The effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight
Abstract Background Non-communicable diseases in adulthood are reported to be strongly associated with adolescent obesity. The present study aimed to assess the effect of a comprehensive lifestyle modification intervention on the anthropometric indices, dietary intake, and physical activity of adole...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12887-025-05396-z |
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| author | Fatemeh Sadat Hashemi Javaheri Zahra Mousavi Saeideh Mohammadi Arezoo Amjadi Khadijeh Abbasi Mobarakeh Seyedeh Hayedeh Mousavi Shalmani Mahdieh Torkaman Masoomeh Alsadat Mirshafaei Sara Khoshdooz Zahra Saeedirad Naser Kalantari Parmis Mirzaei Saeid Doaei Nastaran Keshavarz Mohammadi Maryam Gholamalizadeh |
| author_facet | Fatemeh Sadat Hashemi Javaheri Zahra Mousavi Saeideh Mohammadi Arezoo Amjadi Khadijeh Abbasi Mobarakeh Seyedeh Hayedeh Mousavi Shalmani Mahdieh Torkaman Masoomeh Alsadat Mirshafaei Sara Khoshdooz Zahra Saeedirad Naser Kalantari Parmis Mirzaei Saeid Doaei Nastaran Keshavarz Mohammadi Maryam Gholamalizadeh |
| author_sort | Fatemeh Sadat Hashemi Javaheri |
| collection | DOAJ |
| description | Abstract Background Non-communicable diseases in adulthood are reported to be strongly associated with adolescent obesity. The present study aimed to assess the effect of a comprehensive lifestyle modification intervention on the anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight. Methods This pragmatic trial was conducted on 126 adolescent boys with overweight. A comprehensive school-based intervention was carried out at two levels for four months: at the school level based on the Ottawa Charter framework and at the personal level including individualized diet and physical activity. Results The percentage of mean difference of BMI and BF loss in the intervention group were 1.20% (P < 0.05) and 6.41% (P < 0.01), respectively. The intervention group had a lower intake of calorie (2350 ± 861 vs. 2634 ± 917 kcal/d), carbohydrate (255.68 ± 41 vs. 286.97 + 47 g/d), and fat (112.67 ± 78 vs. 217.72 ± 86 g/d) after the intervention compared to the control group (All P < 0.05). The intervention resulted in a significant increase in physical activity parameters including distance (3501 ± 287 vs. 614 ± 56 m/d), duration (203 ± 35 vs. 72 ± 10 min/d), and calorie expenditure (359.24 ± 62.4 vs. 46.74 ± 7.5 kcal/d) in the intervention group compared to the control group (P < 0.01). Conclusion A comprehensive lifestyle modification intervention which covers both school and individual levels may positively influence BMI, body fat, calorie intake, and distance and duration of physical activity in adolescents. Thus, adopting multifaceted strategies using the Ottawa Charter framework may be considered as an effective approach to managing obesity in adolescents. |
| format | Article |
| id | doaj-art-82c9e3c06f934423b981def1354497a5 |
| institution | Kabale University |
| issn | 1471-2431 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj-art-82c9e3c06f934423b981def1354497a52025-02-02T12:43:01ZengBMCBMC Pediatrics1471-24312025-01-012511710.1186/s12887-025-05396-zThe effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweightFatemeh Sadat Hashemi Javaheri0Zahra Mousavi1Saeideh Mohammadi2Arezoo Amjadi3Khadijeh Abbasi Mobarakeh4Seyedeh Hayedeh Mousavi Shalmani5Mahdieh Torkaman6Masoomeh Alsadat Mirshafaei7Sara Khoshdooz8Zahra Saeedirad9Naser Kalantari10Parmis Mirzaei11Saeid Doaei12Nastaran Keshavarz Mohammadi13Maryam Gholamalizadeh14Department of Clinical Nutrition, Faculty of Medicine, Mashhad University of Medical SciencesSchool of Nursing and Midwifery, Shahed universityZanjan University of medical sciencesDepartment of Nutrition, School of Nutritional Sciences and Food Technology, Kermanshah University of Medical SciencesNutrition and Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical SciencesGuilan University of Medical SciencesDepartment of Chemical Engineering, Science and Research Branch, Islamic Azad UniversityTonekabon Mazandaran Branch, Islamic Azad UniversityFaculty of Medicine, Guilan University of Medical SciencesDepartment of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shahid Beheshti University of Medical SciencesClinical Nutrition and Dietetics, School of Nutrition and Food Sciences, Shahid Beheshti University of Medical SciencesDepartment of Community Nutrition, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical SciencesCancer Research Center, Shahid Beheshti University of Medical SciencesAbstract Background Non-communicable diseases in adulthood are reported to be strongly associated with adolescent obesity. The present study aimed to assess the effect of a comprehensive lifestyle modification intervention on the anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight. Methods This pragmatic trial was conducted on 126 adolescent boys with overweight. A comprehensive school-based intervention was carried out at two levels for four months: at the school level based on the Ottawa Charter framework and at the personal level including individualized diet and physical activity. Results The percentage of mean difference of BMI and BF loss in the intervention group were 1.20% (P < 0.05) and 6.41% (P < 0.01), respectively. The intervention group had a lower intake of calorie (2350 ± 861 vs. 2634 ± 917 kcal/d), carbohydrate (255.68 ± 41 vs. 286.97 + 47 g/d), and fat (112.67 ± 78 vs. 217.72 ± 86 g/d) after the intervention compared to the control group (All P < 0.05). The intervention resulted in a significant increase in physical activity parameters including distance (3501 ± 287 vs. 614 ± 56 m/d), duration (203 ± 35 vs. 72 ± 10 min/d), and calorie expenditure (359.24 ± 62.4 vs. 46.74 ± 7.5 kcal/d) in the intervention group compared to the control group (P < 0.01). Conclusion A comprehensive lifestyle modification intervention which covers both school and individual levels may positively influence BMI, body fat, calorie intake, and distance and duration of physical activity in adolescents. Thus, adopting multifaceted strategies using the Ottawa Charter framework may be considered as an effective approach to managing obesity in adolescents.https://doi.org/10.1186/s12887-025-05396-zLifestyleObesityAdolescentDietPhysical activity |
| spellingShingle | Fatemeh Sadat Hashemi Javaheri Zahra Mousavi Saeideh Mohammadi Arezoo Amjadi Khadijeh Abbasi Mobarakeh Seyedeh Hayedeh Mousavi Shalmani Mahdieh Torkaman Masoomeh Alsadat Mirshafaei Sara Khoshdooz Zahra Saeedirad Naser Kalantari Parmis Mirzaei Saeid Doaei Nastaran Keshavarz Mohammadi Maryam Gholamalizadeh The effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight BMC Pediatrics Lifestyle Obesity Adolescent Diet Physical activity |
| title | The effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight |
| title_full | The effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight |
| title_fullStr | The effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight |
| title_full_unstemmed | The effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight |
| title_short | The effect of a comprehensive intervention on anthropometric indices, dietary intake, and physical activity of adolescent boys with overweight |
| title_sort | effect of a comprehensive intervention on anthropometric indices dietary intake and physical activity of adolescent boys with overweight |
| topic | Lifestyle Obesity Adolescent Diet Physical activity |
| url | https://doi.org/10.1186/s12887-025-05396-z |
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