Effect of increased physical activity on physical fitness in an overweight and/or obese group of adolescents

Authors

  • IM. Ruiz López
  • M. Martín-Matillas
  • M. Delgado-Fernández
  • E. Delgado-Rico
  • C. Campoy Folgoso
  • A. Verdejo-García
DOI: https://doi.org/10.6018/sportk.461551
Keywords: Physical Activity, Physical Fitness, Adolescents, Overweight, Obesity

Abstract

This study evaluated the effect of increased physical activity (PA) to achieve PA recommendations according to the World Health Organization for improving health in a group of 42 adolescents (28 girls) with overweight / obesity (BMI = 29.37 ± 4.5 Kg / m²). The 12 weeks treatment consisted in the prescription and follow-up of the PA guidelines divided in two phases: intensive (weekly follow-up) and extensive (fortnightly follow-up). PA level was assessed using the Physician-based Assessment and Counseling questionnaire and the Physical Fitness using upper body isometric strength test, lower body explosive strength test and cardiorespiratory fitness test, all from the ALPHA battery fitness tests. After treatment, a significant improvement was observed (p <0.05) in cardiorespiratory fitness. In conclusion, this study shows that increasing PA practice and meeting the weekly recommendations of 300 minutes of moderate-vigorous PA, the adolescents’ group improved their cardiorespiratory fitness.

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References

Aguilar, M. J., González, E., García, C. J., García, P. A., Álvarez, J., Padilla, C. A., . . . Ocete, E. (2011). Obesity in a school children population from Granada: assessment of the efficacy of an educational intervention. Nutrición Hospitalaria, 26(3), 636-641. doi:10.1590/S0212-16112011000300029

Aguilar, M. J., Oregón, A., Baena, L., Noack, P. J., Levet, M. C., & Sánchez, A. M. (2015). Efecto rebote de los programas de intervención para reducir el sobrepeso y la obesidad de niños y adolescentes; revisión sistemática. Nutrición Hospitalaria, 32(6), 2508-2517.

Aguilar, M. J., Ortegón, A., Mur, N., Sánchez, J. C., García, J. J., García, I., & Sánchez, A. M. (2014). Programas de actividad física para reducir sobrepeso y obesidad en niños y adolescentes; revisión sistemática. Nutrición Hospitalaria, 30(4), 727-740.

Ainsworth, B. E., Haskell, W. L., Herrmann, S. D., Meckes, N., Basset JR., D. R., Tudor-Locke, C., . . . Leon, A. (2011). 2011 Compendium of PA: a second update of codes and met values. Medice & Science in Sports & Exercise, 43(8), 1575–1581.

Ainsworth, B. E., Willian, L., Haskell, Whitt, M. C., Irwin, M. L., Swartz, A. M., . . . Leon, S. L. (2000). Compendium of Physical Activities: an update of activity codes and MET intensities. Medicine & Science in Sports & Exercise, 32(9), S498–S516.

Alberga, A. S., Prud'homme, D., Sigal, R. J., Goldfield, G. S., Hadjiyannakis, S., Phillips, P., . . . Kenny, G. P. (2016). Effects of aerobic training, resistance training, or both on cardiorespiratory and musculoskeletal fitness in adolescents with obesity: the HEARTY trial. Appl Physiol Nutr Metab, 41(3), 255-265. doi:10.1139/apnm-2015-0413

Alberga, A. S., Sigal, R. J., Goldfield, G., Prud'homme, D., & Kenny, G. P. (2012). Overweight and obese teenagers: why is adolescence a critical period? Pediatr Obes, 7(4), 261-273. doi:10.1111/j.2047-6310.2011.00046.x

Ardoy, D. N., Fernández, J. M., Ruiz, J. R., Chillón, P., España, V., Castillo, F. M., & Ortega, F. B. (2011). Improving Physical Fitness in Adolescents Through a School-Based Intervention: the EDUFIT Study. Revista Española de Cardiología, 64(6), 484–491.

Bonsergent, E., Agrinier, N., Thilly, N., Tessier, S., Legrand, K., Lecomte, E., . . . Group, P. T. (2013). Overweight and obesity prevention for adolescents: a cluster randomized controlled trial in a school setting. Am J Prev Med, 44(1), 30-39. doi:10.1016/j.amepre.2012.09.055

Brown, T., Kelly, S., & Summerbell, C. (2007). Prevention of obesity: a review of intervention. Obesity, 8(1), 127-130.

