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Exercise tolerance in obese vs. lean adolescents: a systematic review and meta‐analysis

Published on Nov 1, 2014in Obesity Reviews8.19
· DOI :10.1111/obr.12202
Dominique Hansen23
Estimated H-index: 23
(University of Hasselt),
Nastasia Marinus1
Estimated H-index: 1
(University of Hasselt)
+ 5 AuthorsTim Takken42
Estimated H-index: 42
(UU: Utrecht University)
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Abstract
Summary To prescribe feasible and medically safe exercise interventions for obese adolescents, it remains to be determined whether exercise tolerance is altered and whether anomalous cardiopulmonary responses during maximal exercise testing are present. Studies that examined cardiopulmonary responses to maximal exercise testing in obese adolescents were searched: cardiopulmonary exercise tests with respiratory gas exchange measurements of peak oxygen uptake (VO2peak) were performed and comparisons between obese and lean adolescents were made. Study quality was assessed using a standardized item list. By meta-analyses VO2peak, peak cycling power output (Wpeak) and peak heart rate (HRpeak) were compared between groups. Nine articles were selected (333 obese vs. 145 lean adolescents). VO2peak (L min −1 ), HRpeak and Wpeak were not different between groups (P ≥ 0.10), while a trend was found for a reduced VO2peak (mL min −1 kg −1 lean tissue mass) (P = 0.07) in obese vs. lean adolescents. It remained uncertain whether anomalous cardiopulmonary responses occur during maximal exercise testing in obese adolescents. In conclusion, a trend was found for lowered VO2peak (mL min −1 kg −1 lean tissue mass) in obese vs. lean adolescents. Whether cardiopulmonary anomalies during maximal exercise testing would occur in obese adolescents remains uncertain. Studies are therefore warranted to examine the cardiopulmonary response during maximal exercise testing in obese adolescents.
  • References (28)
  • Citations (8)
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References28
Newest
Published on Oct 1, 2012in Respiratory Physiology & Neurobiology1.58
Monique Mendelson3
Estimated H-index: 3
(French Institute of Health and Medical Research),
Anne-Sophie Michallet1
Estimated H-index: 1
(French Institute of Health and Medical Research)
+ 4 AuthorsPatrice Flore16
Estimated H-index: 16
(French Institute of Health and Medical Research)
Abstract The aim of this study was to examine ventilatory responses to training in obese adolescents. We assessed body composition, pulmonary function and ventilatory responses (among which expiratory flow limitation and operational lung volumes) during progressive cycling exercise in 16 obese adolescents (OB) before and after 12 weeks of exercise training and in 16 normal-weight volunteers. As expected, obese adolescents’ resting expiratory reserve volume was lower and inversely correlated with...
Published on May 1, 2012in Sports Medicine7.58
Dominique Hansen23
Estimated H-index: 23
(University of Hasselt),
Romain Meeusen53
Estimated H-index: 53
(Vrije Universiteit Brussel)
+ 1 AuthorsPaul Dendale30
Estimated H-index: 30
(University of Hasselt)
In subjects with obesity, the implementation of long-term exercise intervention increases lean tissue mass and lowers adipose tissue mass. However, data indicate a blunted lipolytic response, and/or skeletal muscle protein synthesis, when subjects with obesity are exposed to acute endurance or resistance exercise, respectively. Therefore, subjects with obesity seem to display a suboptimal physiological response to acute exercise stimuli. It might be hypothesized that hormonal disturbances contri...
Published on Apr 1, 2012in Chest9.66
Santiago Lorenzo10
Estimated H-index: 10
(UTSW: University of Texas Southwestern Medical Center),
Tony G. Babb18
Estimated H-index: 18
Background The quantification and interpretation of cardiorespiratory fitness (CRF) in obesity is important for adequately assessing cardiovascular conditioning, underlying comorbidities, and properly evaluating disease risk. We retrospectively compared peak oxygen uptake ( o 2 peak) (ie, CRF) in absolute terms, and relative terms (% predicted) using three currently suggested prediction equations (Equations R, W, and G). Methods There were 19 nonobese and 66 obese participants. Subjects underwen...
Published on Sep 1, 2010in European Journal of Applied Physiology3.06
Hassane Zouhal19
Estimated H-index: 19
(University of Rennes),
Georges Jabbour6
Estimated H-index: 6
(University of Rennes)
+ 4 AuthorsC. Jacob13
Estimated H-index: 13
(University of Balamand)
The aim of this study was to investigate plasma catecholamine [adrenaline (A) and noradrenaline (NA)] concentrations at rest and in response to maximal exercise in three different groups of adolescent girls. According to their body mass index, 34 adolescent girls aged 15–16 years were divided into three groups: a normal weight group (NO) (n = 11), an overweight group (OW) (n = 11) and an obese group (OB) (n = 12). Plasma A and NA concentrations were measured at rest during fasting conditions (A ...
