Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis

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.

Interindividual responses to different exercise stimuli among insulin‐resistant women

“…The current findings are in agreement with other CT studies showing an improved blood glucose profile, reduced abdominal fat mass, decreased insulin concentration, and lowered blood pressure in pediatric populations . We also observed significant decreases in SBP only in the HIT group (−13.0 mm Hg), but this group also had a proportion of non‐responders of 43% with no difference between groups (RT, 75%; CT, 60%; and CG, 93%–Table ).…”

“…The effects of combined exercise training (RT + either ET or HIT), commonly referred to as “concurrent training” (CT) on metabolic syndrome risk factors have also been studied in adult and pediatric populations, but despite the high time investment required, there is a not clear benefit of this training modality on glucose homeostasis and comorbidities when compared with RT, ET, or HIT alone. Recent studies on CT have shown greater decreases in inflammatory markers, HOMA‐IR, and glycosylated hemoglobin with this training modality than with that achieved by ET or RT alone . Nevertheless, Bateman et al reported that CT was not more effective (and was in fact less time‐efficient) than ET for improving metabolic syndrome.…”

Letter in response to: concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity—a systematic review and meta-analysis

“…We would like to congratulate the British Journal of Sports Medicine for the publication of the study conducted by García-Hermoso et al 1 entitled ‘Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis’. The study investigated the effect of concurrent aerobic plus resistance training versus aerobic exercise alone on anthropometric and metabolic results in obese children and adolescents.…”

Resultados da primeira fase do Programa Esporte e Saúde em Canela, Rio Grande do Sul: avaliação do perfil nutricional

“…Esses benefícios foram associados inicialmente ao exercício aeróbio, porém as publicações mais recentes indicam que o treinamento de força pode ser bastante benéfico para as crianças com sobrepeso ou obesidade. Uma recente revisão sistemática mostrou maior redução da massa de gordura, melhora do perfil lipídico e maior aumento da massa magra em crianças obesas com o treinamento combinado (também chamado de concorrente) de treinamento contra resistência associado ao aeróbio, em relação ao aeróbio isolado [23]. Em outra revisão sistemática, os autores analisaram várias estratégias para redução da massa de gordura e melhora do perfil lipídico e concluíram que a melhor estratégia é combinar o treino de força com o exercício aeróbio [24], o que demonstra a importância de se trabalhar estas duas modalidades de exercício durante o programa de redução ponderal.…”