Effectiveness of interdisciplinary therapy on metabolic syndrome predictors in overweight adolescents

Authors

DOI:

https://doi.org/10.33448/rsd-v12i9.43253

Keywords:

Adolescent; Intervention studies; Obesity.

Abstract

Overweight is an important public health problem which needs an interdisciplinar treatment, mainly in adolescence, because of its complexity. Therefore, this study aimed to analyze the effects of interdisciplinary interventions on associated variables of the metabolic syndrome in overweight adolescentes. The age range selected to participate in the Study Group on Physical Education, Physiotherapy, Sports, Nutrition, and Performance was between 10 and 19 years who achieved the criteria. The adolescents received dietary and psychological guidance as well as instructions for physical exercise, for 12 weeks, and the data were collected before and after the intervention: waist circumference, blood pressure and laboratory tests (fasting blood glucose, triglycerides and lipid profile). Twenty-six adolescents completed the 12 weeks of intervention. After the intervention, a significantly reduced levels of glucose was showed (p = 0.004). Despite of non-statistically significant of the other variables were observed, it is possible to note that the average values of body weight, BMI, waist circumference, and triglycerides decreased after the intervention. Although, HDL cholesterol showed a slight increase. It is meaningful that 01 (3.86%) adolescent had overweight, 17 (65.38%) were obese and 8 (30.76%) were classified as severely obese. It was also observed that blood glucose levels showed a significant reduction after the intervention in all 3 groups, with the obese group showing the greatest decrease (p < 0.05). Thus, it was observed that interdisciplinary interventions positively impacted the indicators contributing to the development of metabolic syndrome.

References

ABESO. (2023). O que é Síndrome Metabólica? Associação Brasileira para o Estudo da Obesidade e Síndrome Metabólica. (ABESO). https://abeso.org.br/conceitos/obesidade-e-sindrome- -metabolica/

Assunção, T. S., Barroso, R. R. F., Fidelis, I.C. & Aquino, R. (2021). Necessidades energéticas e consumo alimentar de adolescentes do interior baiano. Research, Society And Development. 10(14), 373101422275. http://dx.doi.org/10.33448/rsd-v10i14.22275.

Barros, C. R. (2012). Implementação de programa estruturado de hábitos de vida saudáveis para redução de risco cardiometabólico. Arq Bras Endocrinol Metab. 1(57), 7-18.

Bianchini, J. A. A., da Silva, D. F., Dada, R.P., Lopera, C.A., Mcneil, J. & Junior, N. N. (2017). Improvements in self-reported and parent-proxy perceptions of adolescents’ health-related quality of life following a multidisciplinary obesity treatment program. Sport Sciences for Health. 13(1), 131-7. http://dx.doi.org/10.1007/s11332-016-0341-6.

Branco, B. H., Valladares, D., de Oliveira, F. M., Carvalho, I. Z., Marques, D.C., Coelho, A. A., de Oliveira, L.P. & Bertolini, S. M, (2019). 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. Frontiers in Physiology, 10, 1-11. https://doi.org/10.3389/fphys.2019.01013.

Branco, B. H., Carvalho, I. Z., Oliveira, H. G., Fanhani, A. P., Machado dos Santos, M. C, Oliveira, L. P.; Boni, S. M. & Nardo, N. J.. (2020). Effects of 2 Types of Resistance Training Models on Obese Adolescents' Body Composition, Cardiometabolic Risk, and Physical Fitness. Journal of Strength and Conditioning Research 34(9), 2672-2682. 10.1519/JSC.0000000000002877

Brasil. (2011) Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: Norma Técnica do Sistema de Vigilância Alimentar e Nutricional – SISVAN. Brasília: Ministério da Saúde. 76 p.: il. – (Série G. Estatística e Informação em Saúde).

Castro-Barquero, S., Ruiz-León, A. M., Sierra-Pérez, M., Estruch, R., & Casas, R. (2020). Dietary Strategies for Metabolic Syndrome: A Comprehensive Review. Nutrients, 12(10), 2983. https://doi.org/10.3390/nu12102983

Costa, L., Rubio, K. L., Lopes, S. M, Tanouye, A. T., Bertolini, S. M., & Branco, B. M. (2019). Effects of 12 weeks of interdisciplinary interventions on behavioral and eating parameters of adolescents with overweight or obesity. Journal of Human Growth and Development, 29(2), 177-186. https://dx.doi.org/10.7322/jhgd.v29.9417

Cruz, D.S. M. (2017). Vivência de adolescentes com diabetes mellitus tipo 1 na perspectiva da ética da alteridade. 112 f. Tese (Doutorado) - Curso de Enfermagem, Universidade Federal da Paraíba, João Pessoa.

