Effects of circuit training or a nutritional intervention on body mass index and other cardiometabolic outcomes in children and adolescents with overweight or obesity
Open accessAbstract
Objective: We aimed to assess the effectiveness of the first 6 months of a 24 month multidisciplinary intervention program including circuit training and a balanced diet in children and adolescents with obesity. Methods: A quasi-experimental intervention trial included 242 participants (age [mean±standard deviation]: 11.3±2.06 years, 97 girls) of at least 85th percentile of age- and sex-specific body mass index (BMI). Participants were grouped into three to receive usual care (usual care group), exercise intervention with circuit training (exercise group), or intensive nutritional and feedback intervention with a balanced diet (nutritional group). Primary outcome was BMI z-score, while secondary outcomes included body composition, cardiometabolic risk markers, nutrition, and physical fitness. Results: Among the participants, 80.6% had a BMI ≥ the 97th percentile for age and sex. The BMI z-score of the overall completers decreased by about 0.080 after 6 months of intervention (p < 0.001). After the intervention, both exercise and nutritional groups had significantly lower BMI z-scores than the baseline data by about 0.14 and 0.075, respectively (p < 0.05). Significant group by time interaction effects were observed between exercise versus usual care group in BMI z-score (β, -0.11; 95% confidence interval (CI), -0.20 to -0.023) and adiponectin (β, 1.31; 95% CI, 1.08 to 1.58); and between nutritional versus usual care group in waist circumference (β, -3.47; 95% CI, -6.06 to -0.89). No statistically significant differences were observed in any of the other secondary outcomes assessed. Conclusion: Multidisciplinary intervention including circuit training and a balanced diet for children and adolescents with obesity reduced the BMI z-score and improved cardiometabolic risk markers such as adiponectin and waist circumference.
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A recent study that looked at the effect over time of an educational intervention on diet, physical activity, and BMI in children, including adolescents, discovered that the intervention was still effective after two years.
“A recent study that looked at the effect over time of an educational intervention on diet, physical activity, and BMI in children, including adolescents, discovered that the intervention was still effective after two years [31].”
From A Systematic Review of School-Based Nutrition Interventions for Promoting Healthy Dietary Practices and Lifestyle Among School Children and Adolescents (2024) · cites this paper as [31]
The Methods (Intervention; page unavailable) describe a two-year program involving nutritional and exercise counseling for children and adolescents, and the Results report BMI improvement after six months. The Discussion (Strengths and limitations; page unavailable) calls this an interim result and says the long-term effect will be evaluated. It does not establish that the intervention was still effective after two years. (LLM, conf=0.90)
Experimental — accuracy not yet measuredStudies have demonstrated that school-age children and teenagers, even as young as six years old, are capable of responding to questions about themselves, including those about their health and nutrition.
“However, studies have demonstrated that school-age children and teenagers, even as young as six years old, are capable of responding to questions about themselves, including those about their health and nutrition [31].”
From A Systematic Review of School-Based Nutrition Interventions for Promoting Healthy Dietary Practices and Lifestyle Among School Children and Adolescents (2024) · cites this paper as [31]
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Cites
Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., Adams, R. J., Aekplakorn, W., Afsana, K., Aguilar-Salinas, C. A., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)32129-3 · Cited by 7,482 · see citing works
Paradoxical Decrease of an Adipose-Specific Protein, Adiponectin, in Obesity
