After one year, weight loss was related to increased cognitive restraint and decreased uncontrolled eating (all P < 0.05). The reduction in glucose and increase in HDL-C were sustained after 12 months (all P < 0.0001). Systolic BP, glucose, triglycerides, and LDL-C were reduced, and HDL-C was increased (all P ≤ 0.006) after 10-14 weeks within the ILI group. Completion rate was 71% (n = 71) in the intensive lifestyle intervention (ILI) group and 85% (n = 33) among waiting list controls. We examined the effects of a 10-14-weeks inpatient lifestyle modification program, including minimum 90 min of physical activity (PA) five days/week, on body composition, CVD risk factors, and eating behavior in 139 obese subjects (BMI 42.6 ± 5.2 kg/m(2)). The Level I shuttle run test (SRT-I) is for children classified at GMFCS Level 1 (ie, able to walk indoors and outdoors without restrictions). There are 2 protocols available for the shuttle run test. As the test proceeds, the interval between each successive beep reduces, forcing the child to increase speed over the course of the test, until it is impossible to keep in sync with the recording. These runs are synchronised with a pre-recorded CD, which plays beeps at set intervals. Children walk or run between the 2 markers at a set incremental speed.
Each child should also wear a heart rate monitor. Subjects should wear regular sports clothing and shoes, and orthoses, if applicable. The course is 10 metres long the end is marked with 2 cones and measuring tape.
Separate protocols were designed for each level (SRT-1 and SRT-2). The 10-metre shuttle run test is an adapted version of the 20-metre shuttle run test to accommodate children with cerebral palsy (CP) classified at Level I or Level II on the Gross Motor Function Classification System (GMFCS) (Verschuren et al 2006).
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