{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:21:12Z","timestamp":1787808072601,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["88887.637569\/2021\u201000"],"award-info":[{"award-number":["88887.637569\/2021\u201000"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp;amp; Practice"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>High\u2010intensity Interval Training (HIIT) has emerged as an effective strategy in the management of adolescents with obesity, including delivery through real\u2010time remote models. What remains unclear is whether these clinical benefits are sustained once direct professional supervision is discontinued. This study aimed to analyze the effects of a 6\u2010month, real\u2010time, remotely supervised HIIT program, integrated into a multi\u2010component clinical obesity treatment on post\u2010intervention and 12\u2010month follow\u2010up outcomes after sessions were discontinued. Furthermore, the association between motivation dimensions and program engagement was explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A quasi\u2010experimental study involving 96 adolescents with obesity (BMI z\u2010score\u00a0\u2265\u00a02) was assigned to an Experimental Group (EG;\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a050) and a Control Group (CG;\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a046). The EG completed a remote\u2010supervised HIIT program (\u223c20\u00a0min, 4\u00a0\u00d7\u00a0\/week) alongside standard care, whereas the CG received only standard care. Engagement was categorized into three levels based on the duration of participation. EG participants were included in analyses if they attended at least 80% of the training sessions during the intervention period. Assessments were conducted at baseline, 6\u00a0months, and 12\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Group\u2010by\u2010time interaction showed reductions in the EG for BMI (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a02.1\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), BMI z\u2010score (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a00.2,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), and WC (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a03.3\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.004) post\u2010intervention. A significant interaction was observed for water intake (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a00.3\u00a0L\/day,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.042). Within EG, improvements were found in flexibility (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a04.1\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and muscular endurance (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a03.2reps,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.016). No significant changes occurred during the follow\u2010up period. Appearance motivation was negatively associated with engagement (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>p<\/jats:sub>\n                      \u00a0=\u00a0\u22120.29,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.049).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The real\u2010time, remotely supervised HIIT program integrated into a multi\u2010component clinical obesity treatment was an effective approach to promote weight loss and improve physical fitness, with effects sustained for at least 12\u00a0months of follow\u2010up. Appearance\u2010driven goals may be associated with lower program engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Brazilian Clinical Trials Registry (ReBEC): RBR\u201035hyxxv<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/osp4.70169","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:40:55Z","timestamp":1784306455000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Effects of Real\u2010Time Remotely Supervised High\u2010Intensity Interval Training in Adolescents With\u00a0Obesity"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5368-1503","authenticated-orcid":false,"given":"F\u00e1bio","family":"de Freitas","sequence":"first","affiliation":[{"name":"Department of Pediatrics Unicamp School of Medical Sciences  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana R.","family":"Zago","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Unicamp School of Medical Sciences  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria \u00c2ngela","family":"Ant\u00f4nio","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Unicamp School of Medical Sciences  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria \u00c2ngela","family":"Bellomo Brand\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Unicamp School of Medical Sciences  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f3nio","family":"Videira\u2010Silva","sequence":"additional","affiliation":[{"name":"WHO Collaborating Centre for Adolescent Medicine and Training Faculdade de Medicina Cl\u00ednica Universit\u00e1ria de Pediatria Universidade de Lisboa  Lisbon Portugal"},{"name":"CIDEFES (Research Centre in Sport, Physical Education, Exercise and Health) Universidade Lus\u00f3fona  Lisbon Portugal"},{"name":"CIFI2D (Centre for Research, Training, Innovation, and Intervention in Sport) Universidade do Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9060709"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(18)30357\u20107"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010022\u201003646\u2010y"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12680"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12484"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/783103"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/16214"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13721"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.7570\/jomes20026"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13295"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph181910305"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13227"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753\u20106405.12771"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12887\u2010021\u201003079\u2010Z"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/17461391.2021.1995508"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256\u2010200333140\u201000002"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2019.112733"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.obpill.2025.100176"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102024\u2010081123"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12487"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2008.01.002"},{"key":"e_1_2_13_23_1","unstructured":"Sociedade Brasileira de Pediatria Manual de Orienta\u00e7\u00e3o: Obes Idade Na Inf\u00e2ncia e Adolesc\u00eancia (2019)."},{"key":"e_1_2_13_24_1","unstructured":"Brasil. 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