Arita, Y., Kihara, S., Ouchi, N., Takahashi, M., Maeda, K., Miyagawa, J.-I., Hotta, K., Shimomura, I., Nakamura, T., Miyaoka, K., et al. (1999) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.1999.0255 · Cited by 4,856 · see citing works
Predicting Obesity in Young Adulthood from Childhood and Parental Obesity
Whitaker, R. C., Wright, J. A., PEPE, M. S., Seidel, K. D., & Dietz, W. H. (1997) · New England Journal of Medicine · doi:10.1056/nejm199709253371301 · Cited by 4,391 · see citing works
Global Physical Activity Questionnaire (GPAQ): Nine Country Reliability and Validity Study
Bull, F., Maslin, T. S., & Armstrong, T. P. (2009) · Journal of Physical Activity and Health · doi:10.1123/jpah.6.6.790 · Cited by 1,788 · see citing works
Childhood Adiposity, Adult Adiposity, and Cardiovascular Risk Factors
Juonala, M., Magnussen, C. G., Berenson, G. S., Venn, A., Burns, T. L., Sabin, M. A., Srinivasan, S. R., Daniels, S. R., Davis, P. H., Chen, W., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1010112 · Cited by 1,665 · see citing works
ACSM's guidelines for exercise testing and prescription
Franklin, B. A., WHALEY, M. H., Howley, E. T., Balady, G. J., & Grais, I. M. (2006) · Medical Entomology and Zoology · Cited by 1,344 · see citing works
Styne, D. M., Arslanian, S. A., Connor, E. L., Farooqi, I. S., Murad, M. H., Silverstein, J. H., & Yanovski, J. A. (2017) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-2573 · Cited by 1,322 · see citing works
Yang, W.-S., Lee, W.-J., Funahashi, T., Tanaka, S., Matsuzawa, Y., Chao, C.-L., Chen, C.-L., Tai, T.-Y., & Chuang, L.-M. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.86.8.3815 · Cited by 1,181 · see citing works
Faigenbaum, A. D., Kraemer, W. J., Blimkie, C. J. R., Jeffreys, I., Micheli, L. J., Nitka, M., & Rowland, T. W. (2009) · Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e31819df407 · Cited by 1,067 · see citing works
Kelly, A. S., Barlow, S. E., Rao, G., Inge, T. H., Hayman, L. L., Steinberger, J., Urbina, E. M., Ewing, L. J., & Daniels, S. R. (2013) · Circulation · doi:10.1161/cir.0b013e3182a5cfb3 · Cited by 980 · see citing works
Comparisons of various types of normality tests
Yap, B. W., & Sim, C. H. (2011) · Journal of Statistical Computation and Simulation · doi:10.1080/00949655.2010.520163 · Cited by 897 · see citing works
Insulin resistance during puberty: results from clamp studies in 357 children.
Moran, A., Jacobs, D. R., Steinberger, J., Hong, C. P., Prineas, R. J., Luepker, R. V., & Sinaiko, A. R. (1999) · Diabetes · doi:10.2337/diabetes.48.10.2039 · Cited by 869 · see citing works
Screening for Obesity and Intervention for Weight Management in Children and Adolescents
O’Connor, E., Evans, C. V., Burda, B. U., Walsh, E. S., Eder, M. L., & Lozano, P. (2017) · JAMA · doi:10.1001/jama.2017.0332 · Cited by 506 · see citing works
Kelsey, M. M., & Zeitler, P. S. (2016) · Current Diabetes Reports · doi:10.1007/s11892-016-0751-5 · Cited by 323 · see citing works
Strength Training by Children and Adolescents
McCambridge, T. M., & Stricker, P. R. (2008) · PEDIATRICS · doi:10.1542/peds.2007-3790 · Cited by 319 · see citing works
Freedman, D. S., Butte, N. F., Taveras, E. M., Lundeen, E. A., Blanck, H. M., Goodman, A. B., & Ogden, C. L. (2017) · Obesity · doi:10.1002/oby.21782 · Cited by 234 · see citing works
Sirico, F., Bianco, A., D’Alicandro, G., Castaldo, C., Montagnani, S., Spera, R., Meglio, F. D., & Nurzyńska, D. (2018) · Childhood Obesity · doi:10.1089/chi.2017.0269 · Cited by 182 · see citing works
Stoner, L., Rowlands, D., Morrison, A., Credeur, D., Hamlin, M., Gaffney, K., Lambrick, D., & Matheson, A. (2016) · Sports Medicine · doi:10.1007/s40279-016-0537-6 · Cited by 174 · see citing works
Benson, A. C., Torode, M. E., & Singh, M. A. F. (2006) · International Journal of Pediatric Obesity · doi:10.1080/17477160600962864 · Cited by 173 · see citing works
Drug interventions for the treatment of obesity in children and adolescents
Axon, E., Atkinson, G., Richter, B., Metzendorf, M., Baur, L. A., Finer, N., Corpeleijn, E., O’Malley, C. L., & Ells, L. J. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012436 · Cited by 159 · see citing works
Body composition analysis in the pediatric population.
