Promoting healthy lifestyle behaviours in youth: Findings from a novel intervention for children at risk of cardiovascular disease.

Fitness Healthy lifestyle Intervention Obesity Paediatrics Physical activity

Journal

Paediatrics & child health
ISSN: 1205-7088
Titre abrégé: Paediatr Child Health
Pays: England
ID NLM: 9815960

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 02 10 2020
accepted: 07 05 2021
entrez: 7 1 2022
pubmed: 8 1 2022
medline: 8 1 2022
Statut: epublish

Résumé

Obesity is the most prevalent risk factor for cardiovascular disease (CVD) in children. We developed a 2-year lifestyle intervention for youth at risk of CVD. We assessed changes in body mass index z-scores (zBMI) and key cardiometabolic risk factors, physical fitness, and capacity among those who completed the program. The CIRCUIT program is a multidisciplinary lifestyle intervention for children aged 4 to 18 years at risk of CVD, based on a personalized plan to improve cardiometabolic outcomes by increasing physical activity and reducing sedentary behaviours. Both at baseline and 2-year follow-up, we measured zBMI, blood pressure z-scores (zBP), adiposity (%body and %trunk fat), fasting blood glucose and lipid profile, aerobic (VO Among the 106 participants (53 males) who completed the 2-year program, mean age at baseline was 10.9 years (SD=3.2). After 2 years, zBMI and diastolic zBP decreased by 0.30SD (95% CI: -0.44; -0.16) and 0.43SD (95% CI: -0.65; -0.23), respectively. Participants improved %body and %trunk fat, lipid profile, aerobic and anaerobic fitness levels, and physical capacity (p<0.02). No changes in systolic zBP nor in fasting plasma glucose were observed. Our findings showed improved zBMI, cardiometabolic outcomes, physical fitness, and capacity among children at risk of CVD, suggesting that CIRCUIT is a promising intervention.

Identifiants

pubmed: 34992701
doi: 10.1093/pch/pxab033
pii: pxab033
pmc: PMC8711697
doi:

