Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial

Déborah Cristina de Souza Marques, Lilian Rosana dos Santos Moraes, Marilene Ghiraldi de Souza Marques, Joed Jacinto Ryal, Isabella Caroline Santos, Marielle Priscila De Paula Silva Lalucci, Jorge Mota, Pablo Valdés-Badilla, Greice Westphal Nardo () and Braulio Henrique Magnani Branco
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Déborah Cristina de Souza Marques: Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil
Lilian Rosana dos Santos Moraes: Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil
Marilene Ghiraldi de Souza Marques: Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil
Joed Jacinto Ryal: Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil
Isabella Caroline Santos: Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Maringá 87050-390, Brazil
Marielle Priscila De Paula Silva Lalucci: Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil
Jorge Mota: Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal
Pablo Valdés-Badilla: Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Católica del Maule, Talca 3530000, Chile
Greice Westphal Nardo: Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Católica del Maule, Talca 3530000, Chile
Braulio Henrique Magnani Branco: Postgraduate Program in Health Promotion, Cesumar University, Maringá 87050-390, Brazil

IJERPH, 2023, vol. 20, issue 20, 1-18

Abstract: Adolescence is a complex period of human development in which young people are susceptible to unhealthy behaviors, such as physical inactivity and an unbalanced diet. This study aimed to analyze the effects of 12 weeks of multi-disciplinary family and individual intervention on cardiometabolic risk parameters in overweight and obese adolescents and compare sub-groups, considering possible differences between sexes (males vs. females vs. intervention approach). Forty-three adolescents (13.73 ± 2.46 years old) of both sexes were divided into two groups: family group (FG) ( n = 21; 14.24 ± 2.61 years old) and individual group (IG) ( n = 22; 13.23 ± 2.27 years old). The following parameters were evaluated: anthropometry (body weight, height, waist circumference (WC), hip circumference (HC), abdominal circumference (AC), calculation of body mass index (BMI), and waist–hip ratio (WHR)), body composition (fat mass (FM), lean mass (LM), fat-free mass (FFM), skeletal muscle mass (SMM), body fat percentage (BF), and visceral fat), biochemical measures (fasting glucose, triglycerides (TG), total cholesterol (TC), low-density lipoproteins (LDL-c), and high-density lipoproteins (HDL-c)), and the measurement of systolic and diastolic blood pressure (SBP and DBP) before and after the interventions. The multi-disciplinary interventions occurred for 12 weeks (three days a week lasting 1 h and 30 min, in which 30 min were dedicated to theoretical interventions (nutrition: nutritional education and psychology: psychoeducation) and 1 h to physical exercises. A time effect was observed for LM, FFM, SMM, FM, and HDL-c, with higher values after intervention and a significant decrease for FM, BF, visceral fat, fasting glucose, TG, TC, LDL-c, and DBP ( p < 0.05). However, no group, sub-group, or interaction effects were observed when comparing FG, IG, or sexes ( p > 0.05). The responses of the present study show that both multi-disciplinary approaches (family and individual) promoted improvement in the body composition indicators, biochemical markers, and DBP of overweight and obese adolescents independently of the intervention group. Given this finding, health professionals, families, and adolescents could choose the type of intervention based on their preferences.

Keywords: multi-professional team; health promotion; adolescent health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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