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Trial registered on ANZCTR
Registration number
ACTRN12617001063303
Ethics application status
Approved
Date submitted
25/05/2017
Date registered
21/07/2017
Date last updated
21/07/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Influence of overweight or obesity on the dynamic balance in 2nd cycle students of Portuguese elementary school
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Scientific title
Influence of childhood obesity on dynamic balance in 2nd cycle students of Portuguese elementary school
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Secondary ID [1]
292048
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None
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Universal Trial Number (UTN)
U1111-1196-7979
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Trial acronym
IofCOonDBin2ndCSofPES
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Childhood Obesity
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Dynamic balance
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Condition category
Condition code
Physical Medicine / Rehabilitation
302856
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0
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Physiotherapy
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Diet and Nutrition
302857
302857
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0
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Obesity
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is an observational study aimed to understand the incidence of obesity in schoolchildren by 5th and 6th school grade students from both gender of the School Group Infante D. Henriques from Viseu, as well as the possible relation with the balance.
This 5th and 6th grade population was chosen according to two different school periods, the entrance and exiting level for the twice Basic Education Cycle, This study have taken one month from participant selection process, personal identification questionnaire fill, in order to assess body weight, a Body mass index (BMI) was conducted. Each student completes a single assessment session of approximately 30 minutes. BMI was calculated and the subjects were classified as follows: obesity, overweight, normal weight and thinness according to the proposed limits. This dues to our intent of seeing if there was already possible to compare children with BMI above ideal with children with ideal BMI in order to understand the influence of BMI and dynamic postural balance. The Star Excursion Balance Test (SEBT), which is a measure of dynamic postural control, and has been chosen because it is a reliable test that evaluates dynamic stability in different planes because it is economical and validated..
The test was performed in the school gymnasium, where adhesive was applied to the soil in order to perform a star in which its segments were about 120 cm long and arranged at 45° between them, arranged with the help of the goniometer.
The children were instructed that they should engage in the interception of the ribbons (being the center), so that later they would only have one foot placed in it so that with the other foot they tried to reach as far as possible the 8 segments in the following Order: Anterior, Posterior, Lateral; Medial, Anterolateral, Posterior-medial, Antero-medial, Posterior-Lateral.
To facilitate children’s understanding, they were told that they should reach as far as possible the 8 vectors in the following order: North, South, East, West, Northeast, Southwest, Northwest, Southeast, and were also given the opportunity to experience the Before measurements are taken. The children performed the test and the measurements of the amplitudes reached by both lower limbs were taken for comparison.
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Intervention code [1]
298176
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Analysis a Body mass index (BMI, assessed by stadiometer and digital scales) was conducted (Viester, et al., 2013; Desouzart, Filgueiras, Matos, & Marques, 2016), in order to assess body weight,
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Assessment method [1]
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Timepoint [1]
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Initial evaluation
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Primary outcome [2]
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Analysis a dynamic balance through Star Excursion Balance Test (SEBT) (Bicici, Karatas, & Baltaci, 2012).
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Assessment method [2]
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Timepoint [2]
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Initial evaluation
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Secondary outcome [1]
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Correlation between Body mass index (BMI, assessed by stadiometer and digital scales) and dynamic balance through Star Excursion Balance Test (SEBT) (Bicici, Karatas, & Baltaci, 2012).
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Assessment method [1]
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Timepoint [1]
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At baseline
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Eligibility
Key inclusion criteria
i] to be aged between 10 and 11 years; ii] understand the aims of the study and agree to participate voluntarily; iii] the provision of informed consent by students’ parents and guardians
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Minimum age
10
Years
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Maximum age
11
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
i] Presence of pathology a known health condition of rheumatological, orthopedic, cardio-respiratory, oncological pathology and / or diagnosed coronary disease
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
The children performed the test and the measurements of the amplitudes reached by both lower limbs were taken for comparison.
