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一项针对超重和肥胖青少年的多组分干预计划可改善身体成分和心肺适能,但对胰岛素生物标志物无影响。

A Multicomponent Intervention Program With Overweight and Obese Adolescents Improves Body Composition and Cardiorespiratory Fitness, but Not Insulin Biomarkers.

作者信息

Schneiders Letícia de Borba, Brand Caroline, Borfe Leticia, Gaya Anelise Reis, Brazo-Sayavera Javier, Renner Jane Dagmar Pollo, Reuter Cézane Priscila

机构信息

Postgraduate Program Master and Doctorate in Health Promotion, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil.

Postgraduate Program Master and Doctorate in Human Movement Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Front Sports Act Living. 2021 Feb 22;3:621055. doi: 10.3389/fspor.2021.621055. eCollection 2021.

Abstract

To verify the effect of a multicomponent intervention with overweight/obese adolescents on physical fitness, body composition, and insulin biomarkers. A quasi-experimental study with 37 adolescents, aged 10 to 17 years, of both sexes, overweight and obese, allocated in two groups (Intervention-IG Group, = 17; Control-GC Group, = 20). The IGs were submitted to a multicomponent intervention for 6 months (three weekly sessions) consisting of physical exercises (sports, functional circuit, recreational, and water activities) and nutritional and psychological guidance. Participants were assessed before and after intervention on body composition [body mass index (BMI), body fat, waist circumference, and waist-to-hip ratio (WHR)], physical fitness [cardiorespiratory fitness (CRF) and abdominal strength], and biomarkers of insulin (glucose, insulin, evaluation of the homeostasis model of insulin, and resistin resistance). The prevalence of responders in both groups was obtained according to the theoretical model applied in previous studies similar to this one to determine the cutoff points for response to intervention. Poisson regression was used to verify the difference in the prevalence ratio (PR) of the interviewees between the groups. The responders' prevalence between groups CG and IG showed significant differences for body fat (CG = 30.0%; IG = 70.6%; PR = 1.396; < 0.001), WHR (CG = 30.0%; IG = 76.5%; PR = 1.730; < 0.001), and CRF (CG = 15.0%; IG = 52.5%; PR = 1.580; < 0.001). A 6-month multicomponent intervention program improved certain body composition parameters and the CRF of overweight and obese adolescents but did not improve insulin biomarkers. Clinical Trials under Protocol ID: 54985316.0.0000.5343.

摘要

为验证针对超重/肥胖青少年的多组分干预对体能、身体成分和胰岛素生物标志物的影响。对37名年龄在10至17岁之间的超重和肥胖青少年(男女均有)进行了一项准实验研究,将其分为两组(干预组-IG组,n = 17;对照组-GC组,n = 20)。IG组接受了为期6个月(每周三次)的多组分干预,包括体育锻炼(运动、功能性循环训练、娱乐性活动和水上活动)以及营养和心理指导。在干预前后对参与者进行了身体成分[体重指数(BMI)、体脂、腰围和腰臀比(WHR)]、体能[心肺适能(CRF)和腹部力量]以及胰岛素生物标志物(血糖、胰岛素、胰岛素稳态模型评估和抵抗素抵抗)的评估。根据在与本研究类似的先前研究中应用的理论模型来确定两组中反应者的患病率,以确定干预反应的临界值。采用泊松回归来验证两组受访者患病率比(PR)的差异。CG组和IG组之间反应者的患病率在体脂(CG = 30.0%;IG = 70.6%;PR = 1.396;P < 0.001)、WHR(CG = 30.0%;IG = 76.5%;PR =

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/369a/7937702/217e14fdaeb3/fspor-03-621055-g0001.jpg

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