Sistema de Salut de Catalunya
[Luis-Ruiz S, Sánchez-Castañeda C] Departament de Psicologia Clínica i Psicobiologia, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain. Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain. [Garolera M] Unitat de Neuropsicologia, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain. [Miserachs-González S] Departament de Psicologia Clínica i Psicobiologia, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain. [Ramon-Krauel M, Lerin C] Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain. Endocrinology Department, Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain. [Sanchez C] Unitat d'Endocrinologia Pediàtrica, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain. [Miró N] Unitat Educativa de Diabetis, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain. [Martínez S] Unitat de Farmàcia i Nutrició, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain
Consorci Sanitari de Terrassa
2023-08-24T08:07:10Z
2023-08-24T08:07:10Z
2023-02-17
Obesitat en els infants; Qualitat de vida; Cognició
Obesidad pediátrica; Calidad de vida; Cognición
Pediatric obesity; Quality of life; Cognition
Background: Children with obesity have a higher risk of future health and psychological problems. Executive functions (EFs) play a key role in successful dietetic and exercise planning; therefore, new treatments aimed at improving EFs may optimize outcomes. Objectives: This study evaluates the impact of EF training on body mass index (BMI), food choice, and cognition in children with obesity. We also examine their real-life executive functioning, emotional state, and quality of life. Methods: Randomized controlled double-blind trial. Forty-six children with obesity were randomly allocated into an executive functions training or a control task training group and attended 30-45 min of daily training (5/week over 6 weeks), with both groups receiving counseling on diet and wearing an activity/sleep tracker. Participants were evaluated at baseline and after treatment. Results: BMI decreased over time in the whole sample, although there were no differences between groups at post-training in BMI, food choice, and cognition. Both groups showed significant improvements in attention, speed, cognitive flexibility, and inhibitory control. Additionally, there were some benefits in real-life executive functioning and self-esteem. Over the 6 weeks, participants showed worse food choices in both groups. Conclusions: EFs training showed a lack of significant effects. The executive function enhancement alone did not explain these changes, as there were no significant differences between the experimental groups. It might be that the control task training could also produce some benefits, and multi-component interventions might be useful for weight loss.
This study was financed by Fundació La Marató de TV3 (Grant 201616-10), by Agència de Gestió d’Ajuts Universitaris i de Recerca (AGAUR) from Generalitat de Catalunya (Grant 2017SGR0748) and by a predoctoral grant from AGAUR (Grant FI-DGR 2018) to SL.
Article
Published version
English
Obesitat en els infants; Qualitat de vida; Cognició; DISEASES::Nutritional and Metabolic Diseases::Nutrition Disorders::Overnutrition::Obesity::Pediatric Obesity; ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA::Social Sciences::Quality of Life; PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::Cognition; ENFERMEDADES::enfermedades nutricionales y metabólicas::trastornos nutricionales::hipernutrición::obesidad::obesidad pediátrica; ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::ciencias sociales::calidad de vida; PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::cognición
MDPI
Brain Sciences;13(2)
https://doi.org/10.3390/brainsci13020346
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
