Artículos científicos

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Browsing Artículos científicos by Subject "Adolescent health"

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    Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial
    (2023-10-20) de Souza Marques, Déborah Cristina; dos Santos Moraes, Lilian Rosana; de Souza Marques, Marilene Ghiraldi; Ryal, Joed Jacinto; Santos, Isabella Caroline; Silva Lalucci, Marielle Priscila De Paula; Mota, Jorge; Valdés-Badilla, Pablo; Nardo, Greice Westphal; Magnani Branco, Braulio Henrique
    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.
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    Interrelationship among body mass index, body composition, and biochemical profiles of overweight adolescents in south of Brazil: A cross-sectional study.
    (2023-03-23) de Paula Silva Lalucci, Marielle Priscila; de Souza Marques, Déborah Cristina; Caroline Santos, Isabella; Zirondi Caitano, Jéssica; Ferrari Silva, Bruno; Valdés-Badilla, Pablo; Magnani Branco, Braulio Henrique
    Introduction: Obesity in adolescence is associated with severe health complications. Objective: To analyze possible associations among body mass index (BMI), body composition, and biochemical profiles of overweight or obese adolescents. Methods: The study was carried out between 2017 and 2020 and included 132 adolescents aged 10 to 18 years. The following variables were analyzed: BMI, fat-free mass (FFM), body fat mass (BFM), skeletal muscle mass (SMM), body fat percentage (%BF), waist-to-hip ratio (WHR), lean mass index (LMI), fat mass index (FMI), and fat-to-lean mass ratio (FMR), as well as total cholesterol (TC), high-density lipoprotein (HDL-c), low-density lipoprotein (LDL-c) and glutamic-oxaloacetic transaminase (TGO). Statistical analyses were performed using SPSS® version 20.0, considering p<0.05 as significant. Results: Higher values were identified for height, LBM, FFM, and SMM in the male group. On the other hand, higher values were identified for the %BF and FMI in the female group. The female, male, and general groups showed significant correlations between BMI and FMR (r = 0.69, 0.74, and 0.69, respectively), BMI and FFM (r = 0.44, 0.67, and 0.49, respectively), BMI and SMM (r = 0.44, 0.68, and 0.50, respectively), and BMI and %BF (r = 0.40, 0.54, and 0.47, respectively). In the general group, BMI and HDL levels were correlated (r = −0.18; p=0.04). The BFM and WHR showed a predictive effect for TC; WHR and %BF showed a predictive effect for LDL concentrations, and %BF had a predictive effect for TGO (p<0.05). Conclusions: It was possible to verify that BMI, body composition, and biochemical measures show an interrelationship between them, such as with a worsening of anthropometric and body composition indicators associated with worst biochemical parameters, e.g., lower HDL-c and higher TC, LDL-c, and TGO. Thus, public policies are indispensable for combating obesity and related comorbidities in the early phases of life.