Effects of exercise intensity and nutrition advice on myocardial function in obese children and adolescents: a multicentre randomised controlled trial study protocol

Bibliographic Details
Title: Effects of exercise intensity and nutrition advice on myocardial function in obese children and adolescents: a multicentre randomised controlled trial study protocol
Authors: Sjaan R Gomersall, Daniel J Green, Torstein Baade Rø, Katrin A Dias, Jeff S Coombes, Peter S W Davies, Shelley E Keating, Arnt Erik Tjonna, Siri Marte Hollekim-Strand, Mansoureh Sadat Hosseini, Margrete Haram, Else Marie Huuse, Peter A Cain, Gary M Leong, Charlotte B Ingul
Source: BMJ Open, Vol 6, Iss 4 (2016)
Publisher Information: BMJ Publishing Group, 2016.
Publication Year: 2016
Collection: LCC:Medicine
Subject Terms: Medicine
More Details: Introduction The prevalence of paediatric obesity is increasing, and with it, lifestyle-related diseases in children and adolescents. High-intensity interval training (HIIT) has recently been explored as an alternate to traditional moderate-intensity continuous training (MICT) in adults with chronic disease and has been shown to induce a rapid reversal of subclinical disease markers in obese children and adolescents. The primary aim of this study is to compare the effects of HIIT with MICT on myocardial function in obese children and adolescents.Methods and analysis Multicentre randomised controlled trial of 100 obese children and adolescents in the cities of Trondheim (Norway) and Brisbane (Australia). The trial will examine the efficacy of HIIT to improve cardiometabolic outcomes in obese children and adolescents. Participants will be randomised to (1) HIIT and nutrition advice, (2) MICT and nutrition advice or (3) nutrition advice. Participants will partake in supervised exercise training and/or nutrition sessions for 3 months. Measurements for study end points will occur at baseline, 3 months (postintervention) and 12 months (follow-up). The primary end point is myocardial function (peak systolic tissue velocity). Secondary end points include vascular function (flow-mediated dilation assessment), quantity of visceral and subcutaneous adipose tissue, myocardial structure and function, body composition, cardiorespiratory fitness, autonomic function, blood biochemistry, physical activity and nutrition. Lean, healthy children and adolescents will complete measurements for all study end points at one time point for comparative cross-sectional analyses.Ethics and dissemination This randomised controlled trial will generate substantial information regarding the effects of exercise intensity on paediatric obesity, specifically the cardiometabolic health of this at-risk population. It is expected that communication of results will allow for the development of more effective evidence-based exercise prescription guidelines in this population while investigating the benefits of HIIT on subclinical markers of disease.Trial registration number NCT01991106.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2044-6055
Relation: https://bmjopen.bmj.com/content/6/4/e010929.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2015-010929
Access URL: https://doaj.org/article/53316be9da094b91bdd594b0dc0b1ff5
Accession Number: edsdoj.53316be9da094b91bdd594b0dc0b1ff5
Database: Directory of Open Access Journals
More Details
ISSN:20446055
DOI:10.1136/bmjopen-2015-010929
Published in:BMJ Open
Language:English