Published on Sep 1, 2010in JAMA Pediatrics12.00
Charlotte Bjork Ingul16
Estimated H-index: 16
,
Arnt Erik Tjønna19
Estimated H-index: 19
+ 2 AuthorsUlrik Wisløff67
Estimated H-index: 67
Objectives To measure cardiac function before and after 3 months of aerobic interval training in obese adolescents and to compare the findings with those in lean counterparts. Design Exercise intervention study. Cardiac function was assessed by echocardiography and maximal oxygen uptake by ergospirometry. Setting The obese adolescents were referred from general practice to the St Olav University Hospital, Trondheim, Norway, and the control group was recruited from 2 schools. Participants Ten obe...
Published on Feb 1, 2010in Obesity3.97
Gert Jan Van Der Heijden2
Estimated H-index: 2
(BCM: Baylor College of Medicine),
Zhiyue J. Wang32
Estimated H-index: 32
+ 4 AuthorsAgneta L. Sunehag24
Estimated H-index: 24
(BCM: Baylor College of Medicine)
The rise in obesity-related morbidity in children and adolescents requires urgent prevention and treatment strategies. Currently, only limited data are available on the effects of exercise programs on insulin resistance, and visceral, hepatic, and intramyocellular fat accumulation. We hypothesized that a 12-week controlled aerobic exercise program without weight loss reduces visceral, hepatic, and intramyocellular fat content and decreases insulin resistance in sedentary Hispanic adolescents. Tw...
Published on Jan 1, 2010in Obesity Facts2.65
Jennifer L. Baker27
Estimated H-index: 27
,
Nathalie Farpour-Lambert19
Estimated H-index: 19
+ 2 AuthorsRam Weiss33
Estimated H-index: 33
The prevalence of obesity among children and adolescents is on the rise. The majority of overweight or obese children are treated by primary health care providers including paediatricians, family practitioners, dieticians, nurses, and school health services - and not by specialists. The majority of obese children have no underlying medical disorder causing their obesity yet a significant proportion might suffer from obesity-related co-morbidities. This text is aimed at providing simple and pract...
Published on Oct 1, 2009in The Journal of Clinical Endocrinology and Metabolism5.61
Kristen J. Nadeau28
Estimated H-index: 28
(University of Colorado Denver),
P. Zeitler5
Estimated H-index: 5
(University of Colorado Denver)
+ 5 AuthorsJudith G. Regensteiner45
Estimated H-index: 45
(University of Colorado Denver)
Context: The incidence of pediatric type 2 diabetes (T2D) is rising, with unclear effects on the cardiovascular system. Cardiopulmonary fitness, a marker of morbidity and mortality, is abnormal in adults with T2D, yet the mechanisms are incompletely understood. Objective: We hypothesized that cardiopulmonary fitness would be reduced in youth with T2D in association with insulin resistance (IR) and cardiovascular dysfunction. Design, Setting, and Participants: We conducted a cross-sectional study...
Published on Apr 1, 2009in International Journal of Obesity4.51
Hala Youssef7
Estimated H-index: 7
,
Carole Groussard13
Estimated H-index: 13
+ 8 AuthorsPaul Delamarche23
Estimated H-index: 23
Exercise-induced oxidative stress in overweight adolescent girls: roles of basal insulin resistance and inflammation and oxygen overconsumption
Published on Mar 1, 2009in Nutrition Metabolism and Cardiovascular Diseases3.34
Luca Alessandro Gondoni9
Estimated H-index: 9
,
Anna Maria Titon6
Estimated H-index: 6
+ 3 AuthorsAntonio Liuzzi21
Estimated H-index: 21
Abstract Background and aims Heart rate (HR) response to exercise has not been fully described in the obese. We wanted to study the differences between obese and non-obese patients in HR behavior during an exercise stress test and to determine whether these differences influence exercise capacity. Methods and results We studied 554 patients (318 females) who underwent a treadmill exercise test. All subjects were in sinus rhythm. Patients with ischemic heart disease, with reduced ejection fractio...
Cited By8
Newest
Published on May 6, 2019in Scientific Reports4.01
Yanjun Xu4
Estimated H-index: 4
(MPG: Max Planck Society),
Annika F. Borcherding (MPG: Max Planck Society)+ 3 AuthorsRonald P. Kühnlein23
Estimated H-index: 23
(University of Graz)
Obesity is a progressive, chronic disease, which can be caused by long-term miscommunication between organs. It remains challenging to understand how chronic dysfunction in a particular tissue remotely impairs other organs to eventually imbalance organismal energy homeostasis. Here we introduce RNAi Pulse Induction (RiPI) mediated by short hairpin RNA (shRiPI) or double-stranded RNA (dsRiPI) to generate chronic, organ-specific gene knockdown in the adult Drosophila fat tissue. We show that organ...
