Effects of a multidisciplinary program on autonomic modulation in overweight or obese children and adolescents

Ana Laura Ricci-Vitor, Fabrício Eduardo Rossi, Patricia Miyuki Hirai, Natália Turri Da Silva, Franciele Marques Vanderlei, Maria Isabela Haddad, Luana Almeida Gonzaga, Carlos Marcelo Pastre, Vitor Engrácia Valenti, Ismael Fortes Freitas, Celso Ferreira, Luiz Carlos Marques Vanderlei

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Purpose: this study evaluated the effects of a multidisciplinary program on autonomic modulation in overweight or obese children and adolescents. Methods: fifteen individuals with 10,93 ± 2,28 years were submitted to autonomic evaluation using heart rate variability before and after a program based on physical exercises for three months, three times a week, 60 minutes per session and psychological and nutritional counseling. Data was analyzed using the paired t-test or Wilcoxon test and the level of significance was set at P < 0.05. Results: multidisciplinary program was able to promote benefits in autonomic modulation observed thought temporal (SDNN: 39,96 ± 10,33 × 49,44 ± 12,31; p = 0,019; rMSSD: 28,97 ± 11,50 × 37,26 ± 11,17; p = 0,018), spectral (LFnu: 64,49 ± 12,21 × 56,74 ± 11,18; p = 0,014; HFnu: 35,50 ± 12,21 × 43,25 ± 11,18; p = 0,014) and geometrical (SD1: 20,51 ± 8,13 × 26,36 ± 7,90; p = 0,018 SD2: 52,31 ± 13,04 × 64,58 ± 16,33; p = 0,031) indices in overweigh and obese children and adolescents. Also, after the intervention there was a reduction on resting heart rate (88,53 ± 9,24 × 83,09 ± 7,93; p = 0,023) and there were changes in the classification of overweigh 26,67% × 46,66% and obesity 73,33% × 53,33%, although not significant changes in body mass index. Conclusions: exercise program together with nutritional and psychological counseling is able to promote benefits in autonomic modulation in children and adolescents who are overweight or obese.

Original languageEnglish
Pages (from-to)154-161
Number of pages8
JournalJournal of Human Growth and Development
Volume26
Issue number2
DOIs
Publication statusPublished - 2016
Externally publishedYes

Keywords

  • Autonomic nervous system
  • Nutritional state
  • Physical exercise
  • Psychological counseling

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