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Effect of a multicomponent intervention in components of metabolic syndrome: a study with overweight/obese low-income school-aged children

  • Caroline BrandEmail author
  • Rodrigo Antunes Lima
  • Taís Feitosa Silva
  • Dafne Souto Macêdo
  • Jorge Mota
  • Lars Bo Andersen
  • Clarice Maria de Lucena Martins
  • Anelise Reis Gaya
Original Article
  • 3 Downloads

Abstract

Purpose

Obesity is a multifactorial disease and it is related to the occurrence of metabolic syndrome and nonalcoholic fatty liver disease (NAFDL) in youth. This study aimed to investigate the effects of a 12-week multicomponent intervention program in markers of metabolic syndrome and NAFLD in Brazilian overweight/obese low-income school-aged children.

Methods

This quasi-experimental study comprised overweight/obese school-aged children, aged 7–13 years. The participants were assigned to intervention (n = 17) or control group (n = 18). The multicomponent intervention was developed during 12 weeks, consisting of exercise sessions (twice/week; 1 h), nutritional education sessions (once/month), and parental support (twice/week). The following variables were evaluated: anthropometric measures (height, body weight, waist circumference, percentage of body fat); biochemical assays (total cholesterol (TC), triglycerides-TG, high-density lipoprotein-HDL, glucose, aspartate aminotransferase-AST, alanine aminotransferase-ALT), cardiorespiratory fitness, and maturational stage. A cardiovascular disease (CVD) composite z-scores (percentage of body fat, glucose, AST, ALT, TG, and TC/HDL ratio) was also calculated. General linear models were used for data analysis.

Results

Compared to the control group, intervention group participants decreased percentage of body fat (Δ − 0.97; p < 0.001), glucose levels (Δ − 0.15; p = 0.005), ALT (Δ − 2.84; p = 0.021), TC/HDL ratio (Δ − 0.93; p < 0.001), CVD composite score (Δ − 0.97; p < 0.001), and total food intake (Δ − 131.44; p = 0.03), while there was no differences between groups on waist circumference, AST, triglycerides, and CRF.

Conclusion

A 12-week multicomponent intervention was effective on decreasing some metabolic syndrome parameters in overweight/obese school-aged children.

Keywords

Metabolic risk factors Health Youth 

Abbreviations

MetS

Metabolic syndrome

TG

Triglycerides

HDL-C

High-density lipoprotein cholesterol

LDL-C

Low-density lipoprotein cholesterol

CVD

Cardiovascular disease

NAFLD

Nonalcoholic Fatty Liver Disease

AST

Aspartate aminotransferase

ALT

Alanine aminotransferase

BMI

Body mass index

PE

Physical education

HR

Heart rate

PA

Physical activity

%BF

Percentage of body fat

CRF

Cardiorespiratory fitness

IG

Intervention group

CG

Control group

Notes

Acknowledgements

This work was supported by the “National Council for Scientific and Technological Development” (ID: 477893/2013-9), Coordination for the Improvement of Higher Education Personnel (CAPES) and Foundation for science and technology: SFRH/BSAB/142983/2018 and UID/DTP/00617/2019.

Compliance with ethical standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Ethics and Research Committee of the Health Sciences Center of the Federal University of Paraíba-number 0390/14) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2019

Authors and Affiliations

  • Caroline Brand
    • 1
    Email author
  • Rodrigo Antunes Lima
    • 2
  • Taís Feitosa Silva
    • 3
  • Dafne Souto Macêdo
    • 3
  • Jorge Mota
    • 4
  • Lars Bo Andersen
    • 5
  • Clarice Maria de Lucena Martins
    • 6
  • Anelise Reis Gaya
    • 1
  1. 1.Project Esporte Brasil (PROESP-Br), School of Physical Education, Physiotherapy and DanceFederal University of Rio Grande do SulPorto AlegreBrazil
  2. 2.Institute of Sport ScienceUniversity of GrazGrazAustria
  3. 3.Federal University of Paraiba, Health Science CentreJoão PessoaBrazil
  4. 4.Research Center on Physical Activity, Health and Leisure, Faculty of SportUniversity of PortoPortoPortugal
  5. 5.Faculty of Education, Arts and SportWestern Norway University of Applied SciencesSogndalNorway
  6. 6.Research Center on Physical Activity, Health and LeisureFederal University of ParaibaJoão PessoaBrazil

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