Weber, D. R., Leonard, M. B., & Zemel, B. S. (2012) · PubMed · Cited by 152 · see citing works
YMCA fitness testing and assessment manual
Golding, L. A. (2000) · Medical Entomology and Zoology · Cited by 132 · see citing works
Strength Training for Children and Adolescents
Guy, J. A., & Micheli, L. J. (2001) · Journal of the American Academy of Orthopaedic Surgeons · doi:10.5435/00124635-200101000-00004 · Cited by 125 · see citing works
Ojeda‐Rodríguez, A., Zazpe, I., Morell‐Azanza, L., Chueca, M., Azcona, C., & Martí, A. (2018) · Nutrients · doi:10.3390/nu10101500 · Cited by 118 · see citing works
Moran, J., SANDERCOCK, G. R. H., Ramírez‐Campillo, R., Clark, C. C. T., Fernandes, J. F. T., & Drury, B. (2018) · Sports Medicine · doi:10.1007/s40279-018-0914-4 · Cited by 116 · see citing works
Seo, Y., Lim, H., Kim, Y., Ju, Y., Lee, H.-J., Jang, H. B., Park, S. I., & Park, K. (2019) · Nutrients · doi:10.3390/nu11010137 · Cited by 111 · see citing works
Self-citationZaqout, M., Michels, N., Bammann, K., Ahrens, W., Sprengeler, O., Molnár, D., Hadjigeorgiou, C., Eiben, G., Konstabel, K., Russo, P., et al. (2016) · International Journal of Obesity · doi:10.1038/ijo.2016.22 · Cited by 109 · see citing works
Startup Circuit Training Program Reduces Metabolic Risk in Latino Adolescents
Davis, J. N., Gyllenhammer, L. E., Vanni, A. K., Meija, M. R., TUNG, A., Schroeder, E. T., Spruijt‐Metz, D., & Goran, M. I. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31821f5d4e · Cited by 107 · see citing works
Exercise, health outcomes, and pædiatric obesity: a systematic review of meta-analyses
García-Hermoso, A., Ramírez-Vélez, R., & Saavedra, J. M. (2019) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2018.07.006 · Cited by 106 · see citing works
Davis, J. N., Kelly, L. A., Lane, C. J., Ventura, E. E., Byrd-Williams, C. E., Alexandar, K. A., Azen, S. P., Chou, C., Spruijt‐Metz, D., Weigensberg, M. J., et al. (2009) · Obesity · doi:10.1038/oby.2009.19 · Cited by 106 · see citing works
Ostchega, Y., Nwankwo, T., Sorlie, P. D., WOLZ, M. M., & Zipf, G. (2009) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2009.00199.x · Cited by 105 · see citing works
Hakel-Smith, N., & Lewis, N. M. (2004) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2004.10.015 · Cited by 103 · see citing works
Inpatient Treatment of Children and Adolescents With Severe Obesity in the Netherlands
van der Baan‐Slootweg, O. H., Benninga, M. A., Beelen, A., van der Palen, J. A. M., Tamminga-Smeulders, C. L. J., Tijssen, J. G. P., & van Aalderen, W. M. C. (2014) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2014.521 · Cited by 95 · see citing works
Cardiorespiratory Fitness in Children: A Simple Screening Test for Population Studies
Jankowski, M., Niedzielska, A., Brzeziński, M., & Drabik, J. (2014) · Pediatric Cardiology · doi:10.1007/s00246-014-0960-0 · Cited by 84 · see citing works
Schwingshackl, L., Hobl, L. P., & HOFFMANN, G. E. (2015) · Nutrition Journal · doi:10.1186/s12937-015-0077-1 · Cited by 81 · see citing works
Calcaterra, V., Larizza, D., Codrons, E., SILVESTRI, A. D., Brambilla, P., Abela, S., Arpesella, M., & Vandoni, M. (2012) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem-2012-0157 · Cited by 63 · see citing works
Orlando, A., Nava, E., Giussani, M., & Genovesi, S. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20133228 · Cited by 62 · see citing works
Systematic Review of Metformin Use in Obese Nondiabetic Children and Adolescents
Brufani, C., Crinò, A., Fintini, D., Patera, P. I., Cappa, M., & Manco, M. (2013) · Hormone Research in Paediatrics · doi:10.1159/000353760 · Cited by 53 · see citing works
Seo, Y., Kim, J. H., Kim, Y., Lim, H., Ju, Y., Kang, M. J., Lee, K., Lee, H., Jang, H. B., Park, S. I., et al. (2018) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.13248 · Cited by 50 · see citing works
Self-citationRuiz-Cota, P., Bacardí‐Gascón, M., & Jiménez–Cruz, A. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.10.016 · Cited by 50 · see citing works
