Efectos de un programa de crossfit adaptado combinado con asesoramiento nutricional en indicadores de adiposidad, fitness muscular y funcionalidad de jóvenes con discapacidad intelectual
Resumen
El objetivo de esta investigación fue determinar los efectos de un programa de entrenamiento combinado de CrossFit® adaptado y consejería nutricional en indicadores de adiposidad, fitness muscular y funcionalidad de adolescentes escolarizados con discapacidad intelectual. La muestra la conformaron (n=11) sujetos pertenecientes al nivel laboral de un centro educativo especial de Santiago de Chile. Se realizaron mediciones antropométricas de adiposidad, fuerza muscular y capacidad funcional antes y después de un programa de entrenamiento combinado de Crossfit® adaptado y consejería nutricional de 15 semanas. Se observaron cambios significativos en indicadores de adiposidad como el índice cintura-estatura (Δ% = -6,12), en la fuerza de caída en el salto con contramovimiento (Δ% = -18,34) y en las pruebas funcionales 5 repeticiones de levantarse y sentarse de una silla (Δ% = -8,16), Timed up and go (Δ% = -8,15), Salto con contramovimiento (Δ% = 15,36) y en la prueba de Agilidad 4 x 10 m (Δ% = -8,00). En conclusión, un programa de entrenamiento combinado de 15 semanas de CrossFit® adaptado y consejería nutricional tuvo efectos positivos en indicadores de adiposidad, fitness muscular y funcionalidad en una muestra de adolescentes escolarizados con discapacidad intelectual. Esta estrategia de intervención es segura y puede ser utilizada para promover la práctica de ejercicio físico y los estilos de vida saludables desde establecimientos educativos especiales.
Descargas
Citas
American College of Sports Medicine (Ed.). (2013). ACSM's health-related physical fitness assessment manual. Lippincott Williams & Wilkins.
Arias Téllez, M. J., Sánchez-Delgado, G., Martinez-Tellez, B., Ruiz Ruiz, J., & Soto, J. (2018). Validez del perímetro del cuello como marcador de adiposidad en niños, adolescentes y adultos: Una revisión sistemática. Nutrición Hospitalaria, 35, 707-721. https://doi.org/10.20960/nh.1582
Bishop, C., Turner, A., & Read, P. (2018). Effects of inter-limb asymmetries on physical and sports performance: a systematic review. Journal of Sports Sciences, 36(10), 1135–1144. https://doi.org/10.1080/02640414.2017.1361894
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
Castrillón, F. J. O., Torres-Luque, G., & de León, F. P. (2009). Efectos de un programa de entrenamiento de fuerza sobre la composición corporal y la fuerza máxima en jóvenes entrenados. Apunts Medicina de l’Esport, 44(164), 156–162. https://doi.org/10.1016/S1886-6581(09)70126-4
De Lima, T. R., Martins, P. C., Guerra, P. H., & Santos Silva, D. A. (2021). Muscular strength and cardiovascular risk factors in adults: a systematic review. The Physician and Sportsmedicine, 49(1), 18–30. https://doi.org/10.1080/00913847.2020.1796183
Deng, N., Soh, K. G., Abdullah, B. B., Huang, D., Xu, F., Bashir, M., & Zhang, D. (2024). Effects of plyometric training on health-related physical fitness in untrained participants: a systematic review and meta-analysis. Scientific Reports, 14(1), 1-14. https://doi.org/10.1038/s41598-024-61905-7
dos Santos Duarte Junior, M. A., López-Gil, J. F., Caporal, G. C., & Mello, J. B. (2022). Benefits, risks and possibilities of strength training in school Physical Education: a brief review. Sport Sciences for Health, 18, 1-10. https://doi.org/10.1007/s11332-021-00847-3
Faigenbaum, A. D., Bush, J. A., McLoone, R. P., Kreckel, M. C., Farrell, A., Ratamess, N. A., & Kang, J. (2015). Benefits of Strength and Skill-based Training During Primary School Physical Education. Journal of Strength and Conditioning Research, 29(5), 1255–1262. https://doi.org/10.1519/JSC.0000000000000812
Farías-Valenzuela, C., Arenas-Sánchez, G., Cofré-Bolados, C., Espinoza-Salinas, A., Alvarez-Arangua, S., & Espoz-Lazo, S. (2019). Pruebas dinamométricas y desempeño funcional en adolescentes con discapacidad intelectual moderada. Journal of Sport and Health Research, 11, 229-238.
