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Design and Process Evaluation of a High Intensity Interval Training Program for Adolescents who are Overweight or Obese and are Enrolled in a Multi-modal Intervention

Magier, Adam Z
http://orcid.org/0000-0003-4469-4692
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1554373454906181

Abstract Details

2019, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Adolescent obesity is a major health issue requiring increased attention from medical providers. Adolescents who are overweight or obese experience higher rates of comorbidities including insulin resistance, non-alcoholic fatty liver disease, type 2 diabetes, and cardiovascular disease in comparison to their normal weight peers. Various dietary and exercise plans have proven effective for adolescent weight management, including high intensity interval training (HIIT), which is a specific form of exercise where maximal-effort bouts are alternated with less intense periods of recovery. Programs designed to initiate lifestyle changes, in combination with behavioral modification approaches, are essential in combatting this epidemic; however, best practices for helping adolescents who are overweight and obese achieve a sustained healthy weight remain elusive. PURPOSE: To examine the acceptability of a HIIT program designed to be initiated in combination with a calorie controlled DASH diet plan in a clinical setting with telehealth follow-up for overweight and obese adolescents. METHODS: The HIIT exercise protocol was developed through conducting a comprehensive review of the literature, consultation with pediatric exercise experts, and pilot testing for feasibility. Professional videography was utilized to create videos of the exercise routines, which were provided only to patients enrolled in the study. Participants were enrolled in a 12-week intervention to assess the effects of the Dietary Approaches to Stop Hypertension (DASH) diet combined with HIIT when delivered via telehealth. A process questionnaire was administered at the end of the 12-week intervention to gain feedback from participants about the acceptability of the intervention. RESULTS: The recruited population was consistent with the target population with an average weight percentile of 93.8 (±2.53). The average BMI percentile was 98.8 (±0.77) and a majority of the participants met criteria for severe obesity. Several comorbidities were also present in the recruited population. One-hundred percent of participants completed the process questionnaire, and 87.5% attempted the HIIT protocol at least once. The program was rated as “good” overall and there were more aspects that were liked than disliked. A majority of participants indicated that they would continue with the exercises after completing the study and one-hundred percent stated they would recommend the program to a friend. CONCLUSION: This HIIT protocol was specifically designed for adolescents with elevated weight status. Overall, it was positively reviewed by participants and may offer an exciting alternative to traditional aerobic endurance exercise, such as moderate intensity training. The program was designed to address the commonly reported barrier of time constraint, and the length was shorter in duration than other HIIT programs designed for this population. This was especially important given that this is the first HIIT program to be delivered to this population via telehealth. Important design features also include no equipment, minimizing costs associated with purchasing exercise materials, and video delivery of the program, which allows participants to complete this in a comfortable setting of their choice, including the home.
Sarah Couch, Ph.D. (Committee Chair)
Abigail Peairs, Ph.D. (Committee Member)
41 p.
Nutrition
High Intensity Interval Training; HIIT; Telehealth; DASH Diet; adolescent obesity; behavior intervention

Recommended Citations

Citations

  • Magier, A. Z. (2019). Design and Process Evaluation of a High Intensity Interval Training Program for Adolescents who are Overweight or Obese and are Enrolled in a Multi-modal Intervention [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1554373454906181

    APA Style (7th edition)

  • Magier, Adam. Design and Process Evaluation of a High Intensity Interval Training Program for Adolescents who are Overweight or Obese and are Enrolled in a Multi-modal Intervention. 2019. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1554373454906181.

    MLA Style (8th edition)

  • Magier, Adam. "Design and Process Evaluation of a High Intensity Interval Training Program for Adolescents who are Overweight or Obese and are Enrolled in a Multi-modal Intervention." Master's thesis, University of Cincinnati, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1554373454906181

    Chicago Manual of Style (17th edition)

ucin1554373454906181
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© 2019, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.