Journal of pediatric endocrinology & metabolism : JPEM · 2025
Effects of exercise training on cardiorespiratory fitness in children and adolescents with overweight or obesity: a systematic review.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод пока не подготовлен
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Cao Youxiang, Xu Rui, Hu Qi
Аннотация
OBJECTIVES: The purpose of this review was to analyze the effect of exercise training on cardiorespiratory fitness in children and adolescents with overweight or obesity.
METHODS: MEDLINE via PubMed, Embase, SPORTDiscus, and the Cochrane library were searched and screened from inception to 15 October 2024 for randomized controlled trials. Only randomized controlled trials (RCTs) that examined the effect of exercise on subjects who were either obese or overweight (body mass index [BMI] ≥ 85th) and aged from 9 to 19 years old were included.
RESULTS: The meta-analysis included 17 studies (24 trials) with 511 participants. Physical activity was found to significantly improve cardiorespiratory fitness (CRF; SMD = 0.92, 95 % CI [0.52,1.31], p < 0.001). Subgroup analysis showed that aerobic training (AT; SMD = 0.66, 95 % CI [0.34, 0.98], p < 0.01), combine training（CT; SMD = 0.64, 95 % CI [0.13, 1.16]), and high intensity interval training (HIIT; SMD = 0.88, 95 % CI [0.45, 1.30], p < 0.01) were found to effectively improve CRF, but not resistance training (RT; SMD = 0.42, 95 % CI [-0.93, 1.76], p < 0.01).
CONCLUSIONS: Physical activity can effectively improve CRF in children and adolescents with overweight or obesity. Moreover, subgroup analyses also revealed variability in the effects of different types of exercise interventions, with AT, CT and HIIT interventions effective in improving CRF but not RT interventions.
METHODS: MEDLINE via PubMed, Embase, SPORTDiscus, and the Cochrane library were searched and screened from inception to 15 October 2024 for randomized controlled trials. Only randomized controlled trials (RCTs) that examined the effect of exercise on subjects who were either obese or overweight (body mass index [BMI] ≥ 85th) and aged from 9 to 19 years old were included.
RESULTS: The meta-analysis included 17 studies (24 trials) with 511 participants. Physical activity was found to significantly improve cardiorespiratory fitness (CRF; SMD = 0.92, 95 % CI [0.52,1.31], p < 0.001). Subgroup analysis showed that aerobic training (AT; SMD = 0.66, 95 % CI [0.34, 0.98], p < 0.01), combine training（CT; SMD = 0.64, 95 % CI [0.13, 1.16]), and high intensity interval training (HIIT; SMD = 0.88, 95 % CI [0.45, 1.30], p < 0.01) were found to effectively improve CRF, but not resistance training (RT; SMD = 0.42, 95 % CI [-0.93, 1.76], p < 0.01).
CONCLUSIONS: Physical activity can effectively improve CRF in children and adolescents with overweight or obesity. Moreover, subgroup analyses also revealed variability in the effects of different types of exercise interventions, with AT, CT and HIIT interventions effective in improving CRF but not RT interventions.