Farías-Valenzuela, C., Cofré-Bolados, C., Ferrari, G., Espoz-Lazo, S., Arenas-Sánchez, G., Álvarez-Arangua, S., ... & Valdivia-Moral, P. (2021). Effects of motor-games-based concurrent training program on body composition indicators of chilean adults with down syndrome. Sustainability, 13(10), 1-12.https://doi.org/10.3390/su13105737
Farías-Valenzuela, C., Ferrari, G., Espoz-Lazo, S., Ferrero-Hernández, P., Jofré-Saldia, E., Álvarez-Arangua, S., Poblete-Aro, C., Godoy-Cumillaf, A., Cofre-Bolados, C., & Valdivia-Moral, P. (2022). Anthropometric Indicators of the Cardiometabolic Risk, Muscle Strength, and Functional Capacity of Schoolchildren with Intellectual Disabilities during Lockdown in Chile. Children, 9(9), 1-14. https://doi.org/10.3390/children9091315
Farías-Valenzuela, C., Ferrero-Hernández, P., Ferrari, G., Espoz-Lazo, S., Castillo-Paredes, A., Álvarez-Arangua, S., & Valdivia-Moral, P. (2022). Reference Values of Absolute and Relative Handgrip Strength in Chilean Schoolchildren with Intellectual Disabilities. Children, 9(12), 1-17. https://doi.org/10.3390/children9121912
Ferrari, G., Cofre Bolados, C., Suárez-Reyes, M., Farias Valenzuela, C., Drenowatz, C., Marques, A., & Pizarro, T. (2022). Association of physical activity, muscular strength, and obesity indicators with self-concept in Chilean children. Asociación de indicadores de actividad física, fuerza muscular y obesidad con el autoconcepto en niños chilenos. Nutricion Hospitalaria, 39(5), 1004–1011. https://doi.org/10.20960/nh.04061
Ferrero-Hernández, P., Farías-Valenzuela, C., Ferrari, G., Álvarez-Arangua, S., Villalobos-Flores, H., & Valdivia-Moral, P. (2023). Primary Validation of the Submandibular Skinfold as an Anthropometric Measurement of Cardiometabolic Risk in People with Intellectual Disabilities. International Journal of Environmental Research and Public Health, 20(3), 1-12. https://doi.org/10.3390/ijerph20031658
Ferrero-Hernández, P., Farías-Valenzuela, C., Ferrari, G., Espoz-Lazo, S., Álvarez-Arangua, S., & Valdivia-Moral, P. (2023). Cut-off points for isometric handgrip and low limb explosive strength in relation to indicators of overweight/obesity in people with intellectual disabilities: analysis by age groups. Journal of Intellectual Disability Research, 67(11), 1124–1135. https://doi.org/10.1111/jir.13069
Fuentes, J., Hidalgo, A., Duran, S., & Silva, P. (2018). Circunferencia de cuello como método de cribado de mal nutrición por exceso, en escolares y adolescentes chilenos. Revista Española Nutrición Comunitaria, 24(4), 1-8.
Gambelli, C. N., Theisen, D., Willems, P. A., & Schepens, B. (2016). Motor control of landing from a countermovement jump in simulated microgravity. Journal of Applied Physiology, 120(10), 1230–1240. https://doi.org/10.1152/japplphysiol.00993.2015
Garcia-Hermoso, A., Tordecilla-Sanders, A., Correa-Bautista, J. E., Peterson, M. D., Izquierdo, M., Quino-Ávila, A. C., Sandoval-Cuellar, C., González-Ruíz, K., & Ramírez-Vélez, R. (2020). Muscle strength cut-offs for the detection of metabolic syndrome in a nonrepresentative sample of collegiate students from Colombia. Journal of Sport and Health Science, 9(3), 283–290. https://doi.org/10.1016/j.jshs.2018.09.004
Garst, B. A., Bowers, E. P., & Stephens, L. E. (2020). A randomized study of CrossFit Kids for fostering fitness and academic outcomes in middle school students. Evaluation and Program Planning, 83, 1-48. https://doi.org/10.1016/j.evalprogplan.2020.101856
Granacher, U., Muehlbauer, T., & Gruber, M. (2012). A Qualitative Review of Balance and Strength Performance in Healthy Older Adults: Impact for Testing and Training. Journal of Aging Research, 2012, 1–16. https://doi.org/10.1155/2012/708905
Harris, L., Hankey, C., Jones, N., Pert, C., Murray, H., Tobin, J., Boyle, S., & Melville, C. (2017). A cluster randomised control trial of a multi-component weight management programme for adults with intellectual disabilities and obesity. The British Journal of Nutrition, 118(3), 229–240. https://doi.org/10.1017/S0007114517001933
