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

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 Controll...

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Detalles Bibliográficos
Autores: García Hermoso, Antonio, Ramírez-Vélez, Robinson, Ramírez-Campillo, Rodrigo, Peterson, Mark D., Martínez Vizcaíno, Vicente José Anastasio
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/11835
Acceso en línea:http://hdl.handle.net/10578/11835
Access Level:acceso abierto
Palabra clave:Aerobic plus Resistance Exercise
Aerobic Exercise
Paediatric Obesity
Ejercicio aeróbico
Obesidad infantil
Descripción
Sumario: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.