Effects of a multicomponent intervention on cardiovascular risk factors in overweight children: a randomized clinical trial in light of complex systems

• Published in: International journal of environmental health research Vol. 33; no. 12; pp. 1368 - 1378
• Main Authors: Bezerra, Thaynã Alves, Souza Filho, Anastácio Neco de, Pessoa, Maria Luiza Felix, Ribeiro Bandeira, Paulo Felipe, Cabral, Luciana Gatto Azevedo, Moraes, José Fernando Vila Nova de, Martins, Clarice Maria de Lucena, Carvalho, Ferdinando Oliveira
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 01-12-2023; Taylor & Francis LLC
• Subjects: Body fat; Body Mass Index; Body weight; Cardiorespiratory fitness; Cardiovascular diseases; Cardiovascular Diseases - prevention & control; cardiovascular risks; Child; Complex systems; Complexity; Health risks; Heart; Heart Disease Risk Factors; Hemodynamics; Humans; Lipids; multicomponent intervention; Network analysis; Overweight; Overweight - psychology; Pattern analysis; Risk Factors; Ventricle; multicomponent intervention; cardiovascular risks; Overweight
• ISSN: 0960-3123; 1369-1619
• DOI: 10.1080/09603123.2022.2088704

Analyzing the effects of interventions from a theoretical and statistical perspective that allows understanding these dynamic relationships of obesity etiology can be a more efficient and innovative way of understanding the phenomenon's complexity. Thus, we aimed to analyze the pattern of cardiovascular risk factors between-participants, and the effects within-participants of a multidisciplinary intervention on cardiovascular risk factors in overweight children. This is a randomized clinical trial, and 41 participated in this study. A multicomponent intervention (physical activities, nutritional and psychological counseling) was performed for 10 weeks. Anthropometric and hemodynamics measurements, lipid and glucose profile, cardiorespiratory fitness, and left ventricular mass were evaluated. A network analysis was done. Considering patterns in the network at baseline, WC, WHR, BMI, and Fat were the main variables for cardiovascular risks. Group was the most critical variable in the within-participant network. Participating in a multicomponent intervention and decreasing body fat promoted beneficial cardiovascular factors.