Can 12 weeks improve the standard feeding of obese adolescents?

12 SEMANAS SÃO CAPAZES DE MELHORAR PADRÕES ALIMENTARES?

Authors

  • Rosilene Oliveira
  • Déborah Marques Mestre
  • Mariana Jordão Dias
  • Maria Carolina Rossetto
  • Andressa Zanato
  • Braulio Branco

DOI:

https://doi.org/10.12873/444aparecida

Keywords:

Adolescents, Eating habits, Obesity

Abstract

Introduction: Being a complex stage of individual development, adolescence provides the experience of challenging situations as the young person develops autonomy, independence, and own behavioral habits while progressing to adulthood. Thus, obesity in this period configures an essential and growing public health problem and progressively demands greater diligence in clarifying the particularities that allow its triggering and perpetuation to obtain adequate understanding that enables the optimization of health promotion strategies that provide quality of life to these adolescents. Objective: This study aimed to analyze whether 12 weeks of multi-professional interventions improved the dietary patterns of obese adolescents. Materials and Methods: This is a pre-experimental and interventional study carried out in an academic institution in the accommodations pertinent to the Interdisciplinary Laboratory of Intervention in Health Promotion. Forty-three adolescents (male = 20 and female = 23) who were overweight were evaluated in the pre- and post-intervention multi-professional moments. The 24-hour food recall (24hR) was applied to collect information on dietary patterns; subsequently, the results were subdivided according to the level of food processing. The 12-week multi-professional program included nutritional interventions (1x/week), psychological interventions (1x/week) and physical exercises (2x/week). Data were expressed as mean and standard deviation. A paired test was applied to compare the pre- and post-intervention moments, assuming a significance level of 5%. Results: With the present research, it was possible to determine the potential progress of improvements in dietary patterns of obese adolescents, submitted to intervention over 12 weeks, indicating an increase in grams and kcals in the consumption of fresh foods and a reduction of kcals of processed and ultra-processed foods. Conclusions: Based on the results, it was found that when assessing the level of food processing, it was possible to verify a change in the eating habits of adolescents with obesity.

References

World Health Organization (WHO), editor. OBESITY and overweight [Internet]. Geneva (CH): WHO; 2024 March.

Instituto Brasileiro de Geografia e Estatística (IBGE). TABELA de composição de alimentos. 4th ed. Rio de Janeiro (BR): IBGE; 2016.

Ruiter EL, Molleman GR, Fransen GA, Wagenaar M, Velden KV, Engles RC. A set of pedagogical recommendations for improving the integrated approach to childhood overweight and obesity: A Delphi study. PLoS ONE [Internet]. 2020 Apr 27;15(4): e 0231245.

Costa CS, Rauber F, Leffa PS, Sangalli CN, Campagnolo PD, Vitolo MR. Ultra-processed food consumption and its effects on anthropometric and glucose profile: A longitudinal study during childhood. Nutr Metab Cardiovasc Dis. 2019 Feb;29(2):177-184.

Costa CS, Assunção MC, Mola CL, Cardoso JS, Matijasevich A, Barros AJ, et al. Role of ultra-processed food in fat mass index between 6 and 11 years of age: a cohort study. Int J Epidemiol. 2021 Mar 3;50(1):256-265.

Aragão AP, Lyra A, Almeida CC, Almeida CA, Campanholi DR, Solé D, et al. Obesidade na infância e adolescência: manual de orientação [Internet]. 3ª edição revisada e ampliada. São Paulo: Sociedade Brasileira de Pediatria, Departamento Científico de Nutrologia, editor. Sociedade Brasileira de Pediatria (SBP); 2019 July, 236.

Godinho AS, Gonçalves NH, Aguiar FS, Silva RF, Bauman JM, Bauman CD. Principais fatores relacionados à obesidade infantil na atualidade. RENEF. 2019 Jan 21; 29(13):27–39.

Leffa PS, Hoffman DJ, Rauber F, Sangalli CN, Valmórbida JL, Vitolo MR. Longitudinal associations between ultra-processed foods and blood lipids in childhood. Br J Nutr. 2020 Aug 14;124(3):341-348.

Marques DC, Ferreira WC, Santos IC, Ryal JJ, Marques MG, Oliveira FM, et al. Impacts of a multi-professional family versus isolated intervention on food level processing in overweight adolescents: a randomized trial. Nutrients. 2023 Feb 13;15(4):935-946.

Monteles LN, Santos KO, Gomes KJ, Pacheco MT, Gonçalves KM. The impact of consumption of ultra-processed foods on the nutritional status of adolescents. Rev Chil Nutr. 2019 Aug;46(4):429-435.

Neri D, Steele EM, Khandpur N, Cediel G, Zapata ME, Rauber F, et al. Ultra-processed food consumption and dietary nutrient profiles associated with obesity: A multicountry study of children and adolescents. Obes Rev. 2022 Jan;23 Suppl 1: e13387.

