐时间[分钟/天]）以及心理指标（自我决定的运动动机），并进行配对样本t检验。
观察到腰围显著减少，t(17) = -2.57，p = 0.020，d = 0.64；BMI%，t(15) = -2.53，p = 0.023，d = 0.20；空腹血糖，t(15) = -6.43，p < 0.001，d = 1.67；以及无动机（-），t(17) = -2.29，p = 0.036，d = 0.64；而中等强度t(10) = 4.01，p = 0.002，d = 1.23和剧烈强度t(10) = 3.41，p = 0.007，d = 1.07的身体活动显著增加；内在动机，t(17) = 2.71，p = 0.015，d = 0.38；以及内摄调节，t(17) = 2.74，p = 0.014，d = 0.64。
一项为期12周的生活方式计划可有效改善超重西班牙裔儿童和青少年的某些健康指标。空腹血糖、BMI和腰围的积极变化表明，由于“信心、自主、责任和运动”计划，参与者目前患2型糖尿病和心血管疾病的风险较低。