Brown, T., & Summerbell, C. (2009). Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update (actualización) to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obesity, 10, 110-141.

Castillo, I., & Balaguer, I. (2002). Actividad física, ejercicio físico y deporte en la adolescencia temprana. In I. Balaguer (Ed.), Estilos de vida en la adolescencia (pp. 37-64). Valencia.

Castro-Pinero, J., Padilla-Moledo, C., Ortega, F. B., Moliner-Urdiales, D., Keating, X., & Ruiz, J. R. (2012). Cardiorespiratory fitness and fatness are associated with health complaints and health risk behaviors in youth. J Phys Act Health, 9(5), 642-649.

Cole, T. J., Bellizi, M. C., Flegal, K. F., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. Bmj.

Cuenca-Garcia, M., Ortega, F. B., Ruiz, J. R., González-Gross, M., Labayen, I., Jago, R., . . . group, H. s. (2012). Combined influence of healthy diet and active lifestyle on cardiovascular disease risk factors in adolescents. Scand J Med Sci Sports, 24(3), 553-562. doi:10.1111/sms.12022

DeBar, L.L., Stevens, V.J., Perrin, N., Wu, P., Pearson, J., Yarborough, B.J., Dickerson, J., Lynch, F., (2012). Pediatrics 129(3), e611-20.

de Miguel-Etayo, P., Moreno, L. A., Iglesia, I., Bel-Serrat, S., Mouratidou, T., & Garagorri, J. M. (2013). Body composition changes during interventions to treat overweight and obesity in children and adolescents; a descriptive review. Nutr Hosp, 28(1), 52-62. doi:10.3305/nh.2013.28.1.6264

Delgado-Rico, E., Rio-Valle, J. S., Gonzalez-Jimenez, E., Campoy, C., & Verdejo-Garcia, A. (2012). BMI predicts emotion-driven impulsivity and cognitive inflexibility in adolescents with excess weight. Obesity (Silver Spring), 20(8), 1604-1610. doi:10.1038/oby.2012.47

Dos Santos, E., Gonçalves, E. M., Morcillo, A. M., Guerra-Júnior, G., & Amancio, O. M. (2015). Effects of programmed physical activity on body composition in post-pubertal schoolchildren. J Pediatr (Rio J), 91(2), 122-129. doi:10.1016/j.jped.2014.06.004

Evans, R. K., Franco, R. L., Stern, M., Wickham, E. P., Bryan, D. L., Herrick, J. E., . . . Laver, J. H. (2009). Evaluation of a 6-month multi-disciplinary healthy weight management program targeting urban, overweight adolescents: effects on physical fitness, physical activity, and blood lipid profiles. Int J Pediatr Obes, 4(3), 130-133. doi:10.1080/17477160802314997

Fernández, J. A., & Hoyos, L. A. (2015). Perspectiva actual de la promoción de actividad física para la salud en niños y adolescentes en el contexto escolar. Revisión. Lúdica pedagógica, 22(2015-11), 85-99.

Gao, Z., Novick, M., Muller, M.D., Williams, R.J., Spilk, S., Leuenberger, U.A., Sinoway, L.I., (2013). Exercise and diet-induced weight loss attenuates oxidative stress related-coronary vasoconstriction in obese adolescents. Eur J Appl Physiol 113(2), 519-28.

García, A., Burgueño, R., López, D., & Ortega, F. B. (2013). Condición física, adiposidad y autoconcepto en adolescentes. Estudio piloto. Revista de Psicología del Deporte, 22, 453-461.

Ghatrehsamani, S., Khavarian, N., Beizaei, M., Ramedan, R., Poursafa, P., & Kelishadi, R. (2010). Effect of different physical activity training methods on overweight adolescents. ARYA Atheroscler, 6(2), 45-49.

Graf, C., Beneke, R., Bloch, W., Bucksch, J., Dordel, S., Eiser, S., . . . Woll, A. (2014). Recommendations for promoting physical activity for children and adolescents in Germany. A consensus statement. Obes Facts, 7(3), 178-190. doi:10.1159/000362485

Lee, Y. H., Song, Y. W., Kim, H. S., Lee, S. Y., Jeong, H. S., Suh, S. H., . . . Hong, Y. M. (2010). The efects of an exercise program on antropometric, metabolic, and cardiovascular parameters in obese children. The Korean Society of Cardiology, 40, 179-184.

