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Feasibility of an after-school group-based exercise and lifestyle programme to improve cardiorespiratory fitness and health in less-active Pacific and Māori adolescents

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Authors:
Summary:

These researchers evaluated the feasibility of a 6-week after-school exercise and lifestyle programme designed to improve cardiorespiratory fitness, health and usual activity in less-active Pacific and Māori adolescents. The programme recruited 18 less-active secondary school students (13 were Pacific ethnicity and 5 were Māori), who participated in 3 x 1.5 hour exercise and healthy lifestyle sessions per week. An average of just over 50% of students attended each session. Outcomes data are reported for 16 participants who completed the 6-week follow-up. At baseline, the mean age of all study participants was 16.3 years, BMI 35.2 kg/m2 , VO2max 31.5 mL/kg/min, systolic blood pressure (BP) 125.0 mm Hg, glycated haemoglobin (HbA1c) 39.9 mmol/mol, and fasting serum insulin 28.3 μU/mL. At follow-up, improvements had occurred in VO2max (3.2 mL/kg/min; p=0.02), systolic BP (–10.6 mm Hg; p=0.003), HbA1c (–1.1 mmol/mol; p=0.03) and weekly vigorous (4 hours, p=0.002) and moderate (2 hours, p=0.006) physical activity, although waist circumference increased (p=0.005). Comments were mostly positive.

Comment:
A completion rate of 89% for an after-school, exercise programme with adolescents is commendable. The full details of the programme are provided in the paper and would be useful for people designing similar programmes at school, or through marae, churches or sports clubs.
Reference: J Prim Health Care. 2015;7(1):57-64
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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