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Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: A systematic review and meta-analysis

Published on Feb 1, 2018in British Journal of Sports Medicine11.64
· DOI :10.1136/bjsports-2016-096605
Antonio García-Hermoso15
Estimated H-index: 15
(Usach: University of Santiago, Chile),
Robinson Ramírez-Vélez19
Estimated H-index: 19
(Del Rosario University)
+ 2 AuthorsVicente Martínez-Vizcaíno24
Estimated H-index: 24
(UCLM: University of Castilla–La Mancha)
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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.
  • References (49)
  • Citations (19)
Cite
References49
Newest
Published on Nov 1, 2016in Journal of Strength and Conditioning Research3.02
Richard H. Laird3
Estimated H-index: 3
,
David J. Elmer2
Estimated H-index: 2
+ 3 AuthorsDavid D. Pascoe26
Estimated H-index: 26
Laird IV, RH, Elmer, DJ, Barberio, MD, Salom, LP, Lee, KA, and Pascoe, DD. Evaluation of performance improvements after either resistance training or sprint interval-based concurrent training. J Strength Cond Res 30(11): 3057-3065, 2016-The purpose of this investigation was to examine the effects of concurrent sprint interval and resistance training (CST) vs. resistance training (RT) on measures of strength, power, and aerobic fitness in recreationally active women. Twenty-eight women (20.3 ± 1....
Published on Aug 1, 2016in Obesity Reviews8.19
Rebecca J.H.M. Verheggen6
Estimated H-index: 6
(Radboud University Nijmegen),
Martijn F.H. Maessen6
Estimated H-index: 6
(Radboud University Nijmegen)
+ 3 AuthorsDick Thijssen1
Estimated H-index: 1
(LJMU: Liverpool John Moores University)
Exercise training ('exercise') and hypocaloric diet ('diet') are frequently prescribed for weight loss in obesity. Whilst body weight changes are commonly used to evaluate lifestyle interventions, visceral adiposity (VAT) is a more relevant and stronger predictor for morbidity and mortality. A meta-analysis was performed to assess the effects of exercise or diet on VAT (quantified by radiographic imaging). Relevant databases were searched through May 2014. One hundred seventeen studies (n = 4,81...
Published on Jun 7, 2016in JAMA51.27
Cynthia L. Ogden55
Estimated H-index: 55
(CDC: Centers for Disease Control and Prevention),
Margaret D. Carroll54
Estimated H-index: 54
(CDC: Centers for Disease Control and Prevention)
+ 4 AuthorsKatherine M. Flegal83
Estimated H-index: 83
(CDC: Centers for Disease Control and Prevention)
Importance Previous analyses of obesity trends among children and adolescents showed an increase between 1988-1994 and 1999-2000, but no change between 2003-2004 and 2011-2012, except for a significant decline among children aged 2 to 5 years. Objectives To provide estimates of obesity and extreme obesity prevalence for children and adolescents for 2011-2014 and investigate trends by age between 1988-1994 and 2013-2014. Design, Setting, and Participants Children and adolescents aged 2 to 19 year...
Published on Mar 1, 2016in Applied Physiology, Nutrition, and Metabolism3.46
Angela S. Alberga14
Estimated H-index: 14
,
Denis Prud'homme31
Estimated H-index: 31
+ 9 AuthorsRéjeanne Gougeon15
Estimated H-index: 15
The purpose of this study was to examine the effects of aerobic, resistance, and combined exercise training on cardiorespiratory and musculoskeletal fitness in postpubertal adolescents with obesity. After a 4-week supervised moderate-intensity exercise run-in, 304 adolescents aged 14–18 years with body mass index ≥85th percentile were randomized to 4 groups for 22 weeks of aerobic training, resistance training, combined training, or a nonexercising control. All participants received dietary coun...
Stuart Biddle80
Estimated H-index: 80
(VU: Victoria University, Australia),
Alan M. Batterham37
Estimated H-index: 37
(Teesside University)
Background: The efficacy of high-intensity interval training for a broad spectrum of cardio-metabolic health outcomes is not in question. Rather, the effectiveness of this form of exercise is at stake. In this paper we debate the issues concerning the likely success or failure of high-intensity interval training interventions for population-level health promotion. Discussion: Biddle maintains that high-intensity interval training cannot be a viable public health strategy as it will not be adopte...
