Exercise, health outcomes, and pædiatric obesity: A systematic review of meta-analyses

Antonio García-Hermoso; Robinson Ramírez-Vélez; Jose M. Saavedra

doi:10.1016/j.jsams.2018.07.006

Exercise, health outcomes, and pædiatric obesity: A systematic review of meta-analyses

Título traducido de la contribución: Ejercicio, resultados de salud y obesidad peyorativa: Una revisión sistemática de los meta-análisis

Antonio García-Hermoso, Robinson Ramírez-Vélez, Jose M. Saavedra

Escuela de Medicina y Ciencias de la Salud

Producción científica: Contribución a una revista › Artículo de Investigación › revisión exhaustiva

67 Citas (Scopus)

Resumen

OBJETIVOS:
Este estudio es una revisión sistemática de los metanálisis que han abordado los efectos de las intervenciones basadas en el ejercicio solamente y los resultados de salud (parámetros antropométricos, composición corporal, cardiometabólicos, hepáticos, vasculares y cardiorrespiratorios) en niños y adolescentes con sobrepeso y obesos.

DISEÑO:
Revisión sistemática del metanálisis.

MÉTODOS:
Se realizaron búsquedas en seis fuentes electrónicas. Los criterios de inclusión fueron: niños y/o adolescentes clasificados como con sobrepeso u obesos, y revisiones sistemáticas y metanálisis previos que incluían intervenciones de ejercicios en comparación con un grupo control. Se calcularon las diferencias de medias estandarizadas, el riesgo de sesgo, la heterogeneidad y los efectos de los estudios pequeños. Se realizaron análisis de subgrupos (características de la intervención).

RESULTADOS:
Dieciocho metanálisis cumplieron los criterios de inclusión. Los resultados mostraron mejoras en algunos parámetros antropométricos y de composición corporal (masa corporal, IMC, IMC z-score, obesidad central, masa grasa) y cardiometabólicos (TG, glucosa en ayunas, insulina en ayunas), así como en el estado físico cardiorrespiratorio. Para los parámetros cardiometabólicos y vasculares, los programas e intervenciones aeróbicas demostraron ser eficaces si eran de cuatro a 12 semanas, o incluían un tiempo total de ejercicio de al menos 1500 minutos, o sesiones de al menos 60 minutos.

CONCLUSIONES:
El estudio proporciona indicaciones sobre la dosis adecuada de ejercicio para reducir los problemas de salud en la población joven obesa.

Título traducido de la contribución	Ejercicio, resultados de salud y obesidad peyorativa: Una revisión sistemática de los meta-análisis
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	76-84
Número de páginas	12
Publicación	Journal of Science and Medicine in Sport
Volumen	22
N.º	1
DOI	https://doi.org/10.1016/j.jsams.2018.07.006
Estado	Publicada - ene. 1 2019

Áreas temáticas de ASJC Scopus

Ortopedia y medicina del deporte
Terapia física, deportiva y rehabilitación

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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abstract = "Objectives: This study is a systematic review of meta-analyses that have addressed the effects of exercise-based interventions alone and the health outcomes (anthropometric, body composition, cardiometabolic, hepatic, vascular, and cardiorespiratory fitness parameters) in overweight and obese children and adolescents. Design: Systematic review of meta-analysis. Methods: Six electronic sources were searched. The inclusion criteria were: children and/or adolescents classified as overweight or obese, and previous systematic reviews and meta-analyses that included exercise interventions compared to a control group. Standardized mean differences, risk of bias, heterogeneity, and small-study effects were calculated. Subgroup analyses (intervention characteristics) were done. Results: Eighteen meta-analyses met the inclusion criteria. The results showed improvements in some anthropometric and body composition (body mass, BMI, BMI z-score, central obesity, fat mass) and cardiometabolic (TG, fasting glucose, fasting insulin) parameters, and in cardiorespiratory fitness. For the cardiometabolic and vascular parameters, aerobic programs and interventions showed themselves to be effective if they were of four to 12 weeks, or involved a total exercise time of at least 1500 min, or involved sessions of at least 60 min. Conclusions: The study provides indications of the appropriate dose of exercise with which to reduce health problems in the obese young population.",

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N2 - Objectives: This study is a systematic review of meta-analyses that have addressed the effects of exercise-based interventions alone and the health outcomes (anthropometric, body composition, cardiometabolic, hepatic, vascular, and cardiorespiratory fitness parameters) in overweight and obese children and adolescents. Design: Systematic review of meta-analysis. Methods: Six electronic sources were searched. The inclusion criteria were: children and/or adolescents classified as overweight or obese, and previous systematic reviews and meta-analyses that included exercise interventions compared to a control group. Standardized mean differences, risk of bias, heterogeneity, and small-study effects were calculated. Subgroup analyses (intervention characteristics) were done. Results: Eighteen meta-analyses met the inclusion criteria. The results showed improvements in some anthropometric and body composition (body mass, BMI, BMI z-score, central obesity, fat mass) and cardiometabolic (TG, fasting glucose, fasting insulin) parameters, and in cardiorespiratory fitness. For the cardiometabolic and vascular parameters, aerobic programs and interventions showed themselves to be effective if they were of four to 12 weeks, or involved a total exercise time of at least 1500 min, or involved sessions of at least 60 min. Conclusions: The study provides indications of the appropriate dose of exercise with which to reduce health problems in the obese young population.

AB - Objectives: This study is a systematic review of meta-analyses that have addressed the effects of exercise-based interventions alone and the health outcomes (anthropometric, body composition, cardiometabolic, hepatic, vascular, and cardiorespiratory fitness parameters) in overweight and obese children and adolescents. Design: Systematic review of meta-analysis. Methods: Six electronic sources were searched. The inclusion criteria were: children and/or adolescents classified as overweight or obese, and previous systematic reviews and meta-analyses that included exercise interventions compared to a control group. Standardized mean differences, risk of bias, heterogeneity, and small-study effects were calculated. Subgroup analyses (intervention characteristics) were done. Results: Eighteen meta-analyses met the inclusion criteria. The results showed improvements in some anthropometric and body composition (body mass, BMI, BMI z-score, central obesity, fat mass) and cardiometabolic (TG, fasting glucose, fasting insulin) parameters, and in cardiorespiratory fitness. For the cardiometabolic and vascular parameters, aerobic programs and interventions showed themselves to be effective if they were of four to 12 weeks, or involved a total exercise time of at least 1500 min, or involved sessions of at least 60 min. Conclusions: The study provides indications of the appropriate dose of exercise with which to reduce health problems in the obese young population.

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Exercise, health outcomes, and pædiatric obesity: A systematic review of meta-analyses

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Áreas temáticas de ASJC Scopus

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