Exercise, health outcomes, and pædiatric obesity: a systematic review of meta-analyses
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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 or obese, and previous systematic reviews and meta-analyses that included exercise interventions compared to a control group. Standardized mean differences, risk of bias, heterogeneity, and small-study effects were calculated. Subgroup analyses (intervention characteristics) were done.Results Eighteen meta-analyses met the inclusion criteria. The results showed improvements in some anthropometric and body composition (body mass, BMI, BMI z-score, central obesity, fat mass) and cardiometabolic (TG, fasting glucose, fasting insulin) parameters, and in cardiorespiratory fitness. For the cardiometabolic and vascular parameters, aerobic programs and interventions showed themselves to be effective if they were of four to 12 weeks, or involved a total exercise time of at least 1500min, or involved sessions of at least 60min.Conclusions The study provides indications of the appropriate dose of exercise with which to reduce health problems in the obese young population.
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Children and adolescents with overweight and obesity benefit from exercise interventions because these interventions improve their cardiometabolic and vascular health, cardiorespiratory fitness and motor skill development.
“There is evidence indicating that children and adolescents with overweight and obesity benefit from exercise interventions because these interventions improve their cardiometabolic and vascular health, cardiorespiratory fitness62 and motor skill development.63”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [62]
There is a moderate negative association between walking, measured by pedometers, and decreased adiposity.
“There is a moderate negative association between walking, measured by pedometers, and decreased adiposity85”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [85]
Among children and adolescents who are either overweight or obese, exercise interventions (without dietary change) have shown benefits for cardiometabolic and vascular health as well as cardiorespiratory fitness.
“Additionally, benefits of exercise interventions have been shown for cardiometabolic and vascular health as well as cardiorespiratory fitness.85”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [85]
Among children and adolescents who are either overweight or obese, evidence suggests that exercise interventions (without dietary change) may have desirable effects on body composition (body mass, BMI, central obesity and fat mass).
“Among children and adolescents who are either overweight or obese, evidence suggests that exercise interventions (without dietary change) may have desirable effects on body composition (body mass, BMI, central obesity and fat mass).”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [85]
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- Authors
- García-Hermoso, A., Ramírez-Vélez, R., & Saavedra, J. M.
- Venue
- Journal of science and medicine in sport
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 22
- Issue
- 1
- Pages
- 76-84
- ISSN
- 1440-2440 (ISSN-L)
- OpenAlex
- W2884751795
- Cited by
- 106
- References
- 47
- Citations by year
- 2026: 12 · 2025: 14 · 2024: 11 · 2023: 11 · 2022: 17 · 2021: 16 · 2020: 17 · 2019: 6 · 2018: 2
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Journal of science and medicine in sport (publishedVersion)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- childhood obesity, childhood overweight, exercise intervention, aerobic exercise, cardiorespiratory fitness, cardiometabolic risk, body composition, anthropometric outcomes, insulin, triglycerides, exercise dose, adolescents
- MeSH terms
- Cardiorespiratory Fitness, Adolescent, Blood Glucose, Body Composition, Child, Humans, Insulin, Lipids, Meta-Analysis as Topic, Exercise, Body Mass Index, Overweight, Pediatric Obesity
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