Aliva De (CUMC: Columbia University Medical Center), Deepa Rastogi13
Estimated H-index: 13
(Albert Einstein College of Medicine)
Published on Sep 1, 2019in Revue Des Maladies Respiratoires0.55
P. Bokov (French Institute of Health and Medical Research), Christophe Delclaux37
Estimated H-index: 37
(French Institute of Health and Medical Research)
Resume L’impact respiratoire de l’obesite est clinique (dyspnee de repos et/ou d’effort) et fonctionnel (explorations fonctionnelles respiratoires au repos et a l’exercice). La prevalence de la dyspnee est importante chez les obeses, presente chez environ 50 % des patients au repos et environ 75 % a l’effort chez l’adulte (score mMRC > 0). Les anomalies fonctionnelles respiratoires chez l’adulte sont caracterisees par une diminution principalement de la capacite residuelle fonctionnelle (CRF) et...
Published on Dec 19, 2018in International Journal of Obesity4.51
Wouter M. A. Franssen1
Estimated H-index: 1
(University of Hasselt),
Marjolein Beyens (University of Hasselt)+ 6 AuthorsDominique Hansen23
Estimated H-index: 23
(University of Hasselt)
To gain greater insights in the etiology and clinical consequences of altered cardiac function in obese adolescents. Therefore, we aimed to examine cardiac structure and function in obese adolescents, and to examine associations between altered cardiac function/structure and cardiometabolic disease risk factors or cardiopulmonary exercise capacity. In 29 obese (BMI 31.6 ± 4.2 kg/m², age 13.4 ± 1.1 years) and 29 lean (BMI 19.5 ± 2.4 kg/m², age 14.0 ± 1.5 years) adolescents, fasted blood samples w...
Published on Jan 1, 2019in Sports Medicine7.58
Takashi Abe21
Estimated H-index: 21
(University of Mississippi),
Jeremy P. Loenneke33
Estimated H-index: 33
(University of Mississippi),
Robert S. Thiebaud23
Estimated H-index: 23
(Texas Wesleyan University)
Fat-free body mass (FFM) is a surrogate for skeletal muscle mass and is often used for the normalization of several physiological variables (e.g., oxygen uptake). However, FFM includes non-skeletal muscle components such as the fat-free component of adipose tissue fat cells. As the amount of adipose tissue mass increases, the FFM will also increase and be included in the measurement of FFM. Therefore, FFM may not be an appropriate indicator of muscle mass when targeting individuals with a large ...
Published on Oct 1, 2018in Pneumologie
F. J. Meyer10
Estimated H-index: 10
,
Mathias M. Borst21
Estimated H-index: 21
+ 13 AuthorsK. Haring1
Estimated H-index: 1
Dieses Dokument der DGP ersetzt die Empfehlungen von 1998 und 2013. Anhand der aktuellen Datenlage und einer Konsensuskonferenz wurden Empfehlungen zu Indikationen, zur Auswahl und Durchfuhrung der geeigneten Belastungsuntersuchungen sowie zu den technischen und personellen Voraussetzungen formuliert. Detaillierte Angaben werden zur Blutgasanalyse unter Belastung, zu Gehtests und Rechtsherzkatheter unter Belastung sowie zur Spiroergometrie und Stressechokardiografie gemacht. Der korrekte Einsatz...
Published on Oct 1, 2018in Physiological Reports
Hailu K. Alemayehu (University of Udine), Desy Salvadego10
Estimated H-index: 10
(University of Udine)
+ 5 AuthorsBruno Grassi36
Estimated H-index: 36
(University of Udine)
Published on Jan 1, 2018
David Thivel18
Estimated H-index: 18
,
Grace O’Malley , Julien Aucouturier16
Estimated H-index: 16
While obesity mainly results from an imbalance between energy intake and expenditure, physical activity has to be part of prevention and treatment strategies, especially among children and adolescents. Increasing physical activity level mainly depends on the ability to perform exercise, necessitating an objective and accurate evaluation of physical fitness, both aerobic and anaerobic. While this chapter describes how overall fitness is altered by pediatric obesity, it also provides clinicians an...
Published on Jun 1, 2016in Physical Therapy3.04
Dominique Hansen23
Estimated H-index: 23
(University of Hasselt),
Wendy Hens5
Estimated H-index: 5
+ 4 AuthorsDirk Vissers12
Estimated H-index: 12
Worldwide, an obesity epidemic among children and adolescents is apparent. In the care of obesity in children and adolescents, exercise therapy is considered a cornerstone. Official position statements describe and endorse the need and effect of exercise therapy and increased physical activity in children and adolescents with obesity. Physical therapists working in private and home care settings (first-line treatment) can play a key role in maximizing participation rates in exercise and physical...
Published on Apr 18, 2016in PLOS ONE2.78
Lora A. Cavuoto11
Estimated H-index: 11
(UB: University at Buffalo),
Rammohan V. Maikala1
Estimated H-index: 1
The objective of this study was to compare gas exchange, cardiac and cerebral hemodynamic responses between 10 non-obese and 10 obese men during submaximal work. With the increasing prevalence of obesity, there is a need to understand the impact of obesity on work-induced responses. Participants completed a step-wise incremental cycling until they reached 60% of their age-predicted maximum heart rate. Gas exchange, cardiac and pre-frontal cortex hemodynamic responses were simultaneously measured...
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