Artigo Acesso aberto Produção Nacional Revisado por pares

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

2016; UNIVERSIDADE DE SÃO PAULO; Volume: 26; Issue: 2 Linguagem: Inglês

10.7322/jhgd.119257

ISSN

2175-3598

Autores

Ana Laura Ricci‐Vitor, Fabrí­cio Eduardo Rossi, Patrícia Miyuki Hirai, Natália Turri da Silva, Franciele Marques Vanderlei, Maria Isabela Ramos Haddad, Luana Almeida Gonzaga, Carlos Marcelo Pastre, Vítor Engrácia Valenti, Ismael Forte Freitas Júnior, Celso Ferreira, Luiz Carlos Marques Vanderlei,

Tópico(s)

Heart rate and cardiovascular health

Resumo

Purpose: this study evaluated the effects of a multidisciplinary program on autonomic modulation in overweight or obese children and adolescents. Methods: fi fteen 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 signifi cance was set at P < 0.05. Results: multidisciplinary program was able to promote benefi ts in autonomic modulation observed thought temporal (SDNN: 39,96 ± 10,33 x 49,44 ± 12,31; p = 0,019; rMSSD: 28,97 ± 11,50 x 37,26 ± 11,17; p = 0,018), spectral (LFnu: 64,49 ± 12,21 x 56,74 ± 11,18; p = 0,014; HFnu: 35,50 ± 12,21 x 43,25 ± 11,18; p = 0,014) and geometrical (SD1: 20,51 ± 8,13 x 26,36 ± 7,90; p = 0,018 SD2: 52,31 ± 13,04 x 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 x 83,09 ± 7,93; p = 0,023) and there were changes in the classifi cation of overweigh 26,67% x 46,66% and obesity 73,33% x 53,33%, although not significant changes in body mass index. Conclusions: exercise program together with nutritional and psychological counseling is able to promote benefi ts in autonomic modulation in children and adolescents who are overweight or obese.

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