Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction.

Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. Research Abstract Details 

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Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. Abstract Text:

Rungsinee Amanda Liusuwan,Lana M Widman,Richard Ted Abresch,Allan J Johnson,Craig M McDonald,

BACKGROUND/OBJECTIVE: Determine the effects of a nutrition education and exercise intervention on the health and fitness of adolescents with mobility impairment due to spinal cord dysfunction from myelomeningocele and spinal cord injury. Subjects participated in a 16-week intervention consisting of a behavioral approach to lifestyle change, exercise, and nutrition education to improve fitness (BENEfit) program. Participants were given a schedule of aerobic and strengthening exercises and attended nutrition education and behavior modification sessions every other week along with their parent(s). SUBJECTS: Twenty adolescents (aged 11-18 years, mean 15.4 +/- 2.2 years) with spinal cord dysfunction. METHODS: Subjects were tested immediately prior to starting and upon completion of the program. Aerobic fitness was measured using a ramp protocol with an arm ergometer. Heart rate and oxygen uptake were measured. Values at anaerobic threshold and maximum oxygen uptake were recorded. Peak isokinetic arm and shoulder strength were determined with a dynamometer. Body composition was estimated with dual-energy x-ray absorptiometry. Serum chemistry included measures of cholesterol, high-density lipoprotein, low-density lipoprotein, and triglycerides. RESULTS: Fourteen individuals completed all testing sessions. There was no significant overall change in weight, body mass index, body mass index z-scores, or serum chemistry. Overall, there was a significant increase in whole body lean tissue without a concomitant increase in whole body fat. Fitness measures revealed a significant increase in maximum power output, work efficiency as measured by the amount of power output produced aerobically, and resting oxygen uptake. Strength measurements revealed a significant increase in shoulder extension strength and a trend towards increased shoulder flexion strength. There were no significant changes in high-density lipoprotein, low-density lipoprotein, total cholesterol, or triglycerides. CONCLUSIONS: The BENEfit program shows promise as a method for improving the health and fitness of adolescents with mobility impairments who are at high risk for obesity and obesity-related health conditions.

Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. Publishing Authors By Initials

RA Liusuwan,LM Widman,RT Abresch,AJ Johnson,CM McDonald,

For similar nervous system diseases: central nervous system diseases: spinal cord diseases research abstracts see: nervous system diseases: central nervous system diseases: spinal cord diseases research

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Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: The journal of spinal cord medicine

VOLUME: 30 Suppl 1

Page Numbers: S119-26

Journal Abbreviation:

ISSN: 1079-0268

DAY: 3

MONTH: 12

YEAR: 2007

Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9504452

Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. Keywords Mesh Terms:

KEYWORDS: Spinal Cord Diseases

MESH TERMS: complications

Chemical & Substance for Abstract: Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction. Information

Substance Name: Lipoproteins

Registry Number: 0

Grant and Affiliation Information for Behavioral intervention, exercise, and nutrition education to improve health and fitness (BENEfit) in adolescents with mobility impairment due to spinal cord dysfunction.

AFFILIATION: Shriners Hospitals for Children Northern California, Sacramento, California, USA.

Country: United States

AGENCY: United States NICHD

GRANT: R01 HD35714

ACRONYM: HD

MEDLINETA: J Spinal Cord Med

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