Effects of a multiprofessional approach on anthropometric variables, body composition and food profile of overweight or obese adolescents
DOI:
https://doi.org/10.36311/jhgd.v31.10185Keywords:
adolescent health, food consumption, health promotion, physical activityAbstract
Introduction: To investigate the effects of a multiprofessional approach on anthropometric parameters and body composition and the level of food processing in adolescents.
Methods: Twelve overweight/obese male adolescents between 13-17 years old participated in a series of 12-week multiprofessional interventioms led by physical education, nutrition and psychology professionals. The participants were assessed before the intervention as well as at 6 and 12 weeks into it. Anthropometric assessments were performed, including body weight, stature and body mass index; body composition, with fat mass (FM), body fat (%BF), skeletal muscle mass (SMM) and resting metabolic rate (RMR) and by filling in a three-day food record, in order to calculate the ingested foods, by the level of processing of the food: fresh, minimally processed, processed and ultra-processed.
Results: No differences were observed for the anthropometric parameters performed at different stages (p>0.05). Reductions for FM and %BF and increases in SMM and RMR (p<0.05) were identified, all after 12-week of the intervention. There was an increase in the consumption of natural foods/g, and an increase in the caloric consumption of processed foods/kcal, after 12-week of interventions (p<0.05).
Conclusion: The model resulted in decreases in FM and %BF, an increase in SMM, RMR, natural foods/g and processed foods/kcal.
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Elvsaas IKO, Giske L, Fure B, Juvet LK. Multicomponent Lifestyle Interventions for Treating Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analyses. J Obes. 2017; 2017: 5021902. DOI: https://doi.org/10.1155/2017/5021902
Martin A, Booth JN, Laird Y, Sproule J, Reilly JJ, Saunders DH, et al. Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight. Cochrane Database Syst Rev Phys. 2018. DOI: https://doi.org/10.1002/14651858.CD009728.pub3
de Oliveira ASD, Moreira NF, de Moraes AB de V, Pereira RA, De Veiga GV. Co-occurrence of behavioral risk factors for chronic non-communicable diseases in adolescents: Prevalence and associated factors. Rev Nutr. 2017; 30(6): 747–58. DOI: https://doi.org/10.1590/1678-98652017000600007
World Health Organization (WHO). Obesity: Preventing and managing the global epidemic: report of a WHO consultation. Geneva, Switzerland; 2000.
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisas de orçamentos familiares 2008-2009: Antropometria e Estado Nutricional de Crianças, Adolescentes e Adultos no Brasil. Rio de Janeiro: IBGE; 2010.
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa nacional de saúde do escolar: 2015. Rio de Janeiro: IBGE; 2016.
Souza AM, Barufaldi LA, Abreu GA, Giannini DT, Oliveira CL, Santos MM, et al. ERICA: intake of macro and micronutrients of Brazilian adolescents. Rev. Saúde Pública. 2016; 50(1): 1-15. DOI: https://doi.org/10.1590/S01518-8787.2016050006698
Branco BHM, Carvalho IZ, de Oliveira HG, Fanhani AP, dos Santos MCM, de Oliveira LP, et al. Effects of 2 Types of Resistance Training Models on Obese Adolescentsʼ Body Composition, Cardiometabolic Risk, and Physical Fitness. J Strength Cond Res. 2020; 34 (9): 2672-2682. DOI: https://10.1519/jsc.0000000000002877
Branco BHM, Valladares D, de Oliveira FM, Carvalho IZ, Marques DC, Coelho AA, et al. Effects of the Order of Physical Exercises on Body Composition, Physical Fitness, and Cardiometabolic Risk in Adolescents Participating in an Interdisciplinary Program Focusing on the Treatment of Obesity. Front Physiol 2019; 10: 1013. DOI: https://10.3389/fphys.2019.01013
Monteiro CA, Levy RB, Claro RM, Castro IRR de, Cannon G. A new classification of foods based on the extent and purpose of their processing. Cad Saúde Pública. 2010; 26(11): 2039–49. DOI: https://doi.org/10.1590/S0102-311X2010001100005
Svisco E, Shanks CB, Ahmed S, Bark K. Variation of adolescent snack food choices and preferences along a continuum of processing levels: The case of apples. Foods. 2019; 8(2): 50. DOI: 10.3390/foods8020050
Enes CC, Camargo CM de, Justino MIC. Ultra-processed food consumption and obesity in adolescents. Rev Nutr. 2019; 32: e180170. DOI: https://doi.org/10.1590/1678-9865201932e180170
Machado PP, Claro RM, Canella DS, Sarti FM, Levy RB. Price and convenience: The influence of supermarkets on consumption of ultra-processed foods and beverages in Brazil. Appetite. 2017; 116: 381-388. DOI: http://doi.org/10.1016/j.appet.2017.05.027
Cole TJ, Lobstein T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes. 2012; 7(4): 284–94. DOI: https://doi.org/10.1111/j.2047-6310.2012.00064.x
Guedes DP, Lopes CC, Guedes JERP. Reproducibility and validity of the International Physical Activity Questionnaire in adolescents. Rev Bras Med do Esporte. 2005; 11(2): 151–8. DOI: https://doi.org/10.1590/S1517-86922005000200011
Norgan NG. A Review of: "Anthropometric Standardization Reference Manual". Edited by Lohman TG, Roche AF and Martorell R. (Champaign, IL.: Human Kinetics Books, 1988). Ergonomics. 1988; 30(10): 1493-1494. DOI: https://doi.org/10.1080/00140138808966796
Guedes DP. Procedimentos clínicos utilizados para análise da composição corporal. Rev Bras Cineantropometria e Desempenho Hum. 2013; 15(1): 113–29. DOI: https://doi.org/10.5007/1980-0037.2013v15n1p113
Pinheiro ABV, Lacerda EM de A, Benzecry EH, Gomes MC da S, Costa VM. Tabela para avaliação de consumo alimentar em medidas caseiras. 5 ed. São Paulo: Atheneu; 2008.