Marques DC, Moraes LR, Marques MG, Ryal JJ, Santos IS, Lalucci MP, et al. Effects of 12 weeks of family and individual multi-disciplinary intervention in overweight and obese adolescents under cardiometabolic risk parameters: A clinical trial. Int J Environ Res Public Health. 2023 Oct 20;20(20):6954.

Magalhães HH, Porte LH. The perception of childhood educators about food and nutrition education. Ciênc Educ. Bauru. 2019 Apr 25;25(1):131-144.

Magalhães QV, Cavalcante JL. Educação alimentar e nutricional como intervenção em hábitos saudáveis no ambiente escolar. SANARE - Revista de Políticas Públicas. 2019 May 31;18(1):59-67.

Rigamonti AE, Tringali G, Micheli R, Col AD, Tamini S, Saezza A, et al. Impact of a Three-Week in-Hospital Multidisciplinary Body Weight Reduction Program on Body Composition, Muscle Performance and Fatigue in a Pediatric Obese Population with or without Metabolic Syndrome. Nutrients. 2020 Jan 13;12(1):208.

Branco BH, Valladares D, Oliveira FM, Carvalho IZ, Marques DC, Coelho AA, et al. Effects of the Order of Physical Exercises on Body Composition, Physical Fitness, and Cardiometabolic Risk in Adolescents Participating in an Interdisciplinary Program Focusing on the Treatment of Obesity. Front Physiol. 2019 Aug 6;10:1013.

Cardel MI, Jastreboff AM, Kelly AS. Treatment of Adolescent Obesity in 2020. JAMA. 2019 Nov;322(17):1707-1708.

Thomas JR, Nelson JK, Silverman SJ. Research Methods in Physical Activity. 6th ed. São Paulo: Artmed; 2012. p. 478.

Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Champaign (IL): Human Kinetics; 1988. p. 177.

World Health Organization. El estado físico: uso e interpretación de la antropometría [Internet]. Geneva: WHO; 2007.

Instituto Brasileiro de Geografia e Estatística (IBGE). Tabela de composição de alimentos. 4th ed. Rio de Janeiro: IBGE; 1996. p. 137.

Malta MB, Papini SJ, Corrente JE. Avaliação da alimentação de idosos de município paulista: aplicação do Índice de Alimentação Saudável [Internet]. Ciência & Saúde Coletiva. 2013 Feb;18(2):377-384.

Nardo JN, Bianchini JA, Silva DF, Ferraro ZM, Lopera CA, Antonini VD. Building a response criterion for pediatric multidisciplinary obesity intervention success based on combined benefits. Eur J Pediatr. 2018 Jun;177(6):1-12.

Steele EM, Juul F, Neri D, Rauber F, Monteiro CA. Dietary share of ultra-processed foods and metabolic syndrome in the US adult population. Prev Med. 2019 Aug; 125:40-48.

Lane MM, Davis JA, Beattie S, Gómez DC, Loughman A, O'Neil A, et al. Ultra-processed food and chronic noncommunicable diseases: A systematic review and meta-analysis of 43 observational studies. Obes Rev. 2021 Mar;22(3): e13146.

Lopes AE, Araújo LF, Levy RB, Barreto SM, Giatti L. Association between consumption of ultra-processed foods and serum C-reactive protein levels: cross-sectional results from the ELSA-Brasil study. São Paulo Med J. 2019 Jul 15;137(2):169-76.

Costa CS, Del-Ponte B, Assunção MC, Santos IS. Consumption of ultra-processed foods and body fat during childhood and adolescence: A systematic review. Public Health Nutr. 2018 Jan;21(1):148-159.

Costa L, Rubio KL, Lopes SM, Tanouye AT, Bertolini SM, Branco BH. Effects of 12 weeks of interdisciplinary interventions on behavioral and eating parameters of adolescents with overweight or obesity. J Hum Growth Dev. 2019 Nov 05;23(2):177-186.

Cardel MI, Atkinson MA, Taveras EM, Holm J, Kelly AS. Obesity treatment among adolescents: A review of current evidence and future directions. JAMA Pediatr. 2020 Jun 1;174(6):609-617.

Oliveira FM, Marques DC, Coelho AA, Marques MG, Araújo CG, Branco BH. Effects of a multiprofessional approach on anthropometric variables and food profile of overweight or obese adolescents. J Hum Growth Dev. 2021 Aug 03;31(2):257-266.

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Published

2024-11-25

How to Cite

Aparecida de Oliveira, R., Marques, D., Jordão Dias, M., Bobig Rossetto, M. C., Weyer Zanato, A. B., & Magnani Branco, B. H. (2024). Can 12 weeks improve the standard feeding of obese adolescents? 12 SEMANAS SÃO CAPAZES DE MELHORAR PADRÕES ALIMENTARES?. Nutrición Clínica Y Dietética Hospitalaria, 44(4). https://doi.org/10.12873/444aparecida

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