Published on Dec 1, 2015in Lipids in Health and Disease2.65
Paula Alves Monteiro1
Estimated H-index: 1
(UNESP: Sao Paulo State University),
Kong Y. Chen1
Estimated H-index: 1
(NIH: National Institutes of Health)
+ 4 AuthorsIsmael Forte Freitas7
Estimated H-index: 7
(UNESP: Sao Paulo State University)
Background The prevalence of obesity in pediatric population is increasing at an accelerated rate in many countries, and has become a major public health concern. Physical activity, particularly exercise training, remains to be a cornerstone of pediatric obesity interventions. The purpose of our current randomized intervention trial was to compare the effects of two types of training matched for training volume, aerobic and concurrent, on body composition and metabolic profile in obese adolescen...
Published on Nov 1, 2015in Pediatric Exercise Science1.71
Antonio García-Hermoso15
Estimated H-index: 15
,
Mairena Sánchez-López18
Estimated H-index: 18
,
Vicente Martínez-Vizcaíno24
Estimated H-index: 24
The purpose of this meta-analysis of randomized trials was to determine the effectiveness of aerobic plus resistance exercise interventions on body composition related to variables in overweight and obese youth. A computerized search was made of 7 databases. The analysis was restricted to randomized controlled trials that examined the effect of aerobic and resistance exercise on body composition (body weight, body mass index, fat mass, fat-free mass, and waist circumference) in obese youth. Two ...
Published on Oct 1, 2015in International Journal of Obesity4.51
Angela S. Alberga14
Estimated H-index: 14
,
Denis Prud'homme31
Estimated H-index: 31
+ 9 AuthorsSteve Doucette36
Estimated H-index: 36
Effects of aerobic and resistance training on abdominal fat, apolipoproteins and high-sensitivity C-reactive protein in adolescents with obesity: the HEARTY randomized clinical trial
Barbara Mm Antunes2
Estimated H-index: 2
(UNESP: Sao Paulo State University),
Diego G. D. Christofaro10
Estimated H-index: 10
+ 4 AuthorsIsmael Forte Freitas Júnior18
Estimated H-index: 18
The purpose of the present study was to analyze the effects of a 20-week concurrent training (20 WCT) intervention program on gender-specific body composition and metabolic variables in obese adolescents . A sample was composed of twenty-five obese adolescents, aged between 12 and 15 (13,4±0,96) years. Assessments of fat-free mass (FFM), trunk fat mass (TFM) and percentage of fat mass (%FM) were performed by dual-energy X-ray absorptiometry (DXA). Measurement of intra-abdominal adiposity (IAAT) ...
Published on Mar 1, 2015in Journal of Diabetes and Its Complications2.68
Daniela Sayuri Inoue2
Estimated H-index: 2
(UNESP: Sao Paulo State University),
Marco Túlio de Mello40
Estimated H-index: 40
+ 9 AuthorsFabrício Rossi10
Estimated H-index: 10
(UNESP: Sao Paulo State University)
Abstract The present study compares the effectiveness of three types of physical training for obesity control in adolescents submitted to a long-term interdisciplinary therapy. Forty-five post-puberty obese adolescents (15–18yo) were randomly placed in three different groups of physical trainings: aerobic training (AT n = 20), aerobic plus strength training with linear periodization (LP n = 13) and aerobic plus strength training with daily undulating periodization (DUP n = 12). The body composit...
Cited By19
Newest
Published on Dec 1, 2019in BMC Public Health2.57
Ryan D. Burns8
Estimated H-index: 8
(UofU: University of Utah)
The purpose of this study was to examine specific energy balance-related behaviors (sedentary behaviors, physical activity, and dietary) associating with adolescent weight loss intent using data from the 2017 US Youth Risk Behavior Survey (YRBS). This was a cross-sectional study that employed a multi-stage cluster sampling procedure to obtain a representative sample of US adolescents. The target population consisted of public and private high schoolers from grades 9 through 12. The number of sam...