Leppänen, M. H., Nyström, C. D., Henriksson, P., Pomeroy, J., Ruiz, J. R., Ortega, F. B., . . . Löf, M. (2016). Physical activity intensity, sedentary behavior, body composition and physical fitness in 4-year-old children: results from the minister trial. International Journal of Obesity, 38, S144-S151. doi:10.1038/ijo.2016.54

Lopez, L., Audisio, Y., & Berra, S. (2010). Effectiveness of population-based interventions on the prevention of overweight in children and adolescents. Med Clin (Barc), 135(10), 462-469. doi:10.1016/j.medcli.2009.06.010

Lèger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci, 6(2), 93-101. doi:10.1080/02640418808729800

López, G. F., López, J. N., & Diaz, A. (2016). Efectos de un programa de actividad física intensa en la composición corporal de adolescentes murcianos. Revista Euroamericana de Ciencias del Deporte, 5(2), 83-88.

Martin-Matillas, M., Ortega, F. B., Ruiz, J. R., Martinez-Gomez, D., Vicente-Rodriguez, G., Marcos, A., . . . Helena Study, G. (2012). Active relatives and health-related physical fitness in European adolescents: the HELENA Study. J Sports Sci, 30(13), 1329-1335. doi:10.1080/02640414.2012.710758

Martínez, A., Mayorga, D., & Viviana, J. (2016). Relación de los niveles de actividad física con el género y el perfil de riesgo cardiovascular en adolescentes granadinos. Implicaciones didácticas para la educación física. Revista de currículum y formación del profesorado, 20(1).

Martínez, D., Welk, G. J., Calle, M. E., Marcos, A., Veiga, O. L., & Group, t. A. S. (2009). Preliminary evidence of physical activity levels measured by accelerometer in Spanish adolescents; The AFINOS Study. Nutrición Hospitalaria, 24(2), 226-232.

Martínez Vizcaíno, V., Salcedo Aguilar, F., Franquelo Gutiérrez, R., Solera Martínez, M., , Sánchez López, M., López García, E., and Rodríguez Artalejo, F., (2008). Assessment of an after-school physical activity program to prevent obesity among 9- to 10-year-old children: a cluster randomized trial. International Journal of Obesity, 32, 12-22.

Martínez, Vizcaíno, V., & Sánchez- López, M. (2008). Relación entre actividad física y condición física en niños y adolescentes. Revista Española de Cardiología, 61(02), 108-111.

Martínez-Gómez, D., Gómez-Martínez, S., Puertollano, M. A., Nova, E., Wärnberg, J., Veiga, O. L., . . . group, E. S. (2009). Design and evaluation of a treatment programme for Spanish adolescents with overweight and obesity. The EVASYON study. BMC Public Health 9 (414).

Mayorga-Vega, D., Merino-Marban, R., & Rodríguez-Fernández, E. (2013). Relación entre la capacidad cardiorrespiratoria y el rendimiento en los test de condición física relacionada con la salud incluidos en la batería ALPHA en niños de 10-12 años. Cultura, Ciencia y Deporte, 8, 41-47.

Menor, M. J., Aguilar, M. J., Mur, N., & Santana, C. (2017). Efectividad de las intervenciones educativas para la atención de la salud. Revisión sistemática. Medisur, 15(1).

Morales, P.F., Sánchez-López, M., Moya-Martínez, P., García-Prieto, J.C., Martínez-Andrés, M., García, N.L., Martínez-Vizcaíno, V., (2013). Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study. Qual Life Res, 22 (7), 1515-23.

