Comparison of Lipid Levels and Steps Per Week Between Overweight and Obese Adolescents in the COPE TEEN Randomized Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/303965
Category:
Abstract
Type:
Presentation
Title:
Comparison of Lipid Levels and Steps Per Week Between Overweight and Obese Adolescents in the COPE TEEN Randomized Controlled Trial
Author(s):
Jacobson, Diana L.; Kelly, Stephanie A.; Melnyk, Bernadette Mazurek
Lead Author STTI Affiliation:
Beta Upsilon
Author Details:
Diana L. Jacobson, PhD, RN, PNP-BC, diana.jacobson@asu.edu; Stephanie A. Kelly, PhD, FNP-C; Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: The purpose of this analysis was to compare lipid levels and pedometer steps per week between a subgroup of overweight and obese adolescents.

Methods: Independent sample t-tests and chi-square were used to analyze differences in total cholesterol, HDL, LDL and triglycerides, lipid categorization (based on NHLBI Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents), and pedometer average steps per week between overweight and obese teens and between male and female teens.

Results: There were 148 overweight or obese teens that were included in this baseline analysis.  All mean levels in lipid parameters were higher in the obese teens versus overweight teens except HDL which was lower in obese teens versus overweight teens.  Mean pedometer steps per week also were lower in the obese teens versus the overweight teens.  There were significant differences between overweight and obese teens’ total cholesterol (p=.004), HDL (p=.003), LDL (p=.000), triglycerides (p=.000) and steps per week (p=.053).  

Only 14.5% of obese teens had an “Acceptable” lipid profile with 68.4% have an “Abnormal” profile.  This is compared with 25.4% of overweight teens who had an “Acceptable” lipid profile versus 46.5% having an “Abnormal” profile (p=.027).There were significant differences between male overweight and obese for all lipid parameters (p<.05).  The only significantly different lipid parameters for females between overweight and obese teens was LDL (p=.017).  There were significant differences between males and females who were obese: HDL was significantly lower in males (p=.002), triglycerides were higher in males (p=.032), and steps per week were lower in females (p=.020).   

Conclusion: In this sample of overweight and obese teens, there appears to be greater cardiovascular risk as evidenced by serum lipid levels and amount of physical activity in obese versus overweight teens.  These findings highlight the importance of aggressive interventions to address risk factor modification in obese adolescents.

Keywords:
obesity; adolescents; lipids
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleComparison of Lipid Levels and Steps Per Week Between Overweight and Obese Adolescents in the COPE TEEN Randomized Controlled Trialen_GB
dc.contributor.authorJacobson, Diana L.en_GB
dc.contributor.authorKelly, Stephanie A.en_GB
dc.contributor.authorMelnyk, Bernadette Mazureken_GB
dc.contributor.departmentBeta Upsilonen_GB
dc.author.detailsDiana L. Jacobson, PhD, RN, PNP-BC, diana.jacobson@asu.edu; Stephanie A. Kelly, PhD, FNP-C; Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/303965-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b>The purpose of this analysis was to compare lipid levels and pedometer steps per week between a subgroup of overweight and obese adolescents. <p><b>Methods: </b>Independent sample t-tests and chi-square were used to analyze differences in total cholesterol, HDL, LDL and triglycerides, lipid categorization (based on NHLBI Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents), and pedometer average steps per week between overweight and obese teens and between male and female teens. <p><b>Results: </b>There were 148 overweight or obese teens that were included in this baseline analysis.  All mean levels in lipid parameters were higher in the obese teens versus overweight teens except HDL which was lower in obese teens versus overweight teens.  Mean pedometer steps per week also were lower in the obese teens versus the overweight teens.  There were significant differences between overweight and obese teens’ total cholesterol (p=.004), HDL (p=.003), LDL (p=.000), triglycerides (p=.000) and steps per week (p=.053).   <p>Only 14.5% of obese teens had an “Acceptable” lipid profile with 68.4% have an “Abnormal” profile.  This is compared with 25.4% of overweight teens who had an “Acceptable” lipid profile versus 46.5% having an “Abnormal” profile (p=.027).There were significant differences between male overweight and obese for all lipid parameters (p<.05).  The only significantly different lipid parameters for females between overweight and obese teens was LDL (p=.017).  There were significant differences between males and females who were obese: HDL was significantly lower in males (p=.002), triglycerides were higher in males (p=.032), and steps per week were lower in females (p=.020).    <p><b>Conclusion: </b>In this sample of overweight and obese teens, there appears to be greater cardiovascular risk as evidenced by serum lipid levels and amount of physical activity in obese versus overweight teens.  These findings highlight the importance of aggressive interventions to address risk factor modification in obese adolescents.en_GB
dc.subjectobesityen_GB
dc.subjectadolescentsen_GB
dc.subjectlipidsen_GB
dc.date.available2013-10-22T20:26:44Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:26:44Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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