Impact of readiness to change behavior on the effects of a multidisciplinary intervention in obese Brazilian children and adolescents

被引:12
作者
da Silva, Danilo Fernandes [1 ]
Alves Bianchini, Josiane Aparecida [1 ]
Lopera, Carlos Andres [1 ]
Capelato, Daniele Aparecida [1 ]
Hintze, Luzia Jaeger [1 ]
Sanchez Nardo, Claudia Christina [2 ]
Ferraro, Zachary M. [3 ,4 ]
Nardo Junior, Nelson [1 ]
机构
[1] Univ Estadual Maringa, Multiprofess Nucleus Obes Study, Dept Phys Educ, BR-87020 Maringa, Parana, Brazil
[2] Univ Estadual Maringa, Multiprofess Nucleus Obes Study, Cognit Bahavioral Therapy, Maringa, Parana, Brazil
[3] Childrens Hosp Eastern Ontario, Hlth Act Living & Obes HALO Res Grp, Ottawa, ON K1H 8L1, Canada
[4] Ottawa Hosp, Div Maternal Fetal Med, Ottawa, ON, Canada
关键词
Behavior; Adolescent; Obesity; Physical Activity; SHUTTLE RUN TEST; WEIGHT CONTROL; TRANSTHEORETICAL MODEL; THERAPY; STAGE;
D O I
10.1016/j.appet.2014.12.221
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
The obesity epidemic is a global challenge that requires evidence-based intervention to slow the emergence of weight-related illness in children and adolescents. Thus, effective treatments are urgently needed. This study aimed to analyze whether there is relationship between the initial stage of readiness for behavior change (SRBC) and the results obtained through participation in a multidisciplinary program of obesity treatment (MPOT). The study included 113 overweight or obese children and adolescents who participated in an intervention for 16 weeks, in which the categorical variable was the SRBC. The dependent variables included: anthropometric measures of body composition, hemodynamic parameters (e.g., blood pressure values), and health-related physical fitness. Although stages 1 and 2 had greater improvements in flexibility than those in stage 5, and stage 1 had greater percentage changes in abdominal strength than those in stage 5, children and adolescents in the highest stage had greater percentage changes for anthropometric, hemodynamic and cardiorespiratory fitness, suggesting an impact of the stage of change on the effects of a MPOT. This study suggests that SRBC plays a role in obesity treatment in Brazilian children and adolescents and warrants consideration when enrolling patients to intervention. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:229 / 235
页数:7
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