Antonio García-Hermoso1, Robinson Ramírez-Vélez2, Rodrigo Ramírez-Campillo3,4,5, Mark D Peterson6,7, Vicente Martínez-Vizcaíno8. 1. Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, Santiago, Chile. 2. Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia. 3. Departamento de Ciencias de la Actividad Física, Universidad de Los Lagos, Osorno, Chile. 4. Núcleo de Investigación en Salud, Actividad Física y Deporte; Laboratorio de Medición y Evaluación Deportiva, Universidad de Los Lagos, Osorno, Chile. 5. Laboratorio del Ciencias del Ejercicio, Unidad de Fisiología Integrativa, Clínica MEDS, Santiago, Chile. 6. Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA. 7. Global REACH, University of Michigan Medical School, University of Michigan, Ann Arbor, Michigan, USA. 8. Social and Health Care Research Center, University of Castilla-La Mancha, Cuenca, Spain.
Abstract
OBJECTIVE: To determine if the combination of aerobic and resistance exercise is superior to aerobic exercise alone for the health of obese children and adolescents. DESIGN: Systematic review with meta-analysis. DATA SOURCES: Computerised search of 3 databases (MEDLINE, EMBASE, and Cochrane Controlled Trials Registry). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies that compared the effect of supervised concurrent exercise versus aerobic exercise interventions, with anthropometric and metabolic outcomes in paediatric obesity (6-18 years old). The mean differences (MD) of the parameters from preintervention to postintervention between groups were pooled using a random-effects model. RESULTS: 12 trials with 555 youths were included in the meta-analysis. Compared with aerobic exercise alone, concurrent exercise resulted in greater reductions in body mass (MD=-2.28 kg), fat mass (MD=-3.49%; and MD=-4.34 kg) and low-density lipoprotein cholesterol (MD=-10.20 mg/dL); as well as greater increases in lean body mass (MD=2.20 kg) and adiponectin level (MD=2.59 μg/mL). Differences were larger for longer term programmes (>24 weeks). SUMMARY: Concurrent aerobic plus resistance exercise improves body composition, metabolic profiles, and inflammatory state in the obese paediatric population. TRIAL REGISTRATION NUMBER: CRD42016039807. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
OBJECTIVE: To determine if the combination of aerobic and resistance exercise is superior to aerobic exercise alone for the health of obese children and adolescents. DESIGN: Systematic review with meta-analysis. DATA SOURCES: Computerised search of 3 databases (MEDLINE, EMBASE, and Cochrane Controlled Trials Registry). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies that compared the effect of supervised concurrent exercise versus aerobic exercise interventions, with anthropometric and metabolic outcomes in paediatric obesity (6-18 years old). The mean differences (MD) of the parameters from preintervention to postintervention between groups were pooled using a random-effects model. RESULTS: 12 trials with 555 youths were included in the meta-analysis. Compared with aerobic exercise alone, concurrent exercise resulted in greater reductions in body mass (MD=-2.28 kg), fat mass (MD=-3.49%; and MD=-4.34 kg) and low-density lipoprotein cholesterol (MD=-10.20 mg/dL); as well as greater increases in lean body mass (MD=2.20 kg) and adiponectin level (MD=2.59 μg/mL). Differences were larger for longer term programmes (>24 weeks). SUMMARY: Concurrent aerobic plus resistance exercise improves body composition, metabolic profiles, and inflammatory state in the obese paediatric population. TRIAL REGISTRATION NUMBER: CRD42016039807. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Entities:
Keywords:
Aerobics; Meta-analysis; Paediatrics; Strength; Young
Authors: C Álvarez; R Ramírez-Campillo; R Ramírez-Vélez; C Martínez; M Castro-Sepúlveda; A Alonso-Martínez; M Izquierdo Journal: Int J Obes (Lond) Date: 2017-07-31 Impact factor: 5.095