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Promoting healthy lifestyle behaviours in youth: Findings from a novel intervention for children at risk of cardiovascular disease.
Ybarra, Marina; Danieles, Prince Kevin; Barnett, Tracie A; Mathieu, Marie-Ève; Van Hulst, Andraea; Drouin, Olivier; Kakinami, Lisa; Bigras, Jean-Luc; Henderson, Mélanie.
Afiliación
  • Ybarra M; Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
  • Danieles PK; Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
  • Barnett TA; Department of Mathematics and Statistics, Concordia University, Montreal, Quebec, Canada.
  • Mathieu MÈ; Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
  • Van Hulst A; Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
  • Drouin O; Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
  • Kakinami L; School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.
  • Bigras JL; Ingram School of Nursing, McGill University, Montreal, Quebec, Canada.
  • Henderson M; Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
Paediatr Child Health ; 26(8): 478-485, 2021 Dec.
Article en En | MEDLINE | ID: mdl-34992701
ABSTRACT

OBJECTIVES:

Obesity is the most prevalent risk factor for cardiovascular disease (CVD) in children. We developed a 2-year lifestyle intervention for youth at risk of CVD. We assessed changes in body mass index z-scores (zBMI) and key cardiometabolic risk factors, physical fitness, and capacity among those who completed the program.

METHODS:

The CIRCUIT program is a multidisciplinary lifestyle intervention for children aged 4 to 18 years at risk of CVD, based on a personalized plan to improve cardiometabolic outcomes by increasing physical activity and reducing sedentary behaviours. Both at baseline and 2-year follow-up, we measured zBMI, blood pressure z-scores (zBP), adiposity (%body and %trunk fat), fasting blood glucose and lipid profile, aerobic (VO2max) and anaerobic (5×5 m shuttle run test) fitness, and physical capacity indicators. Differences between baseline and follow-up were examined using paired t-tests (for age-sex standardized outcomes) and multivariable mixed effect models, adjusted for age and sex (for other outcomes).

RESULTS:

Among the 106 participants (53 males) who completed the 2-year program, mean age at baseline was 10.9 years (SD=3.2). After 2 years, zBMI and diastolic zBP decreased by 0.30SD (95% CI -0.44; -0.16) and 0.43SD (95% CI -0.65; -0.23), respectively. Participants improved %body and %trunk fat, lipid profile, aerobic and anaerobic fitness levels, and physical capacity (p<0.02). No changes in systolic zBP nor in fasting plasma glucose were observed.

CONCLUSION:

Our findings showed improved zBMI, cardiometabolic outcomes, physical fitness, and capacity among children at risk of CVD, suggesting that CIRCUIT is a promising intervention.
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Texto completo: 1 Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Año: 2021 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Año: 2021 Tipo del documento: Article