Effects of a multicomponent wellness intervention on dyslipidemia in an overweight adolescent population
Authors
Hardy, Olga T.Wiecha, Jean
Kim, Albert
Salas, Carlos
Bricenoc, Rayna
Moody, Kwesi
Becker, Joan
Glazer, Greer
Ciccarelli, Carol A.
Shi, Ling
Hayman, Laura L
Document Type
PosterPublication Date
2011-05-20Keywords
Cardiovascular DiseasesClinical Epidemiology
Community Health and Preventive Medicine
Nutritional and Metabolic Diseases
Metadata
Show full item recordAbstract
Epidemiologic studies suggest that atherosclerotic processes begin in childhood and are associated with abnormal lipid levels. Behavioral changes are the first line of treatment for dyslipidemia in adolescents but outcome data on the effectiveness of this approach are inconsistent. This study aimed to assess the effect of a 13-week multicomponent wellness intervention program on dyslipidemia in lean and overweight/obese adolescents enrolled at a public high school in Boston, Massachusetts. The intervention was conducted at a university-based youth fitness center where 9 overweight/obese adolescents (body mass index [BMI]≥85th percentile for age and sex) and 9 lean adolescents (BMIsex) participated in weekly nutrition classes and structured cardiovascular, flexibility and strength training 2 times/week for 5 weeks, followed by up to 4 times/week for 8 weeks. Clinical measurements (BMI, percent body fat, blood pressure [BP]) and lipid profile assessment (total cholesterol [TC], high-density lipoprotein cholesterol [HDL-C], triglycerides [TG], and low-density lipoprotein cholesterol [LDL-C]) were performed at baseline and at completion of the intervention. At the completion of the study, the overweight/obese adolescents demonstrated a 15% increase in HDL-C levels (mean, 47 mg/dL vs 54 mg/dL) while there was no improvement in BMI, percent body fat, BP,TG, TC and LDL-C. The participants in the lean group showed no change in their anthropometric and serum parameters. A multicomponent wellness intervention resulted in a significant increase of cardioprotective HDL-C levels which has been associated with coronary health in adulthood. The long-term effects of this intervention on indicators of cardiometabolic health and others like it require further study.DOI
10.13028/tt9r-hh36Permanent Link to this Item
http://hdl.handle.net/20.500.14038/27697Rights
Copyright the Author(s)Distribution License
http://creativecommons.org/licenses/by-nc-sa/3.0/ae974a485f413a2113503eed53cd6c53
10.13028/tt9r-hh36