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.
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.
Home-based intervention with clinical assessments at a tertiary paediatric hospital.
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.
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.
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.
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.
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.
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|Item Type:||Journal Article|
|Additional Information:||Cited By (since 1996):7
Export Date: 12 May 2014
|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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