{
  "abstract": "Objective\n\nTo assess whether combining nutritional counseling with recreational sports confers greater improvements in cardiovascular risk factors among adolescents compared to recreational sports alone.Subjects and methods\n\nThis 12-week randomized clinical trial included 40 adolescents (aged 11-14 years; 67% female; 45% overweight/obese) randomly assigned to a beach tennis (BT, n = 20) or BT plus nutrition counseling (BT+N, n = 20) group. Sports sessions (BT) were performed twice a week and nutritional counseling (BT+N) once a week. Outcomes assessed at baseline and after 12 weeks included biochemical parameters (high- and low-density lipoprotein, total cholesterol; triglycerides; fasting glucose; and insulin), blood pressure, and body composition. Analyses were performed following the intention-to-treat principle.Results\n\nBoth groups showed significantly higher high-density lipoprotein levels (BT: +3.8 mg/dL, p < 0.05; BT+N: +5.9 mg/dL, p < 0.001) and no differences between groups. Fasting glucose decreased only in the BT+N group. Time x group interactions significantly differed between groups for triglycerides (p < 0.01), waist circumference (p < 0.001), body fat percentage (p < 0.05), and systolic blood pressure (p < 0.001), favoring the BT+N group. No significant changes were observed in low-density lipoprotein, total cholesterol, or insulin levels.Conclusion\n\nRecreational BT alone improved some cardiometabolic parameters; however, its combination with nutritional counseling provided broader benefits, underscoring the value of integrated lifestyle interventions for reducing cardiometabolic risk factors in adolescents.",
  "abstract_shown": true,
  "affiliations": [
    "Programa de Pós-Graduação em Cardiologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.",
    "Grupo de Estudos em Treinamento Físico e Esportivo, Centro de Pesquisa Clínica, Hospital de Clínicas de Porto Alegre, RS, Brasil.",
    "Programa de Pós-Graduação em Ciências do Movimento Humano, Escola de Educação Física, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Dalva Muniz Pereira",
      "orcid": "0000-0001-9897-6535"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Nathalia Jung",
      "orcid": "0000-0003-1889-5191"
    },
    {
      "affs": [
        1
      ],
      "name": "Rodrigo Pedroso",
      "orcid": "0009-0000-1716-1167"
    },
    {
      "affs": [
        1
      ],
      "name": "Gabriel Petry Heck",
      "orcid": "0009-0005-0071-6839"
    },
    {
      "affs": [
        1
      ],
      "name": "Luiz Felipe Holstein",
      "orcid": "0009-0004-2047-5983"
    },
    {
      "affs": [
        2
      ],
      "name": "Artur Pereira de Oliveira Irigoyen",
      "orcid": "0009-0006-6827-8772"
    },
    {
      "affs": [
        1
      ],
      "name": "Clair Rezende Fontana",
      "orcid": "0009-0002-9661-7592"
    },
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Rodrigo Ferrari",
      "orcid": "0000-0003-1043-821X"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5x7dyxe3m5ray.bib",
  "cited_by": 0,
  "doi": "10.20945/2359-4292-2026-0124",
  "fulltext_url": "https://europepmc.org/articles/PMC13689496",
  "id": "5x7dyxe3m5ray",
  "issns": [
    "2359-3997",
    "2359-4292"
  ],
  "landing_url": "https://europepmc.org/article/MED/42905599",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2737|Physical Activity and Health"
    ]
  ],
  "openalex": "W7223156366",
  "pdf_url": "https://europepmc.org/articles/PMC13689496?pdf=render",
  "pmcid": "PMC13689496",
  "pmid": "42905599",
  "published": "2026-10-20",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/5x7dyxe3m5ray.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:53Z",
      "native_id": "MED:42905599",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42905599"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2737|Physical Activity and Health",
      "subfield": "physiology"
    }
  ],
  "title": "The impact of recreational beach tennis associated with nutritional counseling on cardiometabolic risk factors in adolescents: a randomized clinical trial.",
  "title_text": "The impact of recreational beach tennis associated with nutritional counseling on cardiometabolic risk factors in adolescents: a randomized clinical trial.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:53Z",
  "url": "https://research.draconitic.com/paper/5x7dyxe3m5ray",
  "venue": "Archives of endocrinology and metabolism",
  "versions": []
}