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“女孩动起来”随机试验对低收入青春期女孩肥胖及有氧能力(次要结果)的影响。

Effects of the Girls on the Move randomized trial on adiposity and aerobic performance (secondary outcomes) in low-income adolescent girls.

作者信息

Pfeiffer Karin A, Robbins Lorraine B, Ling Jiying, Sharma Dhruv B, Dalimonte-Merckling Danielle M, Voskuil Vicki R, Kaciroti Niko, Resnicow Kenneth

机构信息

Department of Kinesiology, Michigan State University, East Lansing, Michigan.

College of Nursing, Michigan State University, East Lansing, Michigan.

出版信息

Pediatr Obes. 2019 Nov;14(11):e12559. doi: 10.1111/ijpo.12559. Epub 2019 Jul 3.

Abstract

BACKGROUND

Limited, mixed evidence exists regarding the effectiveness of physical activity interventions on adiposity and aerobic performance in adolescent underrepresented populations.

OBJECTIVE

To examine effects of Girls on the Move on body mass index z-scores (BMI-z), percent (%) body fat, and aerobic performance in fifth- to eighth-grade underrepresented girls.

METHODS

A group randomized trial, involving 12 intervention and 12 control schools in low-income areas, was conducted. Participants (n = 1519) were low-active girls. The 17-week intervention included (a) a physical activity club, (b) two motivational interviewing sessions, and (c) one Internet-based session. BMI-z was determined from measured height and weight; % body fat was assessed using bioelectric impedance. Aerobic performance was assessed using a shuttle run. Demographics, physical activity (accelerometer), and pubertal development were assessed. Linear mixed models, adjusting for baseline, were used to examine group differences in postintervention.

RESULTS

No significant between-group differences in BMI-z existed at postintervention, but % body fat increased less among intervention than control group girls (M = 0.43% vs 0.73%). Aerobic performance decreased less in intervention vs control (M = -0.39 vs -0.57).

CONCLUSIONS

Although the intervention positively impacted % body fat and aerobic performance in underrepresented girls, more research is necessary to determine optimal implementation for yielding greater effects.

摘要

背景

关于体育活动干预对青少年代表性不足人群肥胖和有氧能力的有效性,现有证据有限且参差不齐。

目的

研究“女孩动起来”项目对五至八年级代表性不足女孩的体重指数Z评分(BMI-Z)、体脂百分比(%)和有氧能力的影响。

方法

进行了一项群组随机试验,涉及低收入地区的12所干预学校和12所对照学校。参与者(n = 1519)为低活动水平女孩。为期17周的干预包括:(a)一个体育活动俱乐部,(b)两次动机性访谈课程,以及(c)一次基于互联网的课程。BMI-Z根据测量的身高和体重确定;体脂百分比使用生物电阻抗评估。有氧能力使用穿梭跑评估。评估了人口统计学特征、身体活动(加速度计)和青春期发育情况。使用调整基线后的线性混合模型来检验干预后组间差异。

结果

干预后BMI-Z组间无显著差异,但干预组女孩的体脂百分比增加幅度低于对照组(M = 0.43%对0.73%)。干预组有氧能力下降幅度低于对照组(M = -0.39对-0.57)。

结论

尽管该干预对代表性不足女孩的体脂百分比和有氧能力产生了积极影响,但仍需要更多研究来确定能产生更大效果的最佳实施方式。

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