(BMJ, 2018) García Hermoso, Antonio; Ramírez Vélez, Robinson; Ramírez Campillo, Rodrigo; Peterson, Mark Dean; Martínez Vizcaíno, Vicente; Ciencias de la Salud; Osasun Zientziak
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.
