Effects of the application of a prolonged combined intervention on body composition in adolescents with obesity

Durá-Travé, T. (Teodoro); Gallinas-Victoriano, F. (Fidel); Urretavizcaya-Martinez, M, (María); Ahmed-Mohamed, L. (Lotfi); Chueca-Guindulain, M.J. (María Jesús); Berrade-Zubiri, S. (Sara)

Authors:

Durá-Travé, T. (Teodoro)

Gallinas-Victoriano, F. (Fidel)

Urretavizcaya-Martinez, M, (María)

Ahmed-Mohamed, L. (Lotfi)

Chueca-Guindulain, M.J. (María Jesús)

Berrade-Zubiri, S. (Sara)

Keywords:

Fat free mass
Fat mass index
Multidisciplinary obesity treatment
Body composition
Waist circumference

Issue Date:

2020

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Citation:

Durá-Travé, T. (Teodoro); Gallinas-Victoriano, F. (Fidel); Urretavizcaya-Martinez, M, (María); et al. "Effects of the application of a prolonged combined intervention on body composition in adolescents with obesity". Nutrition Journal. 19 (49), 2020,

Abstract

Background: The aim of this study is to describe the effects of a prolonged dietary-behavioral-physical activity intervention (24 months) on body composition in a group of adolescents with obesity. Methods: Longitudinal study in 196 individuals with obesity (86 boys and 110 girls) aged 10.1–14.9 years that completed a prolonged combined intervention (24 months). Values for weight, height, skinfold thickness, waist circumference, BMI, body fat, fat mass index (FMI) and fat-free mass index (FFMI) were registered or calculated. A good response to treatment was reported when a BMI z-score reduction of greater than or equal to 0.5 units of the initial value occurred after 24 month of follow up. Results: A good response after 24 months of follow-up reached 58.2% (n = 114). In boys with obesity and BMI status improvement, weight z-score, BMI z-score, body fat, and FMI significantly decreased (p < 0.05). In girls with obesity and BMI status improvement, weight z-score, BMI z-score, waist circumference, waist z-score, body fat and FMI significantly decreased (p < 0.05). In both sexes the height and FFMI increased significantly (p < 0.05). The multiple logistic regression analysis showed that girls and younger age were associated with BMI status improvement; concurrently, the place of residence (urban or rural) and degree of obesity were not associated with BMI status improvement. Conclusion: The application of long-term combined strategies in the treatment of childhood obesity seems to be effective. As BMI decreases, a reduction in fat mass is also detected, with evident sexual dimorphism, in the absence of changes in fat-free mass and, consequently, in longitudinal growing.

URI:

https://hdl.handle.net/10171/66251

DOI:

10.1186/s12937-020-00570-8

Appears in Collections:

DA - CUN - Pediatría - Artículos de revista
DA - Medicina - Humanidades Biomédicas - Artículos de revista

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