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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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
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spelling Effects of exercise on specific fat depots in the pediatric population: a narrative overviewCadenas-Sánchez, CristinaRodríguez-Sánchez, DavidHerrada-Robles, MaríaBermúdez-Córdoba, MaríaBermejo-Martínez, GemmaAtencia-Rodríguez, MaríaAzcárate Jiménez, Unai XabierOrtiz-Gómez, MartaGarcía Arive, JesúsOsés Recalde, MaddiMedrano Echeverría, MaríaAerobicResistancePhysical activityEctopic fatChildrenAdolescentsObjectives: 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.CC-S is supported by a grant from the European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska Curie grant agreement No 101028929, and the European Association for the Study of Obesity - Novo Nordisk Foundation (NNF23SA0083955). This research was supported by CIBEROBN, Centro de Investigación Biomédica en Red (CB22/03/00058), Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación and Unión Europea - European Regional Development Fund. GB-M is supported by a grant PRE2020- 094337 funded by MCIN/AEI/10.13039/501100011033 and by ESF investing in your future. DR S, MH-R, and MA-R are supported by a grant from the Spanish Ministry of Universities (FPU23/02198, FPU22/01366, and FPU23/01605, respectively). JG-A is supported by a Predoctoral Research Contract from the Public University of Navarra (Resolution Nº 2203/2025, Vicerrectorate for Research).Oxford University PressCiencias de la SaludOsasun ZientziakInstitute on Innovation and Sustainable Development in Food Chain - ISFOOD2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2454/55986reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglés© The Author(s) 2025. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/559862026-06-17T12:41:47Z
dc.title.none.fl_str_mv Effects of exercise on specific fat depots in the pediatric population: a narrative overview
title Effects of exercise on specific fat depots in the pediatric population: a narrative overview
spellingShingle Effects of exercise on specific fat depots in the pediatric population: a narrative overview
Cadenas-Sánchez, Cristina
Aerobic
Resistance
Physical activity
Ectopic fat
Children
Adolescents
title_short Effects of exercise on specific fat depots in the pediatric population: a narrative overview
title_full Effects of exercise on specific fat depots in the pediatric population: a narrative overview
title_fullStr Effects of exercise on specific fat depots in the pediatric population: a narrative overview
title_full_unstemmed Effects of exercise on specific fat depots in the pediatric population: a narrative overview
title_sort Effects of exercise on specific fat depots in the pediatric population: a narrative overview
dc.creator.none.fl_str_mv 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
author Cadenas-Sánchez, Cristina
author_facet 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
author_role author
author2 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
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ciencias de la Salud
Osasun Zientziak
Institute on Innovation and Sustainable Development in Food Chain - ISFOOD
dc.subject.none.fl_str_mv Aerobic
Resistance
Physical activity
Ectopic fat
Children
Adolescents
topic Aerobic
Resistance
Physical activity
Ectopic fat
Children
Adolescents
description 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.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2454/55986
url https://hdl.handle.net/2454/55986
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
instname:Universidad Pública de Navarra
instname_str Universidad Pública de Navarra
reponame_str Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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