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Combined high-intensity interval training as an obesity-management strategy for adolescents

dc.contributor.authorVideira-Silva, Antonio
dc.contributor.authorHetherington-Rauth, Megan
dc.contributor.authorSardinha, Luís B.
dc.contributor.authorFonseca, Helena
dc.date.accessioned2021-12-09T15:18:21Z
dc.date.available2021-12-09T15:18:21Z
dc.date.issued2021
dc.description© 2021 European College of Sport Science.pt_PT
dc.description.abstractEffective and safe exercise protocols for obesity management in adolescents are imperative. This study aimed to analyse compliance, efficacy, and safety of combined high-intensity interval training circuit (HIIT) in the management of obesity (including overweight) in adolescents, compared to traditional training (TT). Data from 55 adolescents (47.3% girls) (TT n = 31; HIIT n = 24), aged 12-18 (mean age of 14.3 ± 1.7), with overweight and obesity (median BMI z-score of 2.95), were assessed at baseline and month 6 (Clinicaltrials.gov/NCT02941770). During the 6-month intervention, participants in both exercise groups attended two exercise sessions/week (60 min/session) along with a set of appointments with a paediatrician, nutritionist, and exercise physiologist. Forty-six participants completed the intervention (TT n = 23; HIIT n = 23). Exercise session attendance (≥80%) was significantly higher among HIIT participants (73.9 vs. 13.0%, p < .001). HIIT, but not TT, showed a significant decrease in BMI z-score (d = 0.40, p < .001), body fat mass (BFM, %) (d = 0.41, p = .001), and trunk fat mass (d = 0.56, p < .001), as well as a significant increase in muscle mass (MM, %) (d = 0.28, p = .001) between baseline and 6 months. According to generalized estimating equations, time-by-attendance interactions (instead of time-by group) were found in BMI z-score (β = 0.25, 95%CI: 0.17, 0.33), BFM (β = 2.29, 95%CI: 1.02, 3.56), trunk fat mass (β = 2.94, 95%CI: 1.70, 4.18), and MM (β = -1.16, 95%CI: -1.87, -0.45). No adverse events were reported during HIIT sessions. Although compliance may mediate the impact of an exercise protocol on health-related outcomes, HIIT showed to be safe, with higher compliance compared to TT, which may result in improved outcomes overtime.pt_PT
dc.description.sponsorshipThis work was supported by Fundação para a Ciência e a Tecnologia [grant number SFRH/BD/130193/2017].pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Sport Sci. 2021 Nov 12:1-12pt_PT
dc.identifier.doi10.1080/17461391.2021.1995508pt_PT
dc.identifier.eissn1536-7290
dc.identifier.issn1746-1391
dc.identifier.urihttp://hdl.handle.net/10451/50312
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.relationThe effect of a physical activity consultation in the management of adolescent overweight, including anthropometry, physical activity levels, cardiorespiratory fitness, and endothelial health
dc.relation.publisherversionhttps://www.tandfonline.com/toc/tejs20/currentpt_PT
dc.subjectAdolescentspt_PT
dc.subjectCompliancept_PT
dc.subjectEnjoymentpt_PT
dc.subjectHigh-intensity interval trainingpt_PT
dc.subjectSafetypt_PT
dc.subjectWeight-managementpt_PT
dc.titleCombined high-intensity interval training as an obesity-management strategy for adolescentspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleThe effect of a physical activity consultation in the management of adolescent overweight, including anthropometry, physical activity levels, cardiorespiratory fitness, and endothelial health
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/SFRH%2FBD%2F130193%2F2017/PT
oaire.citation.endPage12pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleEuropean Journal of Sport Sciencept_PT
oaire.fundingStreamOE
person.familyNameVideira Silva
person.familyNameHetherington-Rauth
person.familyNameSardinha
person.familyNameFonseca
person.givenNameAntonio
person.givenNameMegan
person.givenNameLuis
person.givenNameHelena
person.identifier.ciencia-idDD12-3E66-20BB
person.identifier.ciencia-idA510-BFE6-B87A
person.identifier.ciencia-idA812-2D8E-1BC9
person.identifier.ciencia-id3F17-A0D4-D0C6
person.identifier.orcid0000-0002-8209-1676
person.identifier.orcid0000-0003-1825-8010
person.identifier.orcid0000-0002-6230-6027
person.identifier.orcid0000-0003-0565-1403
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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