The feasibility of a home-based moderate-intensity physical activity intervention in obese children and adolescents

Conwell, L.S., Trost, S.G., Spence, L., Brown, W.J., & Batch, J.A. (2010) The feasibility of a home-based moderate-intensity physical activity intervention in obese children and adolescents. British Journal of Sports Medicine, 44(4), pp. 250-255.

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Abstract

Objective

To explore the feasibility of conducting a 10-week home-based physical activity (PA) programme and evaluate the changes in insulin sensitivity (S I) commensurate with the programme in obese young people.

Design

Open-labelled intervention.

Setting

Home-based intervention with clinical assessments at a tertiary paediatric hospital.

Subjects

18 obese (body mass index (BMI)>International Obesity Task Force age and sex-specifi c cut-offs) children and adolescents (8-18 years, 11 girls/7 boys) were recruited. 15 participants (nine girls/six boys, mean±SE age 11.8±0.6 years, BMI-SD scores (BMI-SDS) 3.5±0.1, six prepubertal/nine pubertal) completed the intervention.

Intervention

The programme comprised biweekly home visits over 10 weeks with personalised plans implemented aiming to increase moderate-intensity PA. Pedometers and PA diaries were used as self-monitoring tools. The goals were to (1) teach participants behavioural skills related to adopting and maintaining an active lifestyle and (2) increase daily participation in PA.

Outcome measures

Mean steps/day were assessed. SI assessed by the frequently sampled intravenous glucose tolerance test and other components of the insulin resistance syndrome were measured.

Results

Mean steps/day increased significantly from 10 363±927 (baseline) to 13 013±1131 (week 10) (p<0.05). S I was also significantly increased, despite no change in BMI-SDS, and remained so after an additional 10-week follow-up.

Conclusions

The results suggest that such a homebased PA programme is feasible. S I improved without changes in BMI-SDS. More rigorous evaluations of such programmes are warranted.

Impact and interest:

8 citations in Scopus
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9 citations in Web of Science®

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ID Code: 72199
Item Type: Journal Article
Refereed: Yes
Additional Information: Cited By (since 1996):7
Export Date: 12 May 2014
Source: Scopus
CODEN: BJSMD
Additional URLs:
DOI: 10.1136/bjsm.2008.046359
ISSN: 0306-3674
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Deposited On: 29 May 2014 01:22
Last Modified: 30 May 2014 03:48

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