Effects of exercise on specific fat depots in the pediatric population: a narrative overview

Objectives: To provide a narrative overview of the effects of physical exercise on specific fat depots in the pediatric population. Design: Narrative review. Methods: We conducted a comprehensive literature search of studies investigating the effects of exercise interventions on distinct fat depots,...

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Detalles Bibliográficos
Autores: Cadenas-Sánchez, Cristina, Rodríguez-Sánchez, David, Herrada-Robles, María, Bermúdez-Córdoba, María, Bermejo-Martínez, Gemma, Atencia-Rodríguez, María, Azcárate Jiménez, Unai Xabier, Ortiz-Gómez, Marta, García Arive, Jesús, Osés Recalde, Maddi, Medrano Echeverría, María
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/55986
Acceso en línea:https://hdl.handle.net/2454/55986
Access Level:acceso abierto
Palabra clave:Aerobic
Resistance
Physical activity
Ectopic fat
Children
Adolescents
Descripción
Sumario:Objectives: To provide a narrative overview of the effects of physical exercise on specific fat depots in the pediatric population. Design: Narrative review. Methods: We conducted a comprehensive literature search of studies investigating the effects of exercise interventions on distinct fat depots, including visceral, subcutaneous, hepatic, intermuscular, pancreatic, bone marrow, and epicardial fat, in the pediatric population. Evidence from randomized controlled trials, systematic reviews, and meta-analyses was included, with emphasis on exercise modality (aerobic, resistance, or combined) and exercise dose (frequency, duration, and intensity). Results: The evidence supports the effectiveness of moderate-to-vigorous aerobic or combined aerobic and resistance training in reducing visceral, subcutaneous, hepatic, and intermuscular fat. For pancreatic and bone marrow fat, limited data suggest potential benefits of specific exercise modalities, although findings remain scarce. Research on epicardial fat is virtually absent. Moreover, most studies lack detailed reporting on exercise dose, which limits conclusions regarding dose-response relationships. Conclusions: The present narrative review highlights the emerging role of exercise as a promising strategy for reducing specific fat depots in children and adolescents living with obesity. Further research is strongly needed to clarify the optimal modality, frequency, duration, and intensity of exercise required to target these specific fat depots.