Moreno, L. A., & Gracia-Marco, L. (2012). [Obesity prevention from physical activity: from theoretical discourse to practice]. An Pediatr (Barc), 77(2), 136.e131-136. doi:10.1016/j.anpedi.2012.04.011

Moreno, L. A., Mesana, M. I., Gonzalez-Gross, M., Gil, C. M., Fleta, J., Warnberg, J., . . . Bueno, M. (2006). Anthropometric body fat composition reference values in Spanish adolescents. The AVENA Study. Eur J Clin Nutr, 60(2), 191-196. doi:10.1038/sj.ejcn.1602285

Nakagawa, S., & Cuthill, I. C. (2007). Effect size, confidence interval and statistical significance: a practical guide for biologists. Biol Rev Camb Philos Soc, 82(4), 591-605. doi:10.1111/j.1469-185X.2007.00027.x

OECD. (2012). Health at a Glance: Europe 2012: OECD Publishing.

Ortega, F. B., Artero, E. G., Ruiz, J. R., Espana-Romero, V., Jimenez-Pavon, D., Vicente-Rodriguez, G., . . . study, H. (2011). Physical fitness levels among European adolescents: the HELENA study. Br J Sports Med, 45(1), 20-29. doi:10.1136/bjsm.2009.062679

Ortega, F.B., Labayen, I., Ruiz, J.R., Kurvinen, E., Loit, H.M., Harro, J., Veidebaum, T., & Sjöström, M. (2011). Improvements in fitness reduce the risk of becoming overweight across puberty. Med Sci Sport Exerc, 43(10), 1891-7

Ortega, F. B., Ruiz, J. R., & Castillo, M. J. (2013). Physical activity, physical fitness, and overweight in children and adolescents: evidence from epidemiologic studies. Endocrinología y Nutrición, 60(8), 458-469. doi:10.1016/j.endonu.2012.10.006

Ortega, F. B., Ruiz, J. R., Castillo, M. J., Moreno, L. A., González-Gross, M., Warnberg, J., . . . Group, A. (2005). Low level of physical fitness in spanish adolescents. Relevance for future cardiovascular health (Avena study). Rev Esp Cardiol (Engl Ed), 58(8), 898-909. doi:10.1016/s1885-5857(06)60372-1

Ortega, F. B., Ruiz, J. R., Castillo, M. J., & Sjöström, M. (2008). Physical fitness in childhood and adolescence: a powerful marker of health. International Journal Obesity (Lond), 32(1), 1-11. doi:10.1038/sj.ijo.0803774

Ortega, F. B., Ruiz, J. R., Hurtig, A., & Sjöström, M. (2008). Physically active adolescents are more likely to have a healthier cardiovascular fitness level independently of their adiposity status. The European youth heart study. Revista Española de Cardiología, 61(2)(2), 123-129.

Ortega, F. B., Sanchez-Lopez, M., Solera-Martinez, M., Fernandez-Sanchez, A., Sjostrom, M., & Martinez-Vizcaino, V. (2013). Self-reported and measured cardiorespiratory fitness similarly predict cardiovascular disease risk in young adults. Scand J Med Sci Sports, 23(6), 749-757. doi:10.1111/j.1600-0838.2012.01454.x

OMS (2014). Informe sobre la situación mundial de las enfermedades no transmisibles. OMS.

OMS (2016). Recuperado de http://www.who.int/mediacentre/factsheets/fs311/es/

Pastor, J. C., Gil, P., Tortosa, M., & Martínez, J. (2012). Efectos de un programa de actividad física extracurricular en niños de primer ciclo de ESO con sobrepeso y obesidad. Revista de Psicología del Deporte, 21, 379-385.

Patrick, K., Norman GJ, Calfas KJ, et al. Diet, Physical Activity, and Sedentary Behaviors as Risk Factors for Overweight in Adolescence. Arch Pediatr Adolesc Med. 2004;158(4):385-390

Poitras, V. J., Gray, C. E., Borghese, M. M., Carson, V., Chaput, J. P., Cansen, I., . . . Tremblay, M. S. (2016). Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied Physiology, Nutrition, and Metabolism, 41, S197-S239.

Prochaska, J. J., Sallis, J. F., & Long, B. (2001). A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med, 155(5), 554-559.

Rajmil, L., Bel, J., Clofent, R., Cabezas, C., Castell, C., & Espallargues, M. (2016). Intervenciones clínicas en sobrepeso y obesidad: revisión sistemática de la literatura 2009- 2014. Anales de pediatría.

Ramos, P., Jiménez, A., Rivera, F., & Moreno, C. (2016). Evolución de la práctica de la actividad física en los adolescentes españoles. Revista Internacional de Medicina y Ciencias de la Actividad Física y el Deporte, 16(62).

