Tres meses de rehabilitación interdisciplinaria incrementa la fuerza muscular respiratoria de escolares obesos

2021 
espanolActualmente se desconocen los efectos de un programa interdisciplinario, basado en entrenamiento fisico, sobre la fuerza muscular respiratoria (FMR) de escolares obesos. El objetivo es analizar los efectos de un programa de intervencion interdisciplinario de tres meses de duracion sobre la masa adiposa (MA), masa muscular (MM) y la FMR en escolares con obesidad infantil y sin patologia respiratoria. 11 escolares, siete de genero masculino y cuatro de genero femenino, participaron durante tres meses del programa interdisciplinario, atendidos por nutricionistas, psicologos y entrenadores. Se evaluo FMR con pimometria y composicion corporal (CC) con antropometria. Se observo el aumento significativo de la FMR expresada en presion inspiratoria maxima (PIM) (p = 0.029) y presion espiratoria maxima (PEM) (p = 0.006) en relacion con sus valores de referencia y valores absolutos. Se observo una disminucion significativa en el IMCz score (p = 0.04) y se encontraron asociaciones significativas entre PIM (PIM/MA p = 0.005; r = -0.769) y PEM (PEM/MM p = 0.001; r = 0.835) con variables de la CC. En conclusion, tres meses de tratamiento interdisciplinario de la obesidad infantil evocan incrementos en la PIM y PEM y estos incrementos se asocian a variaciones en la CC. EnglishAt present, there is no evidence regarding the effects of an interdisciplinary program, based on physical training, on respiratory muscle strength (FMR) in obese schoolchildren. The objective was to analyze the effects of a three-month interdisciplinary intervention program on fat mass (MA), muscle mass (MM) and FMR in schoolchildren with childhood obesity and without respiratory pathology. 11 schoolchildren, seven males and four female, participated during three months of the interdisciplinary program. Supervised by nutritionists, psychologists and trainers. FMR was evaluated with pimometry and body composition (CC) with anthropometry. There was a significant increase in FMR, expressed as maximum inspiratory pressure (PIM) (p = 0.029) and maximum expiratory pressure (PEM) (p = 0.006) in relation to their reference and absolute values. A significant decrease in the BMI score was found (p = 0.04), as well as associations between PIM (PIM / MA p = 0.005; r = -0.769) and PEM (PEM / MM p = 0.001; r = 0.835) with variables of CC. In conclusion, three months of interdisciplinary treatment of childhood obesity evoke increases in PIM and PEM, and these increases are associated with variations in CC.
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