Fisberg RM, Marchioni DML, Colucci ACA. Avaliação do consumo alimentar e da ingestão de nutrientes na prática clínica. Arq Bras Endocrinol Metabol. 2009; 53(5): 617–24. DOI: https://doi.org/10.1590/S0004-27302009000500014
Boyle M. O Novo Modelo de Treinamento Funcional de Michael Boyle. 2a ed. Porto Alegre: Artmed; 2018.
Rhea MR. Determining the Magnitude of Treatment Effects in Strength Training Research Through the Use of the Effect Size. J Strength Cond Res. 2004; 18(4): 918-20. DOI: http://doi: 10.1519/14403.1
Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009; 41(2): 459–71. DOI: https://doi: 10.1519/14403.1
Wishnofsky M. Caloric Equivalents of Gained or Lost Weight. Am J Clin Nutr. 1958; 6(5): 542–6. DOI: https://doi: 10.1093/ajcn/6.5.542
Pietrobelli A, Allison DB, Heshka S, Heo M, Wang ZM, Bertkau A, et al. Sexual dimorphism in the energy content of weight change. Int J Obes. 2002; 26(10): 1339–48. DOI: https://doi: 10.1038/sj.ijo.0802065
Coffey VG, Hawley JA. Concurrent exercise training: do opposites distract? J Physiol. 2017; 595(9): 2883–96. DOI: https://doi: 10.1113/JP272270
Murach KA, Bagley JR. Skeletal Muscle Hypertrophy with Concurrent Exercise Training: Contrary Evidence for an Interference Effect. Sport Med. 2016;46(8):1029–39. DOI: https://doi: 10.1007/s40279-016-0496-y
World Health Organization (WHO). Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. Geneva: WHO; 2019.
Costa CS, Del-Ponte B, Assunção MCF, Santos IS. Consumption of ultra-processed foods and body fat during childhood and adolescence: A systematic review. Public Health Nutr. 2018; 21(1): 148–59. DOI: https://doi: 10.1017/S1368980017001331
McClave SA, Snider HL. Dissecting the energy needs of the body. Curr Opin Clin Nutr Metab Care. 2001; 4(2): 143–7. DOI: https://doi: 10.1097/00075197-200103000-00011
Byrne NM, Hills AP. How much exercise should be promoted to raise total daily energy expenditure and improve health? Obes Rev. 2018; 19: 14–23. DOI: https://doi: 10.1111/obr.12788
Westerterp KR. Exercise, energy expenditure and energy balance, as measured with doubly labelled water. Proc Nutr Soc. 2018; 77(1): 4–10. DOI: https://doi:10.1017/S0029665117001148
Müller MJ, Enderle J, Bosy-Westphal A. Changes in Energy Expenditure with Weight Gain and Weight Loss in Humans. Curr Obes Rep. 2016; 5(4): 413–23. DOI: https://doi:10.1007/s13679-016-0237-4
Cardel MI, Jastreboff AM, Kelly AS. Treatment of Adolescent Obesity in 2020. JAMA. 2019; 322(17): 1707-08. DOI: https://doi:10.1001/jama.2019.14725
Steele EM, Baraldi LG, Da Costa Louzada ML, Moubarac JC, Mozaffarian D, Monteiro CA. Ultra-processed foods and added sugars in the US diet: Evidence from a nationally representative cross-sectional study. BMJ Open. 2016; 6(3): 1–8. DOI: https://doi: 10.1136/bmjopen-2015-009892
Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: A report of the American College of Cardiology/American Heart Association Task Force On Practice Guidelines And The Obesity Society. J Am Coll Cardiol. 2014; 63(25): 2985–3023. DOI: https://doi.org/10.1016/j.jacc.2013.11.004
Hecksteden A, Faude O, Meyer T, Donath L. How to construct, conduct and analyze an exercise training study? Front Physiol. 2018; 9: 1–15. DOI: https://doi: 10.3389/fphys.2018.01007
Toral N, Slater B. Abordagem do modelo transteórico no comportamento alimentar. Cien Saude Colet. 2007; 12(6): 1641–50. DOI: https://doi.org/10.1590/S1413-81232007000600025
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Copyright (c) 2021 Fabiano Mendes de Oliveira, Déborah Cristina de Souza Marques, Andressa Alves Coelho, Marilene Ghiraldi de Souza Marques, Cynthia Gobbi Alves Araújo, Braulio Henrique Magnani Branco
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