Effects of ActTeens intervention on physical activity and health indicators in Brazilian adolescents: a pilot study
DOI:
https://doi.org/10.12820/rbafs.30e0380Palabras clave:
Intervention, Students, Lifestyle, Physical exercise, AccelerometryResumen
Objective: To evaluate the effect of 12 weeks of the ActTeens program on physical activity (PA) practice at different intensities, health-related physical fitness, and cardiometabolic indicators in Brazilian adolescents. Methods: The sample comprised 55 adolescents (37.5% female; mean age 13.84 [0.62]years) from two secondary private schools were included and divided by simple randon allocation into intervention (IG = 31 students) or control group (CG = 24 students). This pilot study of the ActTeens Program was conducted during the COVID-19 pandemic restrictions and included three components: (1) structured PA sessions delivered within Physical Education, (2) self monitoring plus goal setting by a pedometer, and (3) healthy lifestyle guidance (mHealth). PA was assessed using Actigraph hip-worn accelerometer (model GT3X+), muscular fitness was mensured by 90-pushup, sit-to-stand, and Cardiorespiratory fitness was assessed using the 20-m PACER shuttle run test, following standardized procedures, as well as cardiometabolic profile indicators (glucose; blood pressure and waist circumference). Intragroup analyzes were performed using generalized estimating equations, and intergroup by ANCOVA using the intention-to-treat principle with adjustment for the covariates of age, maturation, sex, and baseline values. Results: Adolescents in the IG showed significant increase for moderate (mean difference: 11.2 minutes/day; 95% CI: 2.9; 21.0) and moderate-to-vigorous (mean difference: 18.9 minutes/day, 95% CI: 5.9; 32.1) PA in comparison to the CG. No effect of the intervention was observed in sencondary outcomes (physical fitness and cardiometabolic indicators). The IG presented a significant increase in muscular and cardiorespiratory fitness, and decreased blood pressure after 12 weeks of the intervention. Conclusion: The strategies used in the ActTeens intervention were effective to promote the increase in PA and improve physical fitness in these adolescents during the COVID-19 pandemic.
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World Health Organization - WHO. Statement on the Second Meeting of the International Health Regulations (2005) Emergency Committee Regarding the Outbreak of Novel Coronavirus (2019-nCoV). 2020.
Bedford J, Enria D, Giesecke J, Heymann Dl, Ihekweazu C, Kobinger G, et al. COVID-19: towards controlling of a pandemic. Lancet (London, England). 2020;395(10229):1015-18. DOI: https://doi.org/10.1016/S0140-6736(20)30673-5
Neville RD, Lakes KD, Hopkins WG, Tarantino G, Draper CE, Beck R, et al. Global Changes in Child and Adolescent Physical Activity During the COVID-19 Pandemic: A Systematic Review and Meta-analysis. JAMA pediatrics. 2022;176:886-94. DOI: https://doi.org/10.1001/jamapediatrics.2022.2313
Malta DC, Gomes CS, Barros MBDA, Lima MG, Silva, AGD, Cardoso LSDM, et al. The COVID-19 pandemic and changes in the lifestyles of Brazilian adolescents. Rev bras epidemiol. 2021;24:e210012. DOI: https://doi.org/10.1590/1980-549720210012
Tsoukos A, Bogdanis GC. The Effects of a Five-Month Lockdown Due to COVID-19 on Physical Fitness Parameters in Adolescent Students: A Comparison between Cohorts. Int J Environ Res Public Health. 2021;19(1):326. DOI: https://doi.org/10.3390/ijerph19010326
Silva PR, Santos GC, Silva JM, Faria WF, Oliveira RG, Stabelini Neto A. Health-related physical fitness indicators and clustered cardiometabolic risk factors in adolescents: A longitudinal study. J Exerc Sci Fit. 2020;18:162-7. DOI: https://doi.org/10.1016/j.jesf.2020.06.002
Ortega FB, Ruiz Jr, Castillo MJ, Sjöström M. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes (Lond). 2008;32(1):1-11. DOI: https://doi.org/10.1038/sj.ijo.0803774
Barbosa Filho VC, Silva KS, Mota J, Beck C, Silva Lopes A. A physical activity intervention for Brazilian students from low human development index areas: A cluster-randomized controlled trial. J Phys Act Health. 2016;13(11):1174-82. DOI: https://doi.org/10.1123/jpah.2016-0113
Isensee B, Suchert V, Hansen J, Weisser B, Hanewinkel R. Effects of a School‐Based Pedometer Intervention in Adolescents: 1‐Year Follow‐Up of a Cluster‐Randomized Controlled Trial. J Sch Health. 2018;88(10):717-24. DOI: https://doi.org/10.1111/josh.12676
Kennedy SG, Smith JJ, Morgan PJ, Peralta LR, Hilland TA, Eather N, et al. Implementing resistance training in secondary schools: a cluster randomized controlled trial. Med Sci Sports Exer 2018;50(1):62-72. DOI: https://doi.org/10.1249/MSS.0000000000001410
Smith JJ, Morgan PJ, Plotnikoff RC, Dally KA, Salmon J, Okely AD, et al. Smart-phone obesity prevention trial for adolescent boys in low-income communities: the ATLAS RCT. Pediatrics. 2014; 134:e723-e31. DOI: https://doi.org/10.1542/peds.2014-1012
Costa BGGD, Silva KSD, Silveira PMD, Berria J, Machado AR, Petroski EL. The effect of an intervention on physical activity of moderate-and-vigorous intensity, and sedentary behavior during adolescents’ time at school. Rev Bras Epidemiol. 2019;22:e190065. DOI: https://doi.org/10.1590/1980-549720190065
Poon ETC, Fang Y, Chung LMY, Chan CKM, Or PPL, Sun F. A scoping review of physical activity-based interventions for obesity management in children and adolescents during the COVID-19 pandemic. Int J Obes (Lond). 2024;48(3):302-14. DOI: https://doi.org/10.1038/s41366-023-01433-y
Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, et al. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. Int J Surg. 2012;10(1):28-55. DOI: https://doi.org/10.1016/j.ijsu.2011.10.001
Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55(1):68. . DOI: https://doi.org/10.1037//0003-066X.55.1.68
Bandura A. Social foundation of thought and action: A social cognitive theory Prentice Hall. . 1986.
