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Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis
  1. Antonio García-Hermoso1,
  2. Robinson Ramírez-Vélez2,
  3. Rodrigo Ramírez-Campillo3,4,5,
  4. Mark D Peterson6,7,
  5. Vicente Martínez-Vizcaíno8
  1. 1Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, Santiago, Chile
  2. 2Centro de Estudios para la Medición de la Actividad Física “CEMA”, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia
  3. 3Departamento de Ciencias de la Actividad Física, Universidad de Los Lagos, Osorno, Chile
  4. 4Núcleo de Investigación en Salud, Actividad Física y Deporte; Laboratorio de Medición y Evaluación Deportiva, Universidad de Los Lagos, Osorno, Chile
  5. 5Laboratorio del Ciencias del Ejercicio, Unidad de Fisiología Integrativa, Clínica MEDS, Santiago, Chile
  6. 6Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA
  7. 7Global REACH, University of Michigan Medical School, University of Michigan, Ann Arbor, Michigan, USA
  8. 8Social and Health Care Research Center, University of Castilla-La Mancha, Cuenca, Spain
  1. Correspondence to Dr Antonio García-Hermoso, Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, Chile; Avenida Libertador Bernardo O'Higgins no. 3363; Estación Central, Santiago 9160000, Chile; antonio.garcia.h{at}usach.cl

Abstract

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.

Trial registration number CRD42016039807.

  • Strength
  • Paediatrics
  • Meta-analysis
  • Aerobics
  • Young

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Contributors AG-H conceptualised and designed the study, drafted the initial manuscript, and approved the final manuscript as submitted. RR-C drafted the initial manuscript, reviewed and revised the manuscript, and approved the final manuscript as submitted. RR-V designed the data collection instruments, and coordinated and supervised data collection, critically reviewed the manuscript, and approved the final manuscript as submitted. MDP and VM-V revised the manuscript and approved the final manuscript as submitted.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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