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Gender differences on effectiveness of a school-based physical activity intervention for reducing cardiometabolic risk: A cluster randomized trial
dc.contributor.author | Martínez-Vizcaíno V. | |
dc.contributor.author | Sánchez-López M. | |
dc.contributor.author | Notario-Pacheco B. | |
dc.contributor.author | Salcedo-Aguilar F. | |
dc.contributor.author | Solera-Martínez M. | |
dc.contributor.author | Franquelo-Morales P. | |
dc.contributor.author | López-Martínez S. | |
dc.contributor.author | García-Prieto J.C. | |
dc.contributor.author | Arias-Palencia N. | |
dc.contributor.author | Torrijos-Niño C. | |
dc.contributor.author | Mora-Rodríguez R. | |
dc.contributor.author | Rodríguez-Artalejo F. | |
dc.date.accessioned | 2020-09-02T22:22:32Z | |
dc.date.available | 2020-09-02T22:22:32Z | |
dc.date.issued | 2014 | |
dc.identifier | 10.1186/s12966-014-0154-4 | |
dc.identifier.citation | 11, 1, - | |
dc.identifier.issn | 14795868 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12728/5269 | |
dc.description | Studies that have examined the impact of a physical activity intervention on cardiometabolic risk factors have yielded conflicting results. The objective of this study was to assess the impact of a standardized physical activity program on adiposity and cardiometabolic risk factors in schoolchildren. Methods: Cluster randomized trial study of 712 schoolchildren, 8-10 years, from 20 public schools in the Province of Cuenca, Spain. The intervention (MOVI-2) consisted of play-based and non-competitive activities. MOVI-2 was conducted during two 90-minute sessions on weekdays and one 150-minute session on Saturday mornings every week between September 2010 and May 2011. We measured changes in adiposity (overweight/obesity prevalence, body mass index [BMI], triceps skinfold thickness [TST], body fat %, fat-free mass, waist circumference) and other cardiometabolic risk factors (LDL-cholesterol, triglycerides/HDL-cholesterol ratio, insulin, C-reactive protein and blood pressure). The analyses used mixed regression models to adjust for baseline covariates under cluster randomization. Results: Among girls, we found a reduction of adiposity in intervention versus control schools, with a decrease in TST (-1.1 mm; 95% confidence interval [CI] -2.3 to -0.7), body fat % (-0.9%; 95% CI -1.3 to -0.4), waist circumference (-2.7 cm; 95% CI -4.5 to -0.9), and an increase in fat-free mass (0.3 kg; 95% CI 0.01 to 0.6). The intervention also led to lower serum LDL-cholesterol and insulin levels. Among boys, a reduction in waist circumference (-1.4 cm; 95% CI -2.6 to -0.1; P=0.03), and an increase in fat-free mass (0.5 kg; 95% CI 0.2 to 0.9; P=0.003) was associated with the intervention versus control schools. The prevalence of overweight/obesity or underweight, BMI, and other cardiometabolic risk factors was not modified by the intervention. No important adverse events were registered. Conclusions: An extracurricular intervention of non-competitive physical activity during an academic year, targeting all schoolchildren regardless of body weight, is a safe and effective measure to reduce adiposity in both genders and to improve cardiometabolic risk profile in girls. Trial registration: Clinical trials NCT01277224. © Martinez-Vizcaino et al.; licensee BioMed Central. | |
dc.language.iso | en | |
dc.publisher | BioMed Central Ltd. | |
dc.subject | Cardiometabolic risk factors | |
dc.subject | Children | |
dc.subject | Intervention | |
dc.subject | Metabolic syndrome | |
dc.subject | Obesity | |
dc.subject | Physical activity | |
dc.subject | C reactive protein | |
dc.subject | high density lipoprotein cholesterol | |
dc.subject | insulin | |
dc.subject | low density lipoprotein cholesterol | |
dc.subject | triacylglycerol | |
dc.subject | C reactive protein | |
dc.subject | high density lipoprotein cholesterol | |
dc.subject | insulin | |
dc.subject | low density lipoprotein cholesterol | |
dc.subject | triacylglycerol | |
dc.subject | Article | |
dc.subject | blood pressure | |
dc.subject | body fat | |
dc.subject | body mass | |
dc.subject | caloric intake | |
dc.subject | cardiometabolic risk | |
dc.subject | child | |
dc.subject | controlled study | |
dc.subject | dizziness | |
dc.subject | employment status | |
dc.subject | energy expenditure | |
dc.subject | fat free mass | |
dc.subject | fat intake | |
dc.subject | female | |
dc.subject | human | |
dc.subject | major clinical study | |
dc.subject | male | |
dc.subject | obesity | |
dc.subject | physical activity | |
dc.subject | physical education | |
dc.subject | prevalence | |
dc.subject | randomized controlled trial | |
dc.subject | risk reduction | |
dc.subject | school child | |
dc.subject | sex difference | |
dc.subject | skinfold thickness | |
dc.subject | Spain | |
dc.subject | underweight | |
dc.subject | vein puncture | |
dc.subject | waist circumference | |
dc.subject | adipose tissue | |
dc.subject | blood | |
dc.subject | body weight | |
dc.subject | Cardiovascular Diseases | |
dc.subject | cluster analysis | |
dc.subject | cohort analysis | |
dc.subject | follow up | |
dc.subject | metabolic syndrome X | |
dc.subject | motor activity | |
dc.subject | obesity | |
dc.subject | patient compliance | |
dc.subject | risk factor | |
dc.subject | school | |
dc.subject | treatment outcome | |
dc.subject | Adipose Tissue | |
dc.subject | Adiposity | |
dc.subject | Blood Pressure | |
dc.subject | Body Mass Index | |
dc.subject | Body Weight | |
dc.subject | C-Reactive Protein | |
dc.subject | Cardiovascular Diseases | |
dc.subject | Child | |
dc.subject | Cholesterol, HDL | |
dc.subject | Cholesterol, LDL | |
dc.subject | Cluster Analysis | |
dc.subject | Cohort Studies | |
dc.subject | Female | |
dc.subject | Follow-Up Studies | |
dc.subject | Humans | |
dc.subject | Insulin | |
dc.subject | Male | |
dc.subject | Metabolic Syndrome X | |
dc.subject | Motor Activity | |
dc.subject | Obesity | |
dc.subject | Patient Compliance | |
dc.subject | Risk Factors | |
dc.subject | Risk Reduction Behavior | |
dc.subject | Schools | |
dc.subject | Sex Factors | |
dc.subject | Treatment Outcome | |
dc.subject | Triglycerides | |
dc.subject | Waist Circumference | |
dc.title | Gender differences on effectiveness of a school-based physical activity intervention for reducing cardiometabolic risk: A cluster randomized trial | |
dc.type | Article |