Stabelini Neto A, Santos GCD, Silva JMD, Correa RC, Mata LBD, Barbosa RDO, et al. Improving physical activity behaviors, physical fitness, cardiometabolic and mental health in adolescents-ActTeens Program: A protocol for a randomized controlled trial. PloS One. 2022;17: e0272629. DOI: https://doi.org/10.1371/journal.pone.0272629
Borg GA. Psychophysical bases of perceived exertion. Medicine & science in sports & exercise. 1982. DOI: https://doi.org/10.1249/00005768-198205000-00012
Kantanista A, Bronikowski M, Laudańska-Krzemińska I, Król-Zielińska M, Osiński W. Positive effect of pedometer-based walking intervention on body image and physical activity enjoyment in adolescent girls. Biomed Hum Kinet. 2017;9:34-42. DOI: https://doi.org/10.1515/bhk-2017-0006
American College Of Sports Medicine - ACSM. Manual do ACSM para avaliação da aptidão física relacionada à saúde. Tradução de Giuseppe Taranto. Tradução de ACSM’s health-related physical fitness assessment manual. . 3 ed. Rio de Janeiro: 2011.
Evenson KR, Catellier DJ, Gill K, Ondrak KS, Mcmurray RG. Calibration of two objective measures of physical activity for children. J Sports Sci. 2008;26(14):1557-65. DOI: https://doi.org/10.1080/02640410802334196
Meredith M, Welk G. Fitnessgram/activitygram test administration manual. Dallas, TX: The Cooper Institute; 213. 2016.
Bohannon RW. Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills. 1995;80:163-6. DOI: https://doi.org/10.2466/pms.1995.80.1.163
Mahar MT, Welk GJ, Rowe DA. Estimation of aerobic fitness from PACER performance with and without body mass index. Meas Phys Educ Exerc Sci. 2018;22:239-49. DOI: https://doi.org/10.1080/1091367X.2018.1427590
Christofaro DGD, Casonatto J, Polito MD, Cardoso JR, Fernandes R, Guariglia DA, et al. Evaluation of the Omron MX3 Plus monitor for blood pressure measurement in adolescents. Eur J Pediatr. 2009;168(11):1349-54. DOI: https://doi.org/10.1007/s00431-009-0936-x
Moore SA, Mckay HA, Macdonald H, Nettlefold L, Baxter-Jones AD, Cameron N, et al. Enhancing a somatic maturity prediction model. Med Sci Sports Exerc. 2015;47:1755-64. DOI: https://doi.org/10.1249/MSS.0000000000000588
Van Sluijs EM, Ekelund U, Crochemore-Silva I, Guthold R, HA A, Lubans D, et al. Physical activity behaviours in adolescence: current evidence and opportunities for intervention. The Lancet. 2021;398:429-42. DOI: https://doi.org/10.1016/S0140-6736(21)01259-9
Minatto G, Barbosa Filho VC, Berria J, Petroski EL. School-based interventions to improve cardiorespiratory fitness in adolescents: systematic review with meta-analysis. Sports Med. 2016;46(9): 1273-92. DOI: https://doi.org/10.1007/s40279-016-0480-6
Malina RM, Bouchard C, Bar-Or O. Crescimento, maturação e atividade física. Phorte: São Paulo, 2009.
Wellman RJ, Sylvestre MP, ABI Nader P, Chiolero A, Mesidor M, Dugas EN, et al. Intensity and frequency of physical activity and high blood pressure in adolescents: a longitudinal study. J Clin Hypertens (Greenwich). 2020;22:283-90. DOI: https://doi.org/10.1111/jch.13806
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Derechos de autor 2025 Gessika Castilho dos Santos, Jadson Marcio da Silva, Renan Camargo Correa, Sarah Kennedy, Jeffer Eidi Sasaki, Aristides Miguel da Costa Machado-Rodrigues, Antonio Stabelini Neto
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