Sonographic Markers Are Useful for Detection of Early Vascular Deterioration in Children with Overweight/Obesity: Effect of a 1-Year Combined Nutritional Education and Physical Exercise Program
Autor/es
Hernández Morante, Juan José; Abellaneda Millán, María; Ballester Sajardo, Raúl; Guillén Martínez, Daniel Daniel; Morales Moreno, Isabel; [et al.]Fecha
2023-02-10Disciplina/s
Actividad Física y DeporteCiencias de la Alimentación
Enfermería
Medicina
Materia/s
Childhood obesityNutritional education
Physical exercise
Carotid intima-media thickness
Non-alcoholic fatty liver disease
School nurse
Resumen
Abstract: As in adults, childhood obesity is associated with several metabolic disorders; however, there is little information regarding complex obesity-derived complications such as hepatic steatosis or endothelial dysfunction at early ages. Therefore, the objective of the present study was to analyze the effect of a nutritional and physical exercise program on obesity comorbidities in the form of subclinical atherosclerosis and non-alcoholic fatty liver in young children. A total of 148 children completed the study. For nine months (one academic year), children carried out a nutritional and
physical activity program of 3 h/week. Anthropometric, clinical, liver ultrasound and carotid intima-media thickness (cIMT) parameters were evaluated. Our results showed that the program significantly improved anthropometrical parameters, especially regarding BMI and body fat (p < 0.001 and p = 0.004, respectively). The effect on metabolic parameters was limited, although a significant reduction ...