Harris, L., Melville, C., Murray, H., & Hankey, C. (2018). The effects of multi-component weight management interventions on weight loss in adults with intellectual disabilities and obesity: A systematic review and meta-analysis of randomised controlled trials. Research in Developmental Disabilities, 72, 42–55. https://doi.org/10.1016/j.ridd.2017.10.021
Hassani, A., Kotzamanidou, M. C., Tsimaras, V., Lazaridis, S., Kotzamanidis, C., & Patikas, D. (2014). Differences in counter-movement jump between boys with and without intellectual disability. Research in Developmental Disabilities, 35(7), 1433–1438. https://doi.org/10.1016/j.ridd.2014.03.034
Heller, T., McCubbin, J. A., Drum, C., & Peterson, J. (2011). Physical activity and nutrition health promotion interventions: what is working for people with intellectual disabilities?. Intellectual and Developmental Disabilities, 49(1), 26–36. https://doi.org/10.1352/1934-9556-49.1.26
Hsieh, K. L., & Sosnoff, J. J. (2021). A Motor Learning Approach to Reducing Fall-Related Injuries. Journal of Motor Behavior, 53(5), 663–667. https://doi.org/10.1080/00222895.2020.1814195
Hoey, E., Staines, A., Walsh, D., Corby, D., Bowers, K., Belton, S., Meegan, S., McVeigh, T., McKeon, M., Trépel, D., Griffin, P., & Sweeney, M. R. (2017). An examination of the nutritional intake and anthropometric status of individuals with intellectual disabilities: Results from the SOPHIE study. Journal of Intellectual Disabilities, 21(4), 346–365. https://doi.org/10.1177/1744629516657946
Jacinto, M., Oliveira, R., Brito, J. P., Martins, A. D., Matos, R., & Ferreira, J. P. (2021). Prescription and Effects of Strength Training in Individuals with Intellectual Disability-A Systematic Review. Sports, 9(9), 1-16. https://doi.org/10.3390/sports9090125
Karatrantou, K., Xagorari, A., Vasilopoulou, T., & Gerodimos, V. (2020). Does the number of trials affect the reliability of handgrip strength measurement in individuals with intellectual disabilities?. Hand Surgery & Rehabilitation, 39(3), 223–228. https://doi.org/10.1016/j.hansur.2020.01.004
Kraemer, W. J., & Ratamess, N. A. (2004). Fundamentals of Resistance Training: Progression and Exercise Prescription. Medicine & Science in Sports & Exercise, 36(4), 674–688. https://doi.org/10.1249/01.MSS.0000121945.36635.61
Moreno González, M. I. (2010). Circunferencia de cintura: una medición importante y útil del riesgo cardiometabólico. Revista Chilena de Cardiología, 29(1), 85-87.
Najafi, F., Darbandi, M., Rezaeian, S., Hamzeh, B., Moradinazar, M., Shakiba, E., & Pasdar, Y. (2022). Relative Handgrip Strength and Incidence of Hypertension: A Case-Cohort Study From Ravansar Non-Communicable Diseases Cohort. Journal of Physical Activity and Health, 19(10), 666-672. https://doi.org/10.1123/jpah.2021-0774
Obrusnikova, I., Firkin, C. J., Cavalier, A. R., & Suminski, R. R. (2022). Effects of resistance training interventions on muscular strength in adults with intellectual disability: a systematic review and meta-analysis. Disability and Rehabilitation, 44(17), 4549–4562. https://doi.org/10.1080/09638288.2021.1910738
Pullen, B. J., Oliver, J. L., Lloyd, R. S., & Knight, C. J. (2020). The Effects of Strength and Conditioning in Physical Education on Athletic Motor Skill Competencies and Psychological Attributes of Secondary School Children: A Pilot Study. Sports, 8(10), 138. https://doi.org/10.3390/sports8100138
Ramírez, V., & Rosas, R. (2007). Estandarización del WISC-III en Chile: descripción del test, estructura factorial y consistencia interna de las escalas. Psykhe, 16(1), 91-109.
Real de Asua, D., Parra, P., Costa, R., Moldenhauer, F., & Suarez, C. (2014). A Cross-Sectional Study of the Phenotypes of Obesity and Insulin Resistance in Adults with Down Syndrome. Diabetes & Metabolism Journal, 38(6), 464-471. https://doi.org/10.4093/dmj.2014.38.6.464
Rimmer, J. H., & Yamaki, K. (2006). Obesity and intellectual disability. Mental Retardation and Developmental Disabilities Research Reviews, 12(1), 22–27. https://doi.org/10.1002/mrdd.20091
Rosas, R., Tenorio, M., Pizarro, M., Cumsille, P., Bosch, A., Arancibia, S., ... & Zapata-Sepúlveda, P. (2014). Estandarización de la Escala Wechsler de Inteligencia para Adultos: cuarta edición en Chile. Psykhe, 23(1), 1-18.
