Exercise-snacks for Breaking the Sedentary Lifestyle and Improving the Physical Fitness of Obese Adolescents? (SNACKEX)

University of Avignon

Status: Enrolling

Conditions: Obese Adolescents; Exercise; Sedentary Time

Treatments: Other: exercise-snack group

Study type: Interventional

Funder types: Other

Identifiers

NCT06626295

AU_ISP1_2024

Details and patient eligibility

About

The management of a person with obesity involves long-term behavioral changes with a balanced diet in both quantity and quality, along with the adoption of a more active lifestyle: increasing physical activities and reducing sedentary behaviors. The school setting has been identified as a favorable environment for interventions aimed at reducing and interrupting the time adolescents spend sitting and preventing the associated negative health consequences.

Recently, very short (< 1 minute) and intense exercises, called 'exercise-snacks,' have been reported to be effective in adults for 1) improving physical fitness over 6 weeks, and 2) improving vascular function and lowering blood glucose levels over a single day. Additionally, in adolescents with diabetes, they have been shown to reduce body fat. This raises the question of whether adding 'exercise-snack' sessions to a multidimensional care program for hospitalized obese adolescents could further improve their physical fitness in the short and medium term.

The objective of this project is to compare the effects of a traditional multidimensional care program with the addition of 'exercise-snacks' to the same care program without 'exercise-snacks' on the physical fitness, body composition, vascular function, and physical activity and sedentary behaviors of obese children in the short and medium term. Thirty-six obese adolescents will be included. The 'exercise-snack' group will perform six exercise sessions per day for three weeks in addition to the standard care. The control group will receive only the standard care. Assessments of physical fitness, body composition, vascular health, and questionnaires on physical activity, sedentary behavior, and cognitive restraint will be conducted at the beginning and end of the three-week program, as well as 1 and 3 months after the end of the program.

Enrollment: 36 estimated patients

Sex: All

Ages: 11 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Body mass index Z-score corresponding to stage 2 obesity,
• no weight loss of more than 5% of total body weight in the past 3 months,
• parental consent
• minor's acceptance

Exclusion criteria

• Contraindication to physical activity
• current participation in a clinical trial

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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36 participants in 2 patient groups

exercise-snack group

Experimental group

Description:

Exercise program: Adolescents in the exercise-snacks group will perform 4 "exercise-snacks" sessions per day during 3 weeks in addition to multidimensional care program. These sessions will consist of 1-min various intense supervised exercises . They will also receive information about their attitudes to physical activity.

Treatment:

Other: exercise-snack group

control group

No Intervention group

Description:

only the multidimensional care program without 'exercise-snacks'