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首页> 外文期刊>International Journal of General Medicine >The effects of an 8-week multicomponent inpatient treatment program on body composition and anaerobic fitness in overweight and obese children and adolescents
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The effects of an 8-week multicomponent inpatient treatment program on body composition and anaerobic fitness in overweight and obese children and adolescents

机译：为期8周的多成分住院治疗方案对超重和肥胖儿童和青少年的身体成分和无氧健身的影响

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Background: High intensity exercise is considered as an effective means for reducing body fat. The aims of the present study were to investigate (1) whether body mass would be lost and body composition would change and (2) whether variables of anaerobic fitness prior to the intervention period would be related to loss of body mass and changes in body composition in overweight and obese children and adolescents. Methods: A total of 28 children and adolescents (19 boys, 9 girls) attended an 8-week multicomponent inpatient program. Caloric intake was based on the subject's weight and a daily energy deficit of ~500 kcal was targeted. At the beginning and at the end of the program, variables of anaerobic fitness were assessed using Wingate tests. Body composition was measured before and after the program using dual-energy X-ray absorptiometry. Results: Body mass decreased by 11.4% ± 1.6% in boys and by 11.0% ± 2.8% in girls (P 0.05). The decrease in body mass and the decrease in fat mass were neither associated with overall energy expenditure nor with the energy deficit in both genders (P > 0.05). Mean power in W/kg increased in the Wingate tests by 95.4% ± 109.1% in boys and by 100.0% ± 119.9% in girls (P < 0.001). Conclusions: Adjustments of the chronically positive imbalance of energy intake and energy expenditure of obese children and adolescents living in obesogenic environments should be addressed in a multisectoral approach. Future research in multicomponent childhood and adolescent weight loss programs should be directed towards a better understanding of the underlying complex dynamics in energy homeostasis which promote weight loss and changes in body composition due to high intensity exercise interventions.
机译：背景：高强度运动被认为是减少体内脂肪的有效手段。本研究的目的是调查（1）体重是否会丢失并且身体成分是否会发生变化;（2）干预期之前厌氧适应性变量是否与体重下降和身体成分的变化有关超重和肥胖的儿童和青少年。方法：总共28名儿童和青少年（男19例，女9例）参加了为期8周的多元住院计划。热量摄入基于受试者的体重，目标是每天约500 kcal的能量不足。在程序的开始和结束时，使用Wingate测试评估无氧适应性变量。在程序之前和之后使用双能X射线吸收仪测量身体成分。结果：男孩的体重下降了11.4％±1.6％，女孩的体重下降了11.0％±2.8％（P 0.05）。体重的减少和脂肪的减少均与总的能量消耗无关，也与男女的能量缺乏无关（P> 0.05）。在Wingate测试中，男孩的平均功率W / kg增加了95.4％±109.1％，女孩的平均功率增加了100.0％±119.9％（P <0.001）。结论：应该采用多部门方法来解决生活在致肥胖环境中的肥胖儿童和青少年的长期积极能量摄入和能量消耗失衡问题。未来对多组分儿童和青少年减肥计划的研究应针对更好的理解能量稳态的潜在复杂动态，这些动态动态由于高强度运动干预而促进体重减轻和身体成分改变。

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