Roberts, C. K., Izadpanah, A., Angadi, S. S., & Barnard, R. J. (2013). Effects of an intensive short-term diet and exercise intervention: comparison between normal-weight and obese children. Am J Physiol Regul Integr Comp Physiol, 305(5), R552-557. doi:10.1152/ajpregu.00131.2013

Rocha Silva, D., Martín-Matillas, M., Carbonell-Baeza, A., Aparicio, V. A., & Delgado-Fernández, M. (2014). Efectos de los programas de intervención enfocados al tratamiento del sobrepeso/obesidad infantil adolescente. Revista Andaluza de Medicina del Deporte, 7(1), 33-43.

Ruiz, J.R., Castro-Pinero, J., Artero, E.G., Ortega, F.B., Sjöström, M., Suni, J., Castillo, M.J. (2009). Predective validity of health-related fitness in youth: a systematic review. Br J Sports Med, 43(12), 909-23.

Ruiz, J. R., España, V., Castro, J., Artego, E. G., Ortega, F. B., & Cuenca, M. (2011). Manual de instrucciones batería ALPHA-Fitness. Nutrición Hospitalaria, 26(6).

Ruiz, J. R., Rizzo, N. S., Hurtig, A., Ortega, F. B., Warnberg, J., & Sjöström, M. (2006). Relations of total physical activity and intensity to fitness and fatness in children: the European Youth Heart Study. The American Journal of Clinical Nutrition, 84(2), 299-303.

Siwik, V., Kutob, R., Ritenbaugh, C., Cruz, L., Senf, J., Aickin, M., . . . Shatte, A. (2013). Intervention in overweight children improves body mass index (BMI) and physical activity. J Am Board Fam Med, 26(2), 126-137. doi:10.3122/jabfm.2013.02.120118

Summerbell, C. D., Waters, E., Edmunds, L. D., Kelly, S., Brown, T., & Campbell, K. J. (2005). Interventions for preventing obesity in children. Cochrane Database Syst Rev(3), Cd001871. doi:10.1002/14651858.CD001871.pub2

Tremblay, M. S., Carson, V., Chaput, J. P., Connor Gorber, S., Dinh, T., Duggan, M., . . . Zehr, L. (2016). Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. Appl Physiol Nutr Metab, 41(6 Suppl 3), S311-327. doi:10.1139/apnm-2016-0151

Vanhelst, J., Fardy, P. S., Béghin, L., Bui-Xuan, G., & Mikulovic, J. (2015). Strategies in intervention programmes for obese youth: implication of the age and the type of physical activities. Clin Physiol Funct Imaging, 35(1), 17-20. doi:10.1111/cpf.12112

Vasques, C., Magalhaes, P., Cortinhas, A., Mota, P., Leitao, J., & Lopes, V. P. (2014). Effects of intervention programs on child and adolescent BMI: A meta-analysis study. J Phys Act Health, 11(2), 426-444. doi:10.1123/jpah.2012-0035

Verloigne, M., Van Lippevelde, W., Maes, L., Yildirim, M., Chinapaw, M., Manios, Y., . . . De Bourdeaudhuij, I. (2012). Levels of physical activity and sedentary time among 10- t0 12-year-old boys and girls across % European countries using accelerometers: an observational study within the ENERGY-project. International Journal of Behavioral Nutrition and Physical Activity, 9(34).

Waters, E., de Silva-Sanigorski, A., Hall, B. J., Brown, T., Campbell, K. J., Gao, Y., . . . Summerbell, C. D. (2011). Interventions for preventing obesity in children. Cochrane Database Syst Rev(12), CD001871. doi:10.1002/14651858.CD001871.pub3

WHO. (2010). Global recommendations on physical activity for health. https://www.who.int/publications/i/item/9789241599979

Published
01-01-2021
How to Cite
Ruiz López, I., Martín-Matillas, M., Delgado-Fernández, M., Delgado-Rico, E., Campoy Folgoso, C., & Verdejo-García, A. (2021). Effect of increased physical activity on physical fitness in an overweight and/or obese group of adolescents. SPORT TK-EuroAmerican Journal of Sport Sciences, 10(1), 17–28. https://doi.org/10.6018/sportk.461551
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