DeBoer M. D. (2019). Assessing and Managing the Metabolic Syndrome in Children and Adolescents. Nutrients, 11(8), 1788. https://doi.org/10.3390/nu11081788

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa [Recurso eletrônico]. (3a ed.). Artes Médicas.

Faludi, A. A., Izar, M. C., Saraiva J. F., Chacra A. P, Bianco, H. T., Afiune Neto A et al. (2017) Atualização da Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose. Arq Bras Cardiol; 109(2Supl.1):1-76

Ferreira, Y.A., Kravchychyn, A.C., Vicente, S.D., Campos, R.M., Tock, L., Oyama, L.M., Boldarine, V.T., Masquio, D.C., Thivel, D.& Shivappa, N.. (2019) An Interdisciplinary Weight Loss Program Improves Body Composition and Metabolic Profile in Adolescents With Obesity: Associations With the Dietary Inflammatory Index. Front. Nutr., 6, 77. https://doi.org/10.3389/fnut.2019.00077

Fisberg, M., Maximino, P., Kain, J., & Kovalskys, I. (2016). Obesogenic environment – intervention opportunities. Jornal De Pediatria, 92(3), 30–39. https://doi.org/10.1016/j.jped.2016.02.007.

Girondoli, Y. M. (2023). Síndrome Metabólica: Orientações em Saúde. https://prodi.ifes.edu.br/images/stories/S%C3%ADndrome_Metabólica.pdf.

Guevara-Cruz, M., Flores-López, A. G., Aguilar-López, M., Sánchez-Tapia, M., Medina-Vera, I., Díaz, D., Tovar, A. R., & Torres, N. (2019). Improvement of Lipoprotein Profile and Metabolic Endotoxemia by a Lifestyle Intervention That Modifies the Gut Microbiota in Subjects With Metabolic Syndrome. Journal of the American Heart Association, 8(17), e012401. https://doi.org/10.1161/JAHA.119.012401

International Diabetes Federation (2007). The IDF consensus definition of the Metabolic Syndrome in children and adolescents [Internet]. WHO. https://www.idf.org/webdata/ docs/IDF_Meta_def_final.pdf

Kebbe, M., Damanhoury, S., Browne, N., Dyson, M. P., McHugh, T. F., & Ball, G. D. C. (2017). Barriers to and enablers of healthy lifestyle behaviours in adolescents with obesity: a scoping review and stakeholder consultation. Obesity reviews: an official journal of the International Association for the Study of Obesity, 18(12), 1439–1453. https://doi.org/10.1111/obr.12602

Kuschnir, M.C., Bloch K.V., Szklo, M., Klein, C.H., Barufaldi, L. A. & Abreu, G. A. (2016). ERICA: prevalence of metabolic syndrome in Brazilian adolescents. Rev. Saúde Pública [internet]. 50:11s. https://doi.org/10.1590/S01518-8787.2016050006701

Laningan J. (2018). Prevention of overweight and obesity in early life. Proceedings of the Nutrition Society. 77(3), 247-256. https://doi.org/10.1017/S0029665118000411.

Lee, Y. S., Kim, J. W., Osborne, O., Oh, D. Y., Sasik, R., Schenk, S., Chen, A., Chung, H., Murphy, A., Watkins, S. M., Quehenberger, O., Johnson, R. S., & Olefsky, J. M. (2014). Increased adipocyte O2 consumption triggers HIF-1α, causing inflammation and insulin resistance in obesity. Cell, 157(6), 1339–1352. https://doi.org/10.1016/j.cell.2014.05.012.

Ministério da Saúde (2018) Proteger de Cuidar da Saúde de Adolescentes na Atenção Básica. (2. ed.). Brasília - DF: Secretaria de Atenção A Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/proteger_cuidar_adolescentes_atencao_basica_2ed.pdf.

Moraes, B. R. & Weinmann, A. O. (2020). Notas sobre a história da adolescência. Estilos da Clinica, [S.L.]. 25(2), 280-296. Universidade de São Paulo, Agencia USP de Gestão da Informação Acadêmica (AGUIA). http://dx.doi.org/10.11606/issn.1981-1624.v25i2p280-296.

Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO Growth Reference for School-aged Children and Adolescents. Bulletin of the World Health Organization, 85(9), 660–667. https://doi.org/10.2471/blt.07.043497

Paiva, M. H. P. de. Miranda Filho, V. A., Oliveira, A. R. S. de., Cruz, K. J. C., Araújo, R. M. S. de., & Oliveira, K. A.. (2023). Prevalence of metabolic syndrome and its componentes in Brazilian adolescentes: a systematic review and meta-analysis. Revista Paulista de pediatria, 41, e2021145. https://doi.org/10.1590/1984-0462/2023/41/2021145

Ribeiro, D. L, Silva, C. M. B & Barroso, M. C. (2021). Impactos da Síndrome Metabólica na Adolescência e na Puberdade: Revisão da Literatura. Revista Ciência e Estudos Acadêmicos de Medicina, Cáceres, 92-109´. https://periodicos.unemat.br/index.php/revistamedicina/article/view/5369/431

Shin, J., Syme, C., Wang, D., Richer, L., Pike, G. B., Gaudet, D., Paus, T., & Pausova, Z. (2019). Novel Genetic Locus of Visceral Fat and Systemic Inflammation. The Journal of clinical endocrinology and metabolism, 104(9), 3735–3742. https://doi.org/10.1210/jc.2018-02656

Silva, D. F., BianchinI, J. A., Antonini, V. D., Barrero, C. L., Carolina, I. D. & Nardo Junior, N. (2015) Efeitos de um programa multiprofissional de tratamento da obesidade sobre o hábito e a frequência alimentar em adolescentes: diferenças entre sexos. Conscientiae Saúde, [S.L.]. 14(2), 246-256, Universidade Nove de Julho. http://dx.doi.org/10.5585/conssaude.v14n2.5380.

Silva, R. P., Vergara, C. M., Sampaio, H. A. de C., Vasconcelos Filho, J. E., Strozberg, F., Ferreira Neto, J. F.., Mafra, M. L, Garcia Filho, C. & Carioca, A.A. (2022). Sistema de vigilância Alimentar e Nutricional: tendência temporal da cobertura e estado nutricional de adultos registrados, 2008-2019. Epidemiologia e Serviços de Saúde, 31(1).

Sistema de Vigilância Alimentar e Nutricional. (2022) SUS diagnosticou sobrepeso e obesidade em quase 1,4 milhão de adolescentes: hábitos saudáveis de vida podem ser estabelecidos nessa fase para permanecer na idade adulta. Brasil: Ministério da Saúde, Secretaria de Vigilância em Saúde.

Spolidoro, J. V. (2011) Importância da Circunferência Abdominal na Triagem de Síndrome Metabólica em Crianças e Adolescentes de uma Coorte em Veranópolis, RS, Brasil. 152 f. Tese (Doutorado) - Curso de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre.

Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., Blair, S. N. & Church, T. S. (2016). Effects ofclinically significant weight loss with exercise training on insulin resistance and cardiometabolic adaptations. The Obesity Society, 24(4), 812-819. https://onlinelibrary.wiley.com/doi/epdf/10.1002/oby.21404.

Timóteo, A. T. (2018) Dieta em doentes com síndrome metabólica: qual a composição ideal de macronutrientes?. Revista Portuguesa de Cardiologia, [S.L.]. 37(12), 1001-1006. Elsevier BV. http://dx.doi.org/10.1016/j.repc.2017.11.013. https://www.revportcardiol.org/pt-dieta-em-doentes-com-sindrome-articulo-S087025511730834X.

Universidade Federal do Rio Grande do Sul (2022). Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. TelessaúdeRS (TelessaúdeRS-UFRGS). Telecondutas: obesidade. https://www.ufrgs.br/telessauders/materiais-teleconduta/.

Published

17/09/2023

How to Cite

CARVALHO, I. Z. .; ANDREOTTI, K. F. .; DEFENDI, A. M. .; SILVA , B. F. .; BENNEMANN, R. M. . Effectiveness of interdisciplinary therapy on metabolic syndrome predictors in overweight adolescents. Research, Society and Development, [S. l.], v. 12, n. 9, p. e8312943253, 2023. DOI: 10.33448/rsd-v12i9.43253. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43253. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences