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首页> 外文期刊>The journal of alternative and complementary medicine: research on paradigm, practice, and policy >A Twelve-Week Lifestyle Program to Improve Cardiometabolic, Behavioral, and Psychological Health in Hispanic Children and Adolescents
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A Twelve-Week Lifestyle Program to Improve Cardiometabolic, Behavioral, and Psychological Health in Hispanic Children and Adolescents

机译：十二周的生活方式计划，以改善西班牙裔儿童和青少年的心脏叶片，行为和心理健康

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Objectives: To examine the effectiveness of a 12-week lifestyle program on cardiometabolic, behavioral, and psychological outcomes among overweight Hispanic children and adolescents. Design: A case series study with pre- and post-test analyses. Subjects/Settings/Location: A convenience sample of high-risk pediatric primary care patients ( n ?=?22; 6 girls, 16 boys; M age?=?11.73?±?1.39 years) and their guardians in the Southeast United States. Intervention: Twice per week 60?min (total of 24?h) of moderate-to-vigorous intensity boxing exercise training, 12?h of nutrition education for guardians, and a 30-min pediatrician appointment. Outcome measures: Cardiometabolic (height [m], weight [kg], waist circumference [cm], body–mass index [BMI], BMI-z, BMI%, cholesterol [mg/dL], triglycerides [mg/dL], glucose [mg/dL], and low-density lipoprotein and high-density lipoprotein cholesterol [mg/dL]), behavioral (objective free time physical activity [PA] and sedentary time [min/day]), and psychological (self-determined exercise motivation) outcomes were measured/calculated, and paired-samples t -tests were conducted. Results: A significant reduction was observed in waist circumference t (17)?=??2.57, p ?=?0.020, d?= ?0.64; BMI% t (15)?=??2.53, p ?=?0.023, d?= ?0.20; fasting glucose t (15)?=??6.43, p ? d?= ?1.67; and amotivation (?) t (17)?=??2.29, p ?=?0.036, d?= ?0.64; whereas a significant increase was identified in moderate t (10)?=?4.01, p ?=?0.002, d?= ?1.23 and vigorous t (10)?=?3.41, p ?=?0.007, d?= ?1.07 intensity PA; intrinsic motivation t (17)?=?2.71, p ?=?0.015, d?= ?0.38; and introjected regulation t (17)?=?2.74, p ?=?0.014, d?= ?0.64. Conclusions: A 12-week lifestyle program can be effective in improving selected health markers among overweight Hispanic children and adolescents. The positive changes in fasting glucose, BMI, and waist suggest that the participants are currently at lower risk for both type 2 diabetes and cardiovascular disease as a result of the Confidence, Ownership, Responsibility, and Exercise program.
机译：目标：检查超重西班牙裔儿童和青少年的心脏素，行为和心理成果的12周生活方式方案的有效性。设计：具有测试前和后测试分析的案例系列研究。主题/设置/位置：高风险儿科初级保健患者的便利样本（n？= 22; 6个女孩，16个男孩; m年龄？=？11.73？±3.39岁）和他们在美国东南部的监护人。干预：每周两次60？分钟（共24次）中度剧烈强度拳击运动训练，卫生教育营养教育12？H和30分钟的儿科医生预约。结果措施：心脏素（高度[m]，重量[kg]，腰围[cm]，体质指数[BMI]，BMI-Z，BMI％，胆固醇[Mg / DL]，甘油三酯[Mg / DL]，葡萄糖[mg / dl]，低密度脂蛋白和高密度脂蛋白胆固醇[mg / dl]），行为（目的自由时间体育效应[PA]和久坐时间[min /日]）和心理（自我 - 测量/计算了确定的运动动机）结果，进行配对样品T-活体。结果：在腰周长T（17）中观察到显着的减少？= ?? 2.57，P？=？0.020，D？= 0.64; BMI％T（15）？= ?? 2.53，p？= 0.023，d？= 0.20;空腹葡萄糖T（15）？= ?? 6.43，p？ d？=？1.67;和Amotivation（？）T（17）？= ?? 2.29，p？= 0.036，D？= 0.64;而在中等T（10）中鉴定出显着的增加？=Δ4.01，p？= 0.002，D？=？1.23和剧烈T（10）？=？3.41，P？=？0.007，D？=？1.07强度Pa;内在动机T（17）？=？2.71，p？=？0.015，d？= 0.38;并进行修改的调节T（17）？=？2.74，p？=？0.014，D？= 0.64。结论：为期12周的生活方式计划，可以有效地改善超重西班牙裔儿童和青少年的选定健康标志。禁食葡萄糖，BMI和腰部的正变化表明，由于信心，所有权，责任和锻炼计划，参与者目前患2型糖尿病和心血管疾病的风险较低。

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