Effects of interventions with a physical activity component on bone health in obese children and adolescents: a systematic review and meta-analysis

被引:19
作者
Chaplais, Elodie [1 ,2 ,6 ,7 ]
Naughton, Geraldine [2 ,6 ]
Greene, David [2 ,6 ]
Dutheil, Frederic [1 ,2 ,3 ,4 ,6 ,7 ]
Pereira, Bruno [5 ]
Thivel, David [1 ,3 ,7 ]
Courteix, Daniel [1 ,2 ,3 ,6 ,7 ]
机构
[1] Blaise Pascal Univ, Lab Metab Adaptat Exercise Physiol & Pathol Condi, EA 3533, 5 Impasse Amelie Murat,TS60026 Cs 60026, F-63178 Clermont Ferrand, France
[2] Australian Catholic Univ, Sch Exercise Sci, Strathfield Campus,Locked Bag 2002, Strathfield, NSW 2135, Australia
[3] CRNH Auvergne, Clermont Ferrand, France
[4] Univ Hosp CHU G Montpied, Occupat Med, Clermont Ferrand, France
[5] Univ Hosp CHU G Montpied, Biostat Unit DRCI, F-63000 Clermont Ferrand, France
[6] Australian Catholic Univ, Sch Exercise Sci, Fitzroy MDC, Melbourne Campus,Locked Bag 4115, Fitzroy, Vic 3065, Australia
[7] Clermont Univ, Clermont Ferrand, France
关键词
Pediatric obesity; Bone mineral density; Growth; Structured intervention; MINERAL DENSITY; BODY-COMPOSITION; RISK-FACTOR; WEIGHT; MASS; OVERWEIGHT; BOYS; FAT; METABOLISM; CHILDHOOD;
D O I
10.1007/s00774-017-0858-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Given the rise in pediatric obesity, clarifications on the relationship between obesity and bone health and on the impact of structured intervention on this relationship are needed. This systematic review and meta-analysis investigated the effect of obesity on bone health and assessed the effect of structured intervention in children and adolescents with obesity. Medline complete, OVID, CINAHL, EMBASE and PubMed databases were searched for studies on obesity and bone health variables up to September 2016, then an update occurred in March 2016. Search items included obesity, childhood, dual energy X-ray absorptiometry and peripheral quantitative computed tomography. Twenty-three studies (14 cross-sectional and nine longitudinal) matched the inclusion criteria. Results from the meta-analysis (cross-sectional studies) confirmed that children and adolescents with obesity have higher bone content and density than their normal weight peers. Results from longitudinal studies remain inconclusive as only 50% of the included studies reported a positive effect of a structured intervention program on bone health. As such, the meta-analysis reported that structured intervention did not influence bone markers despite having beneficial effects on general health in youth with obesity.
引用
收藏
页码:12 / 30
页数:19
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