Effects of different exercise modalities and intensities on body composition in overweight and obese children and adolescents: a systematic review and network meta-analysis

被引:8
作者
Huang, Zan [1 ]
Li, Jiayu [1 ]
Liu, Yanjie [1 ]
Zhou, Yulan [1 ]
机构
[1] Zhejiang Normal Univ, Coll Phys Educ & Hlth Sci, Jinhua, Peoples R China
关键词
exercise; body composition; obesity; network meta-analysis; children; adolescents; C-REACTIVE PROTEIN; INSULIN SENSITIVITY; RESISTANCE EXERCISE; AEROBIC EXERCISE; CALORIC RESTRICTION; PHYSICAL-FITNESS; BLOOD-LIPIDS; FAT MASS; STRENGTH; PROGRAM;
D O I
10.3389/fphys.2023.1193223
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Introduction: Childhood and adolescent overweight and obesity are global public health issues. Previous studies on exercise and overweight and obese children have produced inconsistent findings and lacked comparisons between different exercise modalities and intensities. Therefore, a network meta-analysis is necessary to provide evidence-based intervention programs. This study aims to identify the effects of different exercise modalities and intensities on changes in body composition in overweight and obese children and adolescents.Methods: A search for randomized controlled trials was conducted on Web of Science, PubMed, Scopus, and Embase involving exercise interventions aimed at improving body composition (body fat percentage, BMI, fat mass, fat-free mass, body weight) in overweight and obese children and adolescents. A random effects network meta-analysis was performed using STATA 14.0 software within a frequentist framework. The literature quality was assessed using the Cochrane Risk of Bias Tool 2.0.Results: Thirty-two papers involving 1,452 participants were included. There were six types of intervention involved in the study, including moderate intensity aerobic exercise, high-intensity aerobic exercise, moderate intensity resistance exercise, high-intensity resistance exercise, moderate intensity combined exercise, and high-intensity combined exercise. The network meta-analysis results revealed that high-intensity combined exercise was the best exercise mode for improving BMI [mean difference in kg/m(2) = -1.65, 95% CI (-3.27, -0.02)] and reducing fat mass [mean difference in kg = -2.87, 95% CI (-4.84, -0.91)]. Moderate intensity combined exercise was the best mode for weight loss [mean difference in kg = -4.58, 95% CI (-5.94, -3.22)] and improvement in body fat percentage [mean difference in% = -2.52, 95% CI (-3.83, -1.20)]. High-intensity resistance exercise had the optimal effect in increasing fat-free mass [mean difference in kg = 1.10, 95% CI (0.22, 1.99)].Conclusion: In conclusion, the study found that combined exercise, whether moderate or high intensity, was more effective than any other exercise modality in improving body fat percentage and BMI, reducing fat mass and weight. Resistance exercise was the most effective in increasing fat-free mass.
引用
收藏
页数:18
相关论文
共 77 条
  • [1] The Effects of Resistance Exercise Training on Body Composition and Strength in Obese Prepubertal Children
    Alberga, Angela S.
    Farnesi, Biagina-Carla
    Lafleche, Angele
    Legault, Laurent
    Komorowski, Joanna
    [J]. PHYSICIAN AND SPORTSMEDICINE, 2013, 41 (03) : 103 - 109
  • [2] Concurrent Training Promotes Greater Gains on Body Composition and Components of Physical Fitness Than Single-Mode Training (Endurance or Resistance) in Youth With Obesity
    Bouamra, Marwa
    Zouhal, Hassane
    Ratel, Sebastien
    Makhlouf, Issam
    Bezrati, Ikram
    Chtara, Mokhtar
    Behm, David G.
    Granacher, Urs
    Chaouachi, Anis
    [J]. FRONTIERS IN PHYSIOLOGY, 2022, 13
  • [3] Effects of school-based high-intensity interval training on body composition, cardiorespiratory fitness and cardiometabolic markers in adolescent boys with obesity: a randomized controlled trial
    Cao Meng
    Tang Yucheng
    Li Shu
    Zou Yu
    [J]. BMC PEDIATRICS, 2022, 22 (01)
  • [4] Additional considerations are required when preparing a protocol for a systematic review with multiple interventions
    Chaimani, Anna
    Caldwell, Deborah M.
    Li, Tianjing
    Higgins, Julian P. T.
    Salanti, Georgia
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 2017, 83 : 65 - 74
  • [5] Exercise training in overweight and obese children: Recreational football and high-intensity interval training provide similar benefits to physical fitness
    Cvetkovic, N.
    Stojanovic, E.
    Stojiljkovic, N.
    Nikolic, D.
    Scanlan, A. T.
    Milanovic, Z.
    [J]. SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2018, 28 : 18 - 32
  • [6] Overweight in children and adolescents - Pathophysiology, consequences, prevention, and treatment
    Daniels, SR
    Arnett, DK
    Eckel, RH
    Gidding, SS
    Hayman, LL
    Kumanyika, S
    Robinson, TN
    Scott, BJ
    St Jeor, S
    Williams, CL
    [J]. CIRCULATION, 2005, 111 (15) : 1999 - 2012
  • [7] Influence of Sex on the Changes in Regional Fat and Skeletal Muscle Mass in Response to Exercise Training in Adolescents with Obesity
    Deldin, Anthony
    Kuk, Jennifer L.
    Lee, SoJung
    [J]. CHILDHOOD OBESITY, 2019, 15 (03) : 216 - 222
  • [8] Effect of High-Intensity Interval Training on Fitness, Fat Mass and Cardiometabolic Biomarkers in Children with Obesity: A Randomised Controlled Trial
    Dias, Katrin A.
    Ingul, Charlotte B.
    Tjonna, Arnt E.
    Keating, Shelley E.
    Gomersall, Sjaan R.
    Follestad, Turid
    Hosseini, Mansoureh S.
    Hollekim-Strand, Siri M.
    Ro, Torstein B.
    Haram, Margrete
    Huuse, Else Marie
    Davies, Peter S. W.
    Cain, Peter A.
    Leong, Gary M.
    Coombes, Jeff S.
    [J]. SPORTS MEDICINE, 2018, 48 (03) : 733 - 746
  • [9] Effects of Strength Training on Body Fat in Children and Adolescents with Overweight and Obesity: A Systematic Review with Meta-Analysis
    Diego Mendez-Hernandez, Luis
    Ramirez-Moreno, Esther
    Barrera-Galvez, Rosario
    del Consuelo Cabrera-Morales, Maria
    Reynoso-Vazquez, Josefina
    Rocio Flores-Chavez, Olga
    Morales-Castillejos, Lizbeth
    del Socorro Cruz-Cansino, Nelly
    Cristina Jimenez-Sanchez, Reyna
    Arias-Rico, Jose
    [J]. CHILDREN-BASEL, 2022, 9 (07):
  • [10] Dinas PC., 2014, ISRN Physiol, V2014, P1, DOI [10.1155/2014/964627, DOI 10.1155/2014/964627]