Types de publication

Journal Article

Langues

eng

Pagination

478-485

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Références

Obes Rev. 2011 May;12(5):e273-81
pubmed: 20880126
Pediatr Blood Cancer. 2014 Jan;61(1):46-52
pubmed: 24115507
Cochrane Database Syst Rev. 2017 Jun 22;6:CD012651
pubmed: 28639319
Health Promot Chronic Dis Prev Can. 2019 Mar;39(3):104-111
pubmed: 30869473
Sports Med. 2019 Jul;49(7):1079-1094
pubmed: 30953308
Am J Prev Med. 2011 Oct;41(4 Suppl 2):S106-10
pubmed: 21961609
Can J Diabetes. 2018 Apr;42 Suppl 1:S10-S15
pubmed: 29650080
Prev Med. 2016 Dec;93:211-218
pubmed: 27773709
Int J Sports Med. 2002 May;23 Suppl 1:S27-31
pubmed: 12012259
Br J Sports Med. 2011 Sep;45(11):871-6
pubmed: 21791456
Child Obes. 2014 Dec;10(6):461-73
pubmed: 25496035
Acad Pediatr. 2009 May-Jun;9(3):142-149.e1-71
pubmed: 19450773
Obes Res Clin Pract. 2021 Mar-Apr;15(2):157-162
pubmed: 33608233
JAMA. 2017 Jun 20;317(23):2417-2426
pubmed: 28632874
Int J Sports Med. 2002 May;23 Suppl 1:S15-21
pubmed: 12012257
J Am Heart Assoc. 2013 Feb 01;2(1):e004473
pubmed: 23525435
Int J Sports Med. 1996 Jan;17(1):22-6
pubmed: 8775572
Acta Paediatr Suppl. 2006 Apr;450:76-85
pubmed: 16817681
Pediatr Phys Ther. 2015 Fall;27(3):250-6
pubmed: 26020596
Scand J Med Sci Sports. 2019 Jul;29(7):1013-1021
pubmed: 30825382
Curr Diab Rep. 2014 Dec;14(12):557
pubmed: 25344792
CMAJ. 2016 Sep 20;188(13):E313-E320
pubmed: 27160875
Trials. 2017 Jan 24;18(1):40
pubmed: 28115006
Pediatrics. 2017 Sep;140(3):
pubmed: 28827377
Curr Treat Options Cardiovasc Med. 2014 Nov;16(11):343
pubmed: 25205083
JAMA. 2004 Jun 2;291(21):2616-22
pubmed: 15173153
Int J Obes (Lond). 2005 Sep;29(9):1077-83
pubmed: 15917844
Am J Public Health. 2004 Mar;94(3):361-6
pubmed: 14998794
Front Physiol. 2019 Jul 30;10:979
pubmed: 31417432
Pediatrics. 2015 Aug;136(2):281-9
pubmed: 26195541
Metabolism. 2014 Mar;63(3):422-30
pubmed: 24405751
Pediatr Exerc Sci. 2016 May;28(2):331-40
pubmed: 26394451
Lancet. 2010 May 15;375(9727):1737-48
pubmed: 20451244
Cochrane Database Syst Rev. 2009 Jan 21;(1):CD001872
pubmed: 19160202
Can J Cardiol. 2015 Feb;31(2):124-30
pubmed: 25661547
Arch Dis Child. 2017 Aug;102(8):695-701
pubmed: 28687677
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
Diabetologia. 2010 Jun;53(6):1199-209
pubmed: 20204321
Health Rep. 2010 Mar;21(1):7-20
pubmed: 20426223
N Engl J Med. 2015 Oct;373(14):1307-17
pubmed: 26422721
Horm Res Paediatr. 2014;82(6):380-7
pubmed: 25531074
Pediatrics. 2012 Dec;130(6):e1647-71
pubmed: 23166346
Ann Hum Biol. 2012 Jan;39(1):59-67
pubmed: 22148930
J Strength Cond Res. 2015 Aug;29(8):2277-85
pubmed: 25647647
Int J Sports Med. 2009 Sep;30(9):658-62
pubmed: 19585399
J Appl Physiol (1985). 1995 Sep;79(3):958-67
pubmed: 8567540
BMJ. 2012 Nov 20;345:e7279
pubmed: 23169869
Child Obes. 2015 Oct;11(5):650-5
pubmed: 26332367
Br J Sports Med. 2009 Dec;43(12):909-23
pubmed: 19158130
Acad Pediatr. 2016 Aug;16(6):587-93
pubmed: 27236018
Cochrane Database Syst Rev. 2017 Jun 22;6:CD012691
pubmed: 28639320
Pediatrics. 2001 Sep;108(3):712-8
pubmed: 11533341
Prev Cardiol. 2003 Winter;6(1):8-16
pubmed: 12624556
Afr J Prim Health Care Fam Med. 2015 Oct 30;7(1):896
pubmed: 26842513
Evid Rep Technol Assess (Full Rep). 2008 Sep;(170):1-308
pubmed: 19408967
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
J Clin Endocrinol Metab. 2016 Aug;101(8):3171-9
pubmed: 27285295
Med Sci Sports Exerc. 2004 Sep;36(9):1616-24
pubmed: 15354046
Obesity (Silver Spring). 2012 Aug;20(8):1710-7
pubmed: 22307068
Sports Med. 2016 Oct;46(10):1451-60
pubmed: 27139725
CMAJ. 2000 Nov 28;163(11):1461-2
pubmed: 11192651
J Sports Sci. 1988 Summer;6(2):93-101
pubmed: 3184250
Phys Ther. 2011 Jul;91(7):1087-95
pubmed: 21616933
Eur J Pediatr. 2012 Apr;171(4):705-10
pubmed: 22159955
Paediatr Child Health. 2012 Apr;17(4):209-12
pubmed: 23543633

Auteurs

Marina Ybarra (M)

Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.

Prince Kevin Danieles (PK)

Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
Department of Mathematics and Statistics, Concordia University, Montreal, Quebec, Canada.

Tracie A Barnett (TA)

Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
Department of Family Medicine, McGill University, Montreal, Quebec, Canada.

Marie-Ève Mathieu (MÈ)

Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.

Andraea Van Hulst (A)

Ingram School of Nursing, McGill University, Montreal, Quebec, Canada.

Olivier Drouin (O)

Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
Department of Pediatrics, University of Montréal, Montreal, Quebec, Canada.

Lisa Kakinami (L)

Department of Mathematics and Statistics, Concordia University, Montreal, Quebec, Canada.
PERFORM Centre, Concordia University, Montreal, Quebec, Canada.

Jean-Luc Bigras (JL)

Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
Department of Pediatrics, University of Montréal, Montreal, Quebec, Canada.

Mélanie Henderson (M)

Research Center of Sainte Justine University Hospital, Université de Montréal, Montreal, Quebec, Canada.
Department of Pediatrics, University of Montréal, Montreal, Quebec, Canada.
School of Public Health, Department of Social and Preventive Medicine, Université de Montréal, Montreal, Quebec, Canada.

Classifications MeSH