It is relevant to note that in the test any repetition was discarded if the child moved the supporting leg from the center of the figure, was unable to maintain balance in the supporting leg during the test and deviated from the segment being evaluated.
As for the measurements, these were removed with a tape measure after the child placed the test foot and always the interception of the vectors (center) to the distal end of the hallux.
In order to know whether there are actually changes in balance, the method of Olmsted, Carcia, Hertel & Shultz (2002), which defines that in order to conclude if there is an osteoarticular imbalance, is necessary to have a difference of 4 centimeters of amplitude in the same segment between both Member States
SPSS, 23.0 version was used in order to treat all the statistical data. Descriptive statistics were performed, considering all the variables obtained. Due to the small number of the sample and to facilitate the analysis, the variables of BMI were grouped, and we considered four groups: obesity, overweight, normal weight and thinness. The statistically level of significance was establish in p = 0.05.
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
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Actual
1/07/2015
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Date of last participant enrolment
Anticipated
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Actual
15/07/2015
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Date of last data collection
Anticipated
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Actual
31/07/2015
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Sample size
Target
314
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
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Portugal
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State/province [1]
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Viseu
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Piaget Institute of Viseu
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Address [1]
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Campus Universitário de Viseu
Estrada do Alto do Gaio
3515-776 Galifonge, Lordosa – Viseu
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Country [1]
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Portugal
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Primary sponsor type
University
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Name
Piaget Institute of Viseu
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Address
Campus Universitário de Viseu
Estrada do Alto do Gaio
3515-776 Galifonge, Lordosa – Viseu
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Country
Portugal
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
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None
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Country [1]
295536
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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ethical committee of Piaget Institute
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Ethics committee address [1]
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Campus Universitário de Viseu Estrada do Alto do Gaio 3515-776 Galifonge, Lordosa – Viseu
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Ethics committee country [1]
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Portugal
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Date submitted for ethics approval [1]
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03/03/2015
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Approval date [1]
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21/04/2015
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Ethics approval number [1]
297805
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Summary
Brief summary
Obesity is a chronic disease characterized by the breakdown of balance synergies in the muscle and joints, which may lead to decreased stability and postural adaptations. The main objective was to compare children with body mass index (BMI) above ideal with ideal and to understand the relationship between BMI and balance in 2nd cycle students. The sample of 20 students aged between 10 and 11 years. Methodology: The collection methods used were the BMI and Star Excursion Balance Test (SEBT) to cross the results of these two variables and to understand their relationship RESULTS: 55% of the children had a BMI above the ideal, being 30% were overweight and 25% were obese. Of the children above the ideal BMI, 81.8% are female (54.5% overweight and 27.3% obese). Subjecting the population to SEBT, it was observed that children with BMI above ideal and with a dismetria the amplitudes obtained in SEBT by both lower limbs mainly reveal present balance alterations. Conclusion: Due to the anthropometric changes caused by obesity and changes in the center of gravity, this conduction modifies the motor pattern and stabilization, which negatively influences postural control and reduces the balance of obese individuals.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Gustavo Desouzart
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Address
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Campus Universitário de Viseu
Estrada do Alto do Gaio
3515-776 Galifonge, Lordosa – Viseu
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Country
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Portugal
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Phone
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+351 232 910 100
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Fax
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+351 232 910 189
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Email
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[email protected]
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Contact person for public queries
Name
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Gustavo Desouzart
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Address
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Campus Universitário de Viseu
Estrada do Alto do Gaio
3515-776 Galifonge, Lordosa – Viseu
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Country
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Portugal
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Phone
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+351 232 910 100
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Fax
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+351 232 910 189
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Email
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[email protected]
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Contact person for scientific queries
Name
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Gustavo Desouzart
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Address
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Campus Universitário de Viseu
Estrada do Alto do Gaio
3515-776 Galifonge, Lordosa – Viseu
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Country
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Portugal
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Phone
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+351 232 910 100
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Fax
75148
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+351 232 910 189
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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