Impact of a 'School-Based' Nutrition Intervention on Anthropometric Parameters and the Metabolic Syndrome in Spanish Adolescents

被引:12
作者
Campos Pastor, M. M. [1 ]
Serrano Pardo, M. D. [1 ]
Fernandez Soto, M. L. [1 ]
Luna del Castillo, J. D. [2 ]
Escobar-Jimenez, F. [1 ]
机构
[1] Univ Hosp San Cecilio, Endocrinol & Nutr Unit, Granada, Spain
[2] Univ Granada, Sch Med, Dept Biostat, Granada, Spain
关键词
Adolescents; Metabolic syndrome; Nutrition intervention; Obesity; Overweight; BODY-MASS INDEX; INSULIN-RESISTANCE; CHILDHOOD OBESITY; PREVENT OVERWEIGHT; SYNDROME PHENOTYPE; RISK-FACTORS; CHILDREN; PREVALENCE; SPAIN; FAT;
D O I
10.1159/000341495
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background/Aims: In adolescents, overweight and obesity are associated with an increased cardiovascular risk. The aim of this study was to determine the impact of a school-based nutritional education program (NEP) on lifestyle changes in Spanish adolescents. Methods: We selected 263 secondary school students (127 males) aged 12-16 years from Granada (Spain), who were followed up throughout 1 school year (2009-2010). At the beginning and end of the school year, data were gathered on the food consumption frequency, and anthropometric and biochemical profile. The NEP comprised a class on nutritional recommendations every 15 days, and administration of a daily breakfast of 275-350 kcal. Results: After the intervention, the prevalence of overweight and obesity decreased among both male and female students (p < 0.001) and there was also a global reduction in the prevalence of the metabolic syndrome (MS) from 32.2 to 19.7% (p < 0.001); in addition, body mass index was significantly decreased in normal weight, overweight and obesity groups (p = 0.001 and p = 0.02, respectively), and high-density-lipoprotein cholesterol and lean body mass was increased in all groups (p = 0.001). Conclusion: The NEP achieved a medium-term reduction in the prevalence of overweight and obesity and had a significant and positive effect on MS components in all groups. Copyright (C) 2012 S. Karger AG, Basel
引用
收藏
页码:281 / 288
页数:8
相关论文
共 43 条
[11]   Prevalence of a metabolic syndrome phenotype in adolescents - Findings from the Third National Health and Nutrition Examination Survey, 1988-1994 [J].
Cook, S ;
Weitzman, M ;
Auinger, P ;
Nguyen, M ;
Dietz, WH .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2003, 157 (08) :821-827
[12]   School-based interventions to prevent overweight and obesity in prepubertal children:: process and 4-years outcome evaluation of the Kiel Obesity Prevention Study (KOPS) [J].
Danielzik, Sandra ;
Pust, Svenja ;
Mueller, Manfred J. .
ACTA PAEDIATRICA, 2007, 96 :19-25
[13]   Prevalence and trends of a metabolic syndrome phenotype adolescents, 1999-2000 [J].
Duncan, GE ;
Li, SM ;
Zhou, XH .
DIABETES CARE, 2004, 27 (10) :2438-2443
[14]   School-based obesity treatment and prevention programs: all in all, just another brick in the wall? [J].
Durant, N. ;
Baskin, M. L. ;
Thomas, O. ;
Allison, D. B. .
INTERNATIONAL JOURNAL OF OBESITY, 2008, 32 (12) :1747-1751
[15]   Evaluation of two devices for self-measurement of blood pressure according to the international protocol: the Omron M5-I and the Omron 705IT [J].
El Assaad, MA ;
Topouchian, JA ;
Asmar, RG .
BLOOD PRESSURE MONITORING, 2003, 8 (03) :127-133
[16]   A policy-based school intervention to prevent overweight and obesity [J].
Foster, Gary D. ;
Sherman, Sandy ;
Borradaile, Kelley E. ;
Grundy, Karen M. ;
Veur, Stephanie S. Vander ;
Nachmani, Joan ;
Karpyn, Allison ;
Kumanyika, Shiriki ;
Shults, Justine .
PEDIATRICS, 2008, 121 (04) :E794-E802
[17]   Obesity in Spanish schoolchildren:: Relationship with lipid profile and insulin resistance [J].
Garcés, C ;
Gutierrez-Guisado, J ;
Benavente, M ;
Cano, B ;
Viturro, E ;
Ortega, H ;
de Oya, M .
OBESITY RESEARCH, 2005, 13 (06) :959-963
[18]   Longitudinal study on pubertal insulin resistance [J].
Goran, MI ;
Gower, BA .
DIABETES, 2001, 50 (11) :2444-2450
[19]   Childhood obesity and adult cardiovascular mortality: a 57-y follow-up study based on the Boyd Orr cohort [J].
Gunnell, DJ ;
Frankel, SJ ;
Nanchahal, K ;
Peters, TJ ;
Smith, GD .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1998, 67 (06) :1111-1118
[20]   Childhood Adiposity, Adult Adiposity, and Cardiovascular Risk Factors [J].
Juonala, Markus ;
Magnussen, Costan G. ;
Berenson, Gerald S. ;
Venn, Alison ;
Burns, Trudy L. ;
Sabin, Matthew A. ;
Srinivasan, Sathanur R. ;
Daniels, Stephen R. ;
Davis, Patricia H. ;
Chen, Wei ;
Sun, Cong ;
Cheung, Michael ;
Viikari, Jorma S. A. ;
Dwyer, Terence ;
Raitakari, Olli T. .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (20) :1876-1885