Aerobic plus resistance training was more effective in improving the visceral adiposity, metabolic profile and inflammatory markers than aerobic training in obese adolescents

Abstract

The purpose of this study was to determine whether aerobic plus resistance training (AT + RT) is more effective than aerobic training (AT) at reducing inflammatory markers and cardiovascular risk in obese adolescents. A total of 139 obese adolescents were enrolled, aged 15-19 years, body mass index (BMI) ≥ 95th percentile and participated in 1 year of interdisciplinary intervention. They were randomised into two groups: AT (n = 55), AT + RT (n = 61). Blood samples were collected to analyse glycaemia, insulin, the lipid profile, leptin and adiponectin concentrations. Insulin resistance was measured by homeostasis model assessment of insulin resistance index (HOMA-IR). The AT + RT group showed better results with regard to decreased body fat mass, low-density lipoprotein concentration (LDL-c) levels, subcutaneous and visceral fat and increased body lean mass. Indeed, a reduction of hyperleptinaemia and an increase in adiponectin concentrations, promoting an improvement in the leptin/adiponectin ratio, was observed. Important clinical parameters were improved in both types of exercise; however, AT + RT was more effective in improving the visceral adiposity, metabolic profile and inflammatory markers than AT alone, suggesting clinical applications for the control of intra-abdominal obesity and cardiovascular risk in the paediatric population.

Can low-level laser therapy (LLLT) associated with an aerobic plus resistance training change the cardiometabolic risk in obese women? A placebo-controlled clinical trial

“…Interdisciplinary intervention (nutrition, psychology, physical exercise and clinical therapy) has been used with success for obesity treatment, without the use of the agent pharmacological or surgery [10,11]. In fact, in our study, the application of lifestyle intervention was effective in reducing all parameters of body composition, metabolic profile and inflammatory marks in obese women confirming to be necessary in the union of different professionals working together to treat obesity.…”

“…Data supports that the interdisciplinary intervention model associated to aerobic plus resistance training was more effective in improving the visceral adiposity, inflammatory markers and metabolic profile in obese adolescents [10,11]. In addition, Jackson and colleagues [12] find changes in the body composition as in circumferential measurements across waist, hips, and thighs compared to placebo subjects after LLLT treatment, with a total of six treatments across 2-weeks.…”

Efetividade de um programa multiprofissional de tratamento da obesidade em adolescentes: impacto sobre transtorno de compulsão alimentar periódica

“…Apesar do consenso na literatura em relação aos benefícios de intervenções multiprofissionais para o tratamento da obesidade infanto-juvenil, esse modelo de intervenção no Brasil ainda parece estar mais voltado a iniciativas dentro de Universidades públicas, como por exemplo, os programas desenvolvidos pela Universidade Federal de São Paulo [33] , Universidade Estadual Paulista [34] , Universidade Federal de Santa Catarina [27] , Universidade Federal do Paraná [29] e Universidade Estadual de Maringá, sendo necessária sua expansão como um serviço de saúde pública para beneficiar a demanda da população que necessita desse atendimento.…”

Resistance Training Effects on Metabolic Function Among Youth: A Systematic Review

“…Reporting bias was not an issue across the studies reviewed. Several studies were conducted in a clinical setting where physicians addressed individual issues throughout the study (2, 8, 11). This practice was essential for clinical care, but it was difficult to determine if it introduced other potential forms of bias that were not addressed without seeing data such as the distribution of additional clinical advice or therapies across groups.…”