Effect of water- versus land-based exercise training as a component of a multidisciplinary intervention program for overweight and obese adolescents.
To compare water- versus land-based exercise programs, as part of a multidisciplinary intervention, on physical fitness and health-related quality of life in overweight and obese adolescents. A total of 151 overweight and obese adolescents (age: 13.2±1.8years) were divided into: 1) a water-based intervention (WB; n=28); 2) a land-based intervention (LB; n=57); and 3) a control group (CG; n=66). Anthropometric measures, body composition, flexibility, abdominal strength/endurance, cardiorespiratory fitness and health-related quality of life were assessed prior and by the end of a 16-week intervention. Both the water- and land-based interventions were part of a multidisciplinary program focusing on behavioral changes. Fat Mass (%) was significantly reduced in both intervention groups and a higher progression was observed in the WB group (-9.8±7.2% versus -6.1±6.2%; p<0.05 for pre-to-post changes within-groups). However, LB increased more abdominal strength than WB (69.6±165.8% versus 53.4±83.4%; p<0.05) and significantly increased social (19.7±88.8%), psychosocial (5.1±15.1%) and total score (6.3±14.8%), which was observed in neither WB nor CG. The intervention groups did not change body weight (WB: -1.7±5.3%; LB: 0.1±3.4%; p>0.05 for both groups) and increased (p<0.05) fat-free mass (WB: 4.6±4.0%; LB: 4.4±4.1%), VO2max (WB: 9.3±7.8%; LB: 11.0±13.4%), and physical dimension of quality of life (WB: 9.2±17.2%; LB: 8.9±18.0%) differently of what was observed in CG. The physical dimension improvement observed in the land-based and water-based samples was associated with decreased percentage fat mass (r=0.282 and 0.229; p<0.05). We suggest water- and land-based physical exercises within a multidisciplinary program promote similar improvements in body composition, physical fitness and health-related quality of life in overweight and obese adolescents.
['Lopera|Carlos Andrés|CA|', 'da Silva|Danilo Fernandes|DF|', 'Bianchini|Josiane Aparecida Alves|JA|', 'Locateli|João Carlos|JC|', 'Moreira|Amanda Caroline Teles|AC|', 'Dada|Rafaela Pilegi|RP|', 'Thivel|David|D|', 'Nardo|Nelson|N|']
D000293:Adolescent D000886:Anthropometry D001823:Body Composition D002648:Child D015444:Exercise D005260:Female D006801:Humans D008297:Male D053580:Muscle Strength D018529:Nutritional Support D009765:Obesity D050177:Overweight D010809:Physical Fitness D011613:Psychotherapy D011788:Quality of Life D018709:Statistics, Nonparametric D014867:Water
Exercise Adolescent Physical fitness Quality of life Pediatric obesity