Sakalidis, K. E., Fadeeva, A., Hettinga, F. J., & Ling, F. C. M. (2023). The role of the social environment in inclusive sports participation-Identifying similarities and challenges in athletes with and without Intellectual Disabilities through coaches' eyes: A qualitative inquiry. PloS One, 18(1), 1-15. https://doi.org/10.1371/journal.pone.0280379
Salomon, C., Bellamy, J., Evans, E., Reid, R., Hsu, M., Teasdale, S., & Trollor, J. (2023). 'Get Healthy!' physical activity and healthy eating intervention for adults with intellectual disability: results from the feasibility pilot. Pilot and Feasibility Studies, 9(1), 1-17. https://doi.org/10.1186/s40814-023-01267-5
San Mauro, I., García de Angulo, B., Onrubia, J., Pina, D., Fortúnez, E., Villacorta, P., ... & Garicano Vilar, E. (2016). Nutrición y actividad física en personas con discapacidad intelectual. Revista Chilena de Nutrición, 43(3), 263-270. https://dx.doi.org/10.4067/S0717-75182016000300005
Soriano J. G. S., & Jiménez, D. V. (2024). Beneficios del Ejercicio Físico sobre la Autoeficacia y el Aprendizaje en Estudiantes: Revisión Sistemática y Metaanalítica. Journal of Sport and Health Research, 16(1), 39-52. https://doi.org/10.58727/jshr.96841
Senadis. (2015). II Estudio Nacional de Discapacidad. In II Estudio Nacional de la Discapacidad en Chile. www.senadis.cl
Sánchez-Silva, Á., & Lamoneda, P. J. (2023). Crossfit as physical education content at the secondary education stage in Andalusia. Education, Sport, Health and Physical Activity, 7(1), 121-135.
Skelly, L. J., Smyth, P. P., Donnelly, M. P., Leslie, J. C., Leader, G., Simpson, L., & McDowell, C. (2021). Factors that potentially influence successful weight loss for adults with intellectual disabilities: A qualitative comparison. Journal of Intellectual Disabilities, 5(4), 458–475. https://doi.org/10.1177/1744629520931681
Stojanović, N., Stupar, D., Marković, M., Trajković, N., Aleksić, D., Pašić, G., Koničanin, A., Zadražnik, M., & Stojanović, T. (2023). School-Based Circuit Training Intervention Improves Local Muscular Endurance in Primary School Students: A Randomized Controlled Trial. Children, 10(4), 1-18. https://doi.org/10.3390/children10040726
Suarez-Villadat, B., Sadarangani, K., Corredeira, R. M., Veiga, M., & Villagra, A. (2024). Swim, strength, or combined programs: Effect on health-related physical fitness in adolescents with Down syndrome. Adapted Physical Activity Quarterly. Advance online publication. https://doi.org/10.1123/apaq.2023-0170
Tejero-Gonzalez, C. M., Martinez-Gomez, D., Bayon-Serna, J., Izquierdo-Gomez, R., Castro-Piñero, J., & Veiga, O. L. (2013). Reliability of the ALPHA health-related fitness test battery in adolescents with Down syndrome. Journal of Strength and Conditioning Research, 27(11), 3221–3224. https://doi.org/10.1519/JSC.0b013e31828bed4e
Torres, V. G., Farias, C. V., Espoz, S. L., & Alvarez, S. A. (2019). Marcadores antropométricos de riesgo cardiovascular y diferentes manifestaciones de la fuerza en adolescentes y adultos chilenos con discapacidad intelectual moderada. Trances: Transmisión del Conocimiento Educativo y de la Salud, 11(3), 515-534.
VanZile, A.W., Reineke, D.M., Snyder, M.J., Jones, D.D., Dade, R., & Almonroeder, T.G. (2021). Establishing Normative Values for Inter-Limb Kinetic Symmetry During Landing in Uninjured Adolescent Athletes. International Journal of Sports Physical Therapy, 16, 1067 - 1075.
Walsh, M. S., Ford, K. R., Bangen, K. J., Myer, G. D., & Hewett, T. E. (2006). The validation of a portable force plate for measuring force-time data during jumping and landing tasks. Journal of Strength and Conditioning Research, 20(4), 730-734. https://doi.org/10.1519/R-18225.1
World Health Organization. (2011). World report on disability 2011. World Health Organization.
Yang, X., Ma, L., Zhao, X., & Kankanhalli, A. (2020). Factors influencing user's adherence to physical activity applications: A scoping literature review and future directions. International Journal of Medical Informatics, 134, 1-45. https://doi.org/10.1016/j.ijmedinf.2019.104039
Zhao, Y., Zhang, M., Liu, Y., Sun, H., Sun, X., Yin, Z., Li, H., Ren, Y., Liu, D., Liu, F., Chen, X., Liu, L., Cheng, C., Zhou, Q., & Hu, D. (2019). Adult height and risk of death from all-cause, cardiovascular, and cancer-specific disease: The Rural Chinese Cohort Study. Nutrition, Metabolism, and Cardiovascular Diseases, 29(12), 1299–1307. https://doi.org/10.1016/j.numecd.2019.05.067
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
© Servicio de Publicaciones, Universidad de Murcia, 2013
2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica.