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A Multidisciplinary, Behavioral Approach and Recommendations for High Intensity Resistance Training in the Treatment of Obese Children
Title
A Multidisciplinary, Behavioral Approach and Recommendations for High Intensity Resistance Training in the Treatment of Obese Children.
Creator
Miller, Joshua, Marieb College of Health & Human Services
Abstract / Description
It has been reported that nearly 17% of all children and adolescents are obese, with a BMI above the 95th percentile. Similarly, childhood obesity has risen in the last three decades, indicating that an evidence- based, best practice (EBBP) intervention is necessary for halting this epidemic and resolving associated health risks. High intensity resistance training (HIRT) could be an EBBP intervention for fat loss in obese children. This case report investigates the use of a multidisciplinary,...
Show moreIt has been reported that nearly 17% of all children and adolescents are obese, with a BMI above the 95th percentile. Similarly, childhood obesity has risen in the last three decades, indicating that an evidence- based, best practice (EBBP) intervention is necessary for halting this epidemic and resolving associated health risks. High intensity resistance training (HIRT) could be an EBBP intervention for fat loss in obese children. This case report investigates the use of a multidisciplinary, behavioral treatment approach, Fit4Allkids, for obese children. It also presents the potential for using HIRT as a treatment option for obese children, including the possible mechanisms for fat loss as a result of HIRT among obese children. Furthermore, this case report identifies important HIRT research outcomes that would be beneficial for developing an EBBP intervention for obese children. Suggested outcomes for future studies include exploring resting metabolic rate, lean body mass, fat free mass, total daily energy expenditure, and respiratory exchange ratio in obese children.
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Date Issued
2014-05-28
Identifier
Miller_fgcu_1743_10078
Format
Document (PDF)
Core Stabilization: Considerations for Physical Therapists Treating Children with Obesity
Title
Core Stabilization: Considerations for Physical Therapists Treating Children with Obesity.
Creator
Mikaiel, Joanne Sherie, Marieb College of Health & Human Services
Abstract / Description
Research has established that obese children have decreased core stabilization and balance as compared to normal weight children. The decrease in core stabilization causes obese children to ambulate with a slower walking velocity, longer double leg stance, wider stance width, and a greater degree of asymmetry. This case report details the use of a core strengthening program with a middle school child who was obese and was demonstrating impaired gait mechanics. The child was referred to...
Show moreResearch has established that obese children have decreased core stabilization and balance as compared to normal weight children. The decrease in core stabilization causes obese children to ambulate with a slower walking velocity, longer double leg stance, wider stance width, and a greater degree of asymmetry. This case report details the use of a core strengthening program with a middle school child who was obese and was demonstrating impaired gait mechanics. The child was referred to physical therapy with an acute low back sprain, treatment was focused toward improving her core stabilization to decrease her current low back pain and to improve her gait mechanics. This case provides an example of how providing a core strengthening program to an obese middle school-age child can help improve the impaired gait mechanics found in obese children.
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Date Issued
2014
Identifier
Mikaiel_fgcu_1743_10076
Format
Document (PDF)
Health Promotion and Wellness in Bariatric Individuals: Benefits of Physical Therapy
Title
Health Promotion and Wellness in Bariatric Individuals: Benefits of Physical Therapy.
Creator
Smith, Matthew Kent, Marieb College of Health & Human Services
Abstract / Description
Background and Purpose: In order to address the epidemic of obesity and the many comorbidities often associated with this condition, physical therapists possess expertise applicably suited to facilitate individuals with elevated body mass pursue health and wellness. Case Description: The patient was a 45 year old male who was 179.07 cm tall and weighed 138.44 kg, for a total of 43.2 on the Body Mass Index (BMI) scale, upon the initial evaluation. A Bioelectrical Impedance Analysis (BIA)...
