Ranjit Mohan Anjana, Sharma Nitika, Narayanaswamy Jagannathan, Deenadayalan Vinothini, Kanniyappan Yuvarani, Viswanathan Mohan, Rajendra Pradeepa, Colin N A Palmer, Melissa O'Shea, Shifalika Goenka, Ranjini Manian, Amrita Karthik Raj, Shiny Surendran, Ranjit Unnikrishnan, James F Sallis, Harish Ranjani
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The present study evaluated the effect of THANDAV on cardiovascular risk factors and lifestyle behavior in Asian Indian adolescent girls.</p><p><strong>Methods: </strong>THANDAV was delivered as a 12-week pilot cluster randomized controlled trial (cRCT) in two schools, involving 108 schoolgirls aged 13 to 15 years in Chennai, India. The primary outcome was step counts, while secondary outcomes included metabolic, clinical, and lifestyle parameters. Focus group discussions and interviews were held to assess barriers to and acceptability of THANDAV intervention.</p><p><strong>Results: </strong>In the intention-to-treat analysis, the intervention group had significantly favorable changes in step counts (+1073 steps/day), skeletal muscle mass (+0.9 kg), body weight (-0.7 kg), body fat percentage (-2.0%), body mass index (-0.3 kg/m<sup>2</sup>), waist circumference (-1.0 cm), systolic (-4 mm Hg) and diastolic blood pressure (-4 mm Hg), resting heart rate (-3 bpm) and body fat mass (-1.7 kg), moderate -to-vigorous physical activity (+29.5 minutes/day), sleep (+46.4 minutes/day), sedentary time (-199.7 minutes/day), Adolescence Stress Scale (-6.6), and junk food consumption (-2.7) scores compared with controls. 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引用次数: 0
摘要
背景：绝大多数来自中低收入国家的青少年没有达到每日身体活动的建议。THANDAV（以高强度间歇训练[HIIT]和舞蹈为青少年战胜非传染性疾病[NCDs]）是一个10分钟的舞蹈干预，结合了HIIT的原则。本研究评估了THANDAV对亚洲印度少女心血管危险因素和生活方式行为的影响。方法：在印度金奈的两所学校进行为期12周的THANDAV随机对照试验（cRCT），涉及108名13至15岁的女学生。主要结果是步数，次要结果包括代谢、临床和生活方式参数。进行焦点小组讨论和访谈，以评估THANDAV干预的障碍和可接受性。结果:在意图治疗分析中，干预组在步数（+1073步/天）、骨骼肌质量（+0.9 kg）、体重（-0.7 kg）、体脂率（-2.0%）、体重指数（-0.3 kg/m2）、腰围（-1.0 cm）、收缩压（-4 mm Hg）和舒张压（-4 mm Hg）、静息心率（-3 bpm）和体脂量（-1.7 kg）、中高强度体力活动（+29.5分钟/天）、睡眠（+46.4分钟/天）、与对照组相比，久坐时间（-199.7分钟/天），青少年压力量表（-6.6）和垃圾食品消费（-2.7）得分。定性访谈显示，THANDAV程序具有时间效率，令人愉快，并且很容易适应青少年繁忙的日程安排，使他们能够积极地参与休闲时间。结论：THANDAV是一种文化上可接受的基于hiit的舞蹈干预，可改善亚洲印度少女的闲暇时间身体活动并降低心脏代谢风险。试验注册：该试验在印度中央试验注册中心注册(CTRI/2020/02/023384；URL: https://ctri.nic.in/Clinicaltrials/pmaindet2.php?EncHid=MzgyMTQ=&Enc=&userName=)。
A Novel High-Intensity Short Interval Dance Intervention (THANDAV) for Non-Communicable Disease Prevention Tailored to Asian Indian Adolescent Girls.
Background: A significant majority of adolescents from lower-middle-income countries do not meet recommendations for daily physical activity. THANDAV (Taking High-Intensity Interval Training [HIIT] ANd Dance to Adolescents for Victory over noncommunicable diseases [NCDs]) is a 10-minute dance intervention incorporating principles of HIIT. The present study evaluated the effect of THANDAV on cardiovascular risk factors and lifestyle behavior in Asian Indian adolescent girls.
Methods: THANDAV was delivered as a 12-week pilot cluster randomized controlled trial (cRCT) in two schools, involving 108 schoolgirls aged 13 to 15 years in Chennai, India. The primary outcome was step counts, while secondary outcomes included metabolic, clinical, and lifestyle parameters. Focus group discussions and interviews were held to assess barriers to and acceptability of THANDAV intervention.
Results: In the intention-to-treat analysis, the intervention group had significantly favorable changes in step counts (+1073 steps/day), skeletal muscle mass (+0.9 kg), body weight (-0.7 kg), body fat percentage (-2.0%), body mass index (-0.3 kg/m2), waist circumference (-1.0 cm), systolic (-4 mm Hg) and diastolic blood pressure (-4 mm Hg), resting heart rate (-3 bpm) and body fat mass (-1.7 kg), moderate -to-vigorous physical activity (+29.5 minutes/day), sleep (+46.4 minutes/day), sedentary time (-199.7 minutes/day), Adolescence Stress Scale (-6.6), and junk food consumption (-2.7) scores compared with controls. Qualitative interviews revealed that THANDAV routines were time-efficient, enjoyable, and easily fit into adolescents' busy schedules enabling feasible engagement in active leisure time.
Conclusions: THANDAV is a culturally acceptable HIIT-based dance intervention that improves leisure-time physical activity and reduces cardiometabolic risk in Asian Indian adolescent girls.
Trial registration: The trial is registered with the Central Trials Registry-India (CTRI/2020/02/023384; URL: https://ctri.nic.in/Clinicaltrials/pmaindet2.php?EncHid=MzgyMTQ=&Enc=&userName=).
期刊介绍：
The Journal of Diabetes Science and Technology (JDST) is a bi-monthly, peer-reviewed scientific journal published by the Diabetes Technology Society. JDST covers scientific and clinical aspects of diabetes technology including glucose monitoring, insulin and metabolic peptide delivery, the artificial pancreas, digital health, precision medicine, social media, cybersecurity, software for modeling, physiologic monitoring, technology for managing obesity, and diagnostic tests of glycation. The journal also covers the development and use of mobile applications and wireless communication, as well as bioengineered tools such as MEMS, new biomaterials, and nanotechnology to develop new sensors. Articles in JDST cover both basic research and clinical applications of technologies being developed to help people with diabetes.
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