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Effect of a Multi-Disciplinary Program on Anthropometric and Biochemical Parameters in Obese and Overweight Elementary School Girls: A Randomized Clinical Trial Publisher Pubmed



Salahshoornezhad S1 ; Sohrabi Z1, 2 ; Mani A3 ; Abdelbasset WK4, 5 ; Mehrabi M6 ; Zare M2 ; Mehrabani S7 ; Gerami S2 ; Haghighat N8 ; Akbarzadeh M1, 2 ; Nouri M1, 9
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  2. 2. Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  3. 3. Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  4. 4. Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
  5. 5. Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt
  6. 6. Department of E-learning in Medical Sciences, Virtual School, Shiraz University of Medical Sciences, Shiraz, Iran
  7. 7. Department of Clinical Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  8. 8. Laparoscopy Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  9. 9. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

Source: Nutrition, Metabolism and Cardiovascular Diseases Published:2022


Abstract

Background and aims: Obesity and overweight in children are associated with an increased risk of several health issues. The present study aimed to assess the effects of a multi-disciplinary program (including nutrition education using a smartphone game, physical activity, and cognitive behavioral therapy [CBT]) on the management of obesity and overweight in elementary school girls. Methods and results: Sixty-two school girls above the 85th percentile of body mass index (BMI) for age were randomly assigned to two groups. During 10 weeks of study, the intervention group received a multi-disciplinary intervention, including nutrition education using a smartphone game, aerobic exercise, and CBT. The control group received usual traditional nutritional education. Biochemical and metabolic factors were assessed, including fasting blood sugar (FBS), lipid profile, serum leptin, and anthropometric measurements. The Dutch Eating Behavior Questionnaire (DEBQ) and metabolic equivalent test (MET) were also conducted. The intervention group showed more promising results in weight loss, waist circumference (WC), hip circumference (HC), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and FBS compared to the control group (P < 0.05). In addition, MET and DEBQ scores in all three sections of emotions, stimuli, and restriction were better in the intervention group than in the control group (P < 0.05). However, there was no significant difference between groups regarding the results of serum leptin and waist-to-hip ratio (WHR; p > 0.05). Conclusions: The results indicated that education through smartphone games could possibly affect performance in real life. In addition, the multi-disciplinary approach to childhood obesity might have better performance in most areas than the single-intervention approach in obesity management. © 2022
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