Artigo sobre estudos longitudinais

1. Longitudinal results in a school-based intervention program for
obese children
L. AIRES a,b
, A.I. ALVES a,c
, G. SILVA a
, A.F. MEDEIROS a
,
H. NASCIMENTO c,d
, C. CATARINO c,d
, P. ROCHA-PEREIRA e
,
C. MARTINS a,f
, J.C. RIBEIRO a
, A. SANTOS-SILVA c,d
, J. MOTA a
, L. BELO c,d
.
a
Research Centre in Physical Activity, Health and Leisure; Faculty of
Sports, University of Porto (UP), Portugal, b
University Institute of Maia,
Portugal, c
Institute for Molecular and Cell Biology (IBMC)-UP, Portugal,
d
Department of Biological Sciences, Faculty of Pharmacy, UP, Portugal,
e
Health Sciences Research Center, University of Beira Interior, Portugal,
f
Department of Physical Education, Federal Rural University of
Pernambuco, Brazil. luisa.aires@gmail.com
The aim was to analyze changes over two years in body fat, met-
abolic profile and habitual physical activity (PA) in a school-based
intervention program (ACORDA-Project). Forty-eight children (26 girls,
age = 9.3 ± 2.5) of 6 schools participated in two periods of an 8-month
intervention program in two consecutive school-years. Blood pres-
sure (BP), PA by accelerometers, Body Fat (%BF) and Trunk Fat (%TF)
by DXA, VO2max (treadmill), and plasmatic total cholesterol (TC), tri-
glycerides, HDL-cholesterol, LDL-cholesterol, insulin, glucose and
C-reactive protein were taken in 4 time points (TP). Linear Mixed
Model was used to analyze the effect of time in a row model and
adjusted for sex, age, and maturation. Differences between TP1, TP2,
TP3 and TP4 were analyzed (Bonferroni correction). In final model,
time effect was significant (p < 0.05) in Systolic (S)BP, TC and VO2max.
Differences maintained for SBP [TP1 = 112.1(1.6) vs. TP2 = 104.1 and
TP1 vs TP3 = 101.3 (1.4)], TC [TP1 = 175.2(4.8) vs. TP3 = 150.8(4.3)]
and VO2max [TP1 = 48.6(1.5) vs. TP4 = 50.1(3.6)]. After two-year in-
tervention, changes were significant for SBP, TC and VO2max and there
was a global trend for improvements in metabolic profile and PA.
School-based intervention might lead to positive, although modest,
impact in children’s weight-related problems. Funded by FEDER
through COMPETE and National Funds through FCT (FCOMP-01–
0124-FEDER-028613 (PTDC/DTP-DES/0393/2012).
http://dx.doi.org/10.1016/j.appet.2014.12.074
Upper Normandy childhood obesity prevention network. Growing
curve and cost/performance ratio
B. GEHANNO, E. CHANNONI, I. CASTRES, M. QUEVAUVILLIERS,
E. TOURANCHEAU, C. LECOINTRE. Réseau de Prévention et de Prise en
Charge de l’Obésité Pédiatrique de Haute-Normandie (REPOPHN), Maison
de l’Université, Rue Lavoisier, 76821 Mont St Aignan Cedex, Rouen,
France. bognagehanno.repophn@yahoo.fr
The REPOPHN (Upper Normandy Childhood Obesity Prevention
Network) was created in 2007 to offer to overweight children living
in Upper Normandy (France) a multidisciplinary follow-up, in their
living area, according to national good practice guidelines. The ob-
jective of this study is to describe the growing curve of the network,
and the ratio between the actions performed and the resources of
the network. We followed the national guidelines i.e. put emphasis
on patient education and commitment of parents, take into account
diet, but also patterns of physical activity. The network offers both
individual care (8 consultations with a physician and a nutritionist
over a 2-year period) and group sessions (groups of 5–6 children aged
3–7 or 8–14 and their families with nutritionists, cookers, sports
teacher, psychologists). In 2013, 415 new children were included and
107 participated in group sessions, with more than 120 parents. Since
2007, 1964 children (aged 1–16 year-old) have been included in the
network, and 624 health professionals were trained and are members
of the network, among which 295 GPs, 72 pediatricians, 87 nutri-
tionists, 47 psychologists and 25 sports teachers. The regional health
authorities finance the network. All these activities are coordi-
nated by only 2.4 full-time equivalent (0.8 FTE of physician) and the
overall cost is 270 000 euros per year. The growing curve of the
network is faster than what was expected but, due to the financial
crisis, the network faces a shrinking of its human and financial re-
sources that could threaten his future.
http://dx.doi.org/10.1016/j.appet.2014.12.075
EDDY. A prevention project against the development of obesity
and cardiovascular risk factors in 11- to 13-year-old children in
Vienna
C. POEPPELMEYER a
, O. HELK a
, N. BARKHORDARIAN a
,
O. PROCHAZKA a
, N. CVJETKOVIC a
, K. BUCHINGER a
, S. MEHANY a
,
B. WESSNER b
, H. KLINGLMAYR b
, G. SCHWARZ b
, O. PACHINGER c
,
K. WIDHALM a
. a
Austrian Academic Institute for Clinical Nutrition,
Alserstraße 14/4a, 1090 Vienna, Austria, b
Centre for Sport Science and
University Sports Vienna, Austria, c
Medical University Innsbruck, Austria.
c.poeppelmeyer@eddykids.at
Diseases of the cardiovascular system are responsible for about
43% of all deaths in Austria and correlate strongly with obesity and
its consequences. For this reason, it is necessary to find concepts to
combat obesity and prevent its origin. The EDDY project is an
interventional cohort study with duration of two years. The cohort
is scaled in an intervention group and a control group and consists
of 147 students from two secondary schools in Vienna and two Vi-
ennese high schools. The intervention group will receive a
comprehensive, age-appropriate 12-hour nutrition training and a five-
hour physiological training as well as sport and exercise intervention.
Before and after intervention and at two follow-ups after 6 and 12
months, subjects are physically measured (BIA, height) and blood
samples are taken for determination of blood lipids and vitamin
status. In addition, knowledge of nutritional issues and eating habits
as well as psychological parameters are measured with adequate
questionnaires. The main issue relates to the effect of an interven-
tion with education in nutrition and sports programs on body
composition, metabolic factors, nutrition knowledge and intellec-
tual capacity of Viennese students aged 10 to 14 years. Preliminary
outcomes show an improvement of nutrition knowledge in 10 of 12
categories surveyed, as well as a significant reduction in the con-
sumption of junk food, sweets and salty snacks.
http://dx.doi.org/10.1016/j.appet.2014.12.076
323Abstracts/Appetite 89 (2015) 301–330