Weight loss effects of circuit training interventions: A systematic review and meta‐analysis
Seo, Y., Noh, H., & Kim, S. Y. (2019) · Obesity Reviews · doi:10.1111/obr.12911 · Cited by 47 · see citing works
Self-citationKoo, H. C., Poh, B. K., & Talib, R. A. (2018) · Nutrients · doi:10.3390/nu10020156 · Cited by 45 · see citing works
Kang, K., Sotunde, O. F., & Weiler, H. A. (2018) · Advances in Nutrition · doi:10.1093/advances/nmy081 · Cited by 43 · see citing works
Schwartz, C., King, N. A., Perreira, B., Blundell, J. E., & Thivel, D. (2016) · Pediatric Obesity · doi:10.1111/ijpo.12124 · Cited by 41 · see citing works
Xiong, K., He, H., Zhang, Y., & Ni, G. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-835 · Cited by 39 · see citing works
Roche, J., Gillet, V., Perret, F., & Mougin, F. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7162 · Cited by 39 · see citing works
Leis, R., de Lamas, C., de Castro, M.-J., Picáns‐Leis, R., Gil‐Campos, M., & Couce, M. L. (2019) · Nutrients · doi:10.3390/nu12010031 · Cited by 33 · see citing works
Bae, J.-H., & Lee, H. (2020) · Clinical Nutrition · doi:10.1016/j.clnu.2020.11.006 · Cited by 32 · see citing works
Self-citationHao, M., Han, W., & Yamauchi, T. (2019) · Asia Pacific Journal of Public Health · doi:10.1177/1010539519848275 · Cited by 28 · see citing works
López-Olmedo, N., Popkin, B., Mendez, M., & Taillie, L. S. (2019) · Public Health Nutrition · doi:10.1017/s136898001900065x · Cited by 20 · see citing works
Misra, P., Upadhyay, R. P., Krishnan, A., Sharma, N., & Kapoor, S. K. (2014) · Europe PMC (PubMed Central) · Cited by 20 · see citing works
Thompson, K. L., Chung, M. C., Handu, D., Gutschall, M. D., Jewell, S., Byham-Gray, L. D., & Parrott, J. S. (2019) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2018.12.008 · Cited by 8 · see citing works
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Lee, K.-J., & An, K.-O. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095463 · Cited by 36 · see citing works
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“A recent study that looked at the effect over time of an educational intervention on diet, physical activity, and BMI in children, including adolescents, discovered that the intervention was still effective after two years [31].”
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Dâmaso, A. R., Masquio, D. C. L., Campos, R. M. D. S., Corgosinho, F. C., & Cercato, C. (2024) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.15251 · Cited by 15 · see citing works
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Self-citation
- Authors
- Seo, Y.-G., Lim, H., Kim, Y., Ju, Y.-S., Choi, Y.-J., Lee, H.-J., Jang, H. B., Park, S. I., & Park, K. H.
- Affiliations
- Hallym University Sacred Heart Hospital (KR)
- Kyung Hee University (KR)
- Yonsei University (KR)
- National Medical Center (KR)
- Hallym University (KR)
- Korea National Institute of Health (KR)
- Corresponding author
- Park, Kyung Hee
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2021-01-28
- Volume
- 16
- Issue
- 1
- Pages
- e0245875
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7842905
- OpenAlex
- W3122150670
- Cited by
- 13
- References
- 52
- Citations by year
- 2024: 3 · 2022: 7 · 2021: 3
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Korea Centers for Disease Control and Prevention (2016-ER6405-00)
- 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 › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- childhood obesity, adolescent obesity, circuit training, dietary intervention, balanced diet, multidisciplinary intervention, body mass index, cardiometabolic risk markers, adiponectin, waist circumference, body composition, physical fitness, exercise intervention
- MeSH terms
- Adolescent, Child, Diet, Reducing, Exercise Therapy, Female, Humans, Male, Obesity, Biomarkers, Body Mass Index, Metabolic Syndrome, Adiponectin
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