Published on Apr 20, 2018in British Journal of Sports Medicine11.64
Antonio García-Hermoso15
Estimated H-index: 15
(Usach: University of Santiago, Chile),
Robinson Ramírez-Vélez19
Estimated H-index: 19
(Del Rosario University)
+ 2 AuthorsVicente Martínez-Vizcaíno24
Estimated H-index: 24
(UCLM: University of Castilla–La Mancha)
Dear Editor, We appreciate the interest in our recent meta-analysis1 and welcome the opportunity to reply.2 First, with regard to methodological quality of the studies included in our systematic review, we totally agree with the comment regarding the need for a specific tool to evaluate the risk of bias in non-randomised intervention studies. Despite the low quality, no trials were excluded according to this quality. In our meta-analysis, we chose to include all studies and to …
Published on Apr 5, 2019in Sports Medicine7.58
Antonio García-Hermoso15
Estimated H-index: 15
(Usach: University of Santiago, Chile),
Rodrigo Ramírez-Campillo15
Estimated H-index: 15
+ 0 AuthorsMikel Izquierdo51
Estimated H-index: 51
(ISCIII: Instituto de Salud Carlos III)
Background No previous systematic review has quantitatively examined the association between muscular fitness during childhood and adolescence and health parameters later in life.
Published on May 1, 2018in Jornal De Pediatria1.69
Antonio García-Hermoso15
Estimated H-index: 15
(Usach: University of Santiago, Chile),
Jorge Enrique Correa Bautista11
Estimated H-index: 11
(Del Rosario University)
+ 1 AuthorsRobinson Ramírez-Vélez19
Estimated H-index: 19
(Del Rosario University)
Abstract Objective The aim of this study was to investigate the relation between health-related physical fitness and weight status in 13- to 15-year-old Latino adolescents. Method The final sample consisted of 73,561 adolescents aged 13–15 years (35,175 girls) from Chile ( n = 48,771) and Colombia ( n = 24,790). Cardiorespiratory and musculoskeletal fitness were measured using 20-m shuttle run (relative peak oxygen uptake – VO 2peak ) and standing broad jump test (lower body explosive strength),...
Published on May 23, 2019
Christer Malm16
Estimated H-index: 16
,
Johan Jakobsson , Andreas Isaksson
Positive effects from sports are achieved primarily through physical activity, but secondary effects bring health benefits such as psychosocial and personal development and less alcohol consumption. Negative effects, such as the risk of failure, injuries, eating disorders, and burnout, are also apparent. Because physical activity is increasingly conducted in an organized manner, sport’s role in society has become increasingly important over the years, not only for the individual but also for pub...
Published on Mar 8, 2019in International Journal of Molecular Sciences4.18
Hidekatsu Yanai17
Estimated H-index: 17
,
Hiroshi Yoshida40
Estimated H-index: 40
Circulating adiponectin concentrations are reduced in obese individuals, and this reduction has been proposed to have a crucial role in the pathogenesis of atherosclerosis and cardiovascular diseases associated with obesity and the metabolic syndrome. We focus on the effects of adiponectin on glucose and lipid metabolism and on the molecular anti-atherosclerotic properties of adiponectin and also discuss the factors that increase the circulating levels of adiponectin. Adiponectin reduces inflamm...
Dominika Głąbska7
Estimated H-index: 7
,
Dominika Guzek7
Estimated H-index: 7
+ 3 AuthorsKrystyna Gutkowska5
Estimated H-index: 5
Regular exercise during school hours is encouraged; however many children and adolescents fail to meet the recommendations during this time. Extracurricular activities may be a more appealing way for youth to achieve guidelines, and it is recommended that they attend two sessions each week. The aim of the study was to assess the influence of participation in a national physical activity program accompanied by nutritional education for trainers on the risk of obesity and body composition in a nat...
Published on Jan 1, 2019in Journal of Science and Medicine in Sport3.62
Antonio García-Hermoso15
Estimated H-index: 15
(Usach: University of Santiago, Chile),
Robinson Ramírez-Vélez19
Estimated H-index: 19
(Del Rosario University),
Jose M. Saavedra14
Estimated H-index: 14
(RU: Reykjavík University)
Abstract Objectives This study is a systematic review of meta-analyses that have addressed the effects of exercise-based interventions alone and the health outcomes (anthropometric, body composition, cardiometabolic, hepatic, vascular, and cardiorespiratory fitness parameters) in overweight and obese children and adolescents. Design Systematic review of meta-analysis. Methods Six electronic sources were searched. The inclusion criteria were: children and/or adolescents classified as overweight o...
Published on Jan 1, 2019in Scandinavian Journal of Medicine & Science in Sports3.63
Valérie Julian3
Estimated H-index: 3
(INRA: Institut national de la recherche agronomique),
David Thivel18
Estimated H-index: 18
+ 5 AuthorsRuddy Richard5
Estimated H-index: 5
(INRA: Institut national de la recherche agronomique)
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