title: Impact of readiness to change behavior on the effects of a multidisciplinary intervention in obese Brazilian children and adolescents.
abstract: The obesity epidemic is a global challenge that requires evidence-based intervention to slow the emergence of weight-related illness in children and adolescents. Thus, effective treatments are urgently needed. This study aimed to analyze whether there is relationship between the initial stage of readiness for behavior change (SRBC) and the results obtained through participation in a multidisciplinary program of obesity treatment (MPOT). The study included 113 overweight or obese children and adolescents who participated in an intervention for 16 weeks, in which the categorical variable was the SRBC. The dependent variables included: anthropometric measures of body composition, hemodynamic parameters (e.g., blood pressure values), and health-related physical fitness. Although stages 1 and 2 had greater improvements in flexibility than those in stage 5, and stage 1 had greater percentage changes in abdominal strength than those in stage 5, children and adolescents in the highest stage had greater percentage changes for anthropometric, hemodynamic and cardiorespiratory fitness, suggesting an impact of the stage of change on the effects of a MPOT. This study suggests that SRBC plays a role in obesity treatment in Brazilian children and adolescents and warrants consideration when enrolling patients to intervention.
authors.affiliation: Department of Physical Education, Multiprofessional Nucleus of Obesity Study, State University of Maringa, Parana, Brazil. Electronic address: danilofernandesdasilva@hotmail.com.
authors.forename: Danilo Fernandes
authors.initials: DF
authors.lastname: da Silva
authors.affiliation: Department of Physical Education, Multiprofessional Nucleus of Obesity Study, State University of Maringa, Parana, Brazil.
authors.forename: Josiane Aparecida Alves
authors.initials: JA
authors.lastname: Bianchini
authors.affiliation: Department of Physical Education, Multiprofessional Nucleus of Obesity Study, State University of Maringa, Parana, Brazil.
authors.forename: Carlos Andres
authors.initials: CA
authors.lastname: Lopera
authors.affiliation: Department of Physical Education, Multiprofessional Nucleus of Obesity Study, State University of Maringa, Parana, Brazil.
authors.forename: Daniele Aparecida
authors.initials: DA
authors.lastname: Capelato
authors.affiliation: Department of Physical Education, Multiprofessional Nucleus of Obesity Study, State University of Maringa, Parana, Brazil.
authors.forename: Luzia Jaeger
authors.initials: LJ
authors.lastname: Hintze
authors.affiliation: Cognitive Bahavioral Therapy, Multiprofessional Nucleus of Obesity Study, State University of Maringa, Parana, Brazil.
authors.forename: Cláudia Christina Sanchez
authors.initials: CC
authors.lastname: Nardo
authors.affiliation: Healthy Active Living and Obesity (HALO) Research Group, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada; Division of Maternal-Fetal Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
authors.forename: Zachary M
authors.initials: ZM
authors.lastname: Ferraro
authors.affiliation: Department of Physical Education, Multiprofessional Nucleus of Obesity Study, State University of Maringa, Parana, Brazil.
authors.forename: Nelson
authors.initials: N
authors.lastname: Nardo Junior
mesh_terms: D000293:Adolescent; D001794:Blood Pressure; D001823:Body Composition; D015992:Body Mass Index; D001835:Body Weight; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002652:Child Behavior; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006439:Hemodynamics; D006801:Humans; D016014:Linear Models; D008297:Male; D009043:Motor Activity; D010101:Oxygen Consumption; D010349:Patient Compliance; D063766:Pediatric Obesity / Q000453:epidemiology* / Q000628:therapy*; D010809:Physical Fitness; D015995:Prevalence
keywords: Adolescent; Behavior; Obesity; Physical Activity