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Objective: We aimed to assess the effectiveness of the first 6 months of a 24 month multidisciplinary intervention program including circuit training and a balanced diet in children and adolescents with obesity. Participants were grouped into three to receive usual care usual care group , exercise intervention with circuit training exercise group , or intensive nutritional and feedback intervention with a balanced diet nutritional group. Primary outcome was BMI z-score, while secondary outcomes included body composition, cardiometabolic risk markers, nutrition, and physical fitness. Results: Among the participants, The BMI z-score of the overall completers decreased by about 0. After the intervention, both exercise and nutritional groups had significantly lower BMI z-scores than the baseline data by about 0. No statistically significant differences were observed in any of the other secondary outcomes assessed.

Obesity Improving Health Outcomes - consider

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Metrics details. This study is a secondary data analysis of a geographically-representative, longitudinal cohort of Vietnamese children from the Young Lives Cohort Study from to Thirty-one communities were selected with oversampling in rural communities, and children age 1 were recruited from each community using simple random sampling.

Surveys of families and measurements of children were collected at child ages 1, 5, and 8. Associations between early and concurrent socio-behavioral factors, childhood nutrition and physical activity variables were analyzed using STATA Bivariate and multivariable analyses were completed utilizing logistic regression models.

Peer Review reports. Over recent decades, many low- and middle-income countries LMICssuch as Vietnam, have experienced rapid economic growth, particularly in urban areas [ 1 ]. Healht obesity is associated with chronic health problems during childhood and increased risk for adult obesity and chronic diseases, including type 2 diabetes, hypercholesterolemia, cardiovascular disease, fatty liver, sleep apnea, and musculoskeletal disorders [ 456 ].

Obstetrics and Gynecology International

Furthermore, early childhood-onset obesity is associated click increased risk of premature mortality compared to adult-onset obesity [ 789 ]. This difference is associated with increased levels of blood triglycerides and hypertriglyceridemia [ 10 ], which leads to increased risk of cardiovascular disease later in life. This is also seen in Vietnam, along with other factors that have been linked to childhood obesity, including decreased physical activity due Obesity Improving Health Outcomes greater availability of motor vehicle transportation, and increased sedentary screen-based entertainment [ 1415 ]. These economic and behavioral changes, and increasing child obesity, predominately impact urbanized areas and higher social economic strata [ 161718 ].

In order to develop effective strategies to prevent child obesity in Vietnam and its health consequences, there is a need for longitudinal data identifying the specific community- family- and child-level risk factors associated with childhood obesity across a broader span of early childhood years. YLCS is an international longitudinal research project spearheaded by the University of Oxford in collaboration with research institutes, universities and NGOs in four study countries. This methodology is multistage, purposive and random Obesity Improving Health Outcomes that randomizes households from a study site chosen based on predetermined criteria from YLCS.

This strategy entailed selecting four communes in each province with two communes from the poor group, as ranked by the Provincial Committee for Population of each province, one from the average group, and one from above-average group.

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However, if a selected commune had a population of less than persons, a similar commune of the same poverty level was selected to ensure that children could be enrolled from that sentinel site. In each commune, a door-to-door screening survey for children born between January and May was performed from April to June to produce a list of eligible children. From each sentinel site, children were randomly sampled using simple random sampling [ 19 ].]