Show moreBackground and Purpose: In order to address the epidemic of obesity and the many comorbidities often associated with this condition, physical therapists possess expertise applicably suited to facilitate individuals with elevated body mass pursue health and wellness. Case Description: The patient was a 45 year old male who was 179.07 cm tall and weighed 138.44 kg, for a total of 43.2 on the Body Mass Index (BMI) scale, upon the initial evaluation. A Bioelectrical Impedance Analysis (BIA) showed 34.5% body fat upon entering the intervention. The patient demonstrated a sedentary lifestyle prior to the initial encounter. The patient was previously diagnosed with Type II Diabetes Mellitus and Restless Leg Syndrome (RLS). His pharmacological profile included a beta blocker, calcium channel blocker, and an ACE inhibitor for blood pressure medication as well as a dopamine promoter to address the RLS. Aside from elevated body mass, the patient’s chief complaint was of pain in multiple joints with activity and weight bearing. Outcome measures included Seven Site Skinfold measurements, circumferential measurements at 5 locations, the Sharpened Rhomberg Balance test, Functional Squat tests, the Six-Minute Walk Test, and a brief psychological profile consisting of 4 surveys. Interventions took place both in the patient’s home setting as well as the Exercise Science Lab on the campus of Florida Gulf Coast University. Outcomes: Following the intervention period, the patient demonstrated an estimated decrease in fat percentage of 0.2-0.24% fat percentage and showed desirable changes in 3 of the 4 psychological surveys. Discussion: The case report details a physical therapy plan of care for health and wellness for an individual of elevated body mass. The intervention focuses on developing core musculature and promoting functional, pain free movement. The intervention consists of both aerobic and resistance training. The primary limitation of the intervention period was the duration. Further research should include an 8 week intervention with a 6 month follow-up for more long-term evaluation.
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Date Issued
2016
Identifier
Smith__fgcu_1743_10192
Format
Document (PDF)
The Healthy Eating and Activity Responsibility Training (HEART) Program
Title
The Healthy Eating and Activity Responsibility Training (HEART) Program.
Creator
Dean, Abbey, Marieb College of Health & Human Services
Abstract / Description
Background: The United States is facing an obesity epidemic as the number of individuals who are overweight and obese continues to rise, with nearly 40% of adults considered obese and approximately 93.3 million individuals affected by obesity. An epidemic of overweight and obesity exists in the young adult population, particularly college students, as they are exposed to common obesity risk factors including poor nutrition and lack of physical activity. Alarmingly, one in three college...
Show moreBackground: The United States is facing an obesity epidemic as the number of individuals who are overweight and obese continues to rise, with nearly 40% of adults considered obese and approximately 93.3 million individuals affected by obesity. An epidemic of overweight and obesity exists in the young adult population, particularly college students, as they are exposed to common obesity risk factors including poor nutrition and lack of physical activity. Alarmingly, one in three college students are overweight or obese, with an average weight gain of four to eight pounds during their first semester of college. Problem: The PICO question guiding this project was: In freshmen college students, how does an evidence-based, health promotion program The Healthy Eating and Activity Responsibility Training (HEART), compared to no intervention, affect the nutrition and physical activity behaviors, weight, and body mass index (BMI) of freshmen students during the first semester in college? Methods: The HEART program was a blended learning nutritional program for select college freshmen at a university in southwest Florida. Pre-and post-questionnaire data were obtained to compare effectiveness of the program. Intervention: There were 91 participants in the HEART program and 61 students in the usual group. However, only 44 questionnaires from the intervention group, and 9 questionnaires from the usual group, were included in the data analysis as these participants correctly provided their unique identifier to compare pre-and post-results. Results: Females in the intervention group lost an average of five pounds compared to the average weight gain of females in the usual group of 17 pounds. Males in the intervention group gained an average of two pounds, whereas males in the usual group lost an average of two pounds. Additionally, students reported increased ability to identify select foods high in fiber (bananas p < .014), added sugar (tomato Ketchup p < .017), and added salt (cereal p < .001). Conclusion: Participants in the HEART program had less weight gain compared to those in the usual group. Females appeared to be more likely to decrease their weight compared to males. Additionally, participants in the HEART program revealed improved awareness and recognition of foods high in fiber, added salt, and added sugar.
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Date Issued
2020-05-03
Identifier
fgcu_ETD_0333
Format
Document (PDF)