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May 22, 2023Open Access

Physical Activity Interventions for Cardiopulmonary Fitness in Obese Children and Adolescents:A Systematic Review

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Key result

Physical activity, particularly moderate to high intensity interventions, effectively improves cardiorespiratory fitness markers such as maximal oxygen uptake and resting heart rate in obese children and adolescents.

Why the study?

This study was conducted to systematically analyze the effects of physical activity on cardiorespiratory health in obese children and adolescents and review factors influencing intervention effects.

Does physical activity improve cardiopulmonary fitness in obese children and adolescents?

Comparison

Physical activity interventions vs comparator controls

Design

Systematic review of 20 randomised controlled trials and 3 non-randomised controlled trials

Authors

CWChaochao WangYHYuting HuQLQiaoyou Luo

Discussion

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Member takes

Overview

Physical activity improves cardiorespiratory parameters in obese youth; reinforces exercise as first-line intervention and guides dosing in future pediatric trials.

Study Design

Type

Systematic Review (n=2,737)

Structured PICO

Does physical activity improve cardiopulmonary fitness in obese children and adolescents?

P
Population
2,737 obese or overweight children and adolescents aged 5 to 18 years across 23 studies evaluating the impact of physical activity interventions on cardiorespiratory fitness.
I
Intervention
Physical activity interventions (including physical education classes, extracurricular activities, high-intensity interval training, moderate-intensity continuous training), mainly moderate to high intensity, typically 40-60 minutes per session.
C
Comparator
Control groups receiving standard physical education, no intervention, or lower intensity physical activity.
O
Outcome
Cardiopulmonary fitness indicators including maximal oxygen uptake (VO2max), peak oxygen uptake (VO2peak), heart rate, resting heart rate, and blood pressure.surrogate

Moderate to high intensity physical activity interventions effectively improve cardiorespiratory fitness markers, such as VO2max and resting heart rate, in obese children and adolescents.

Limitations

  • Screened only two major databases and excluded grey literature
  • Socio-cultural and ethnic differences among participants in different regions
  • Unclear participants' baseline physical activity levels and motivations
  • Cardiorespiratory fitness assessment methods varied across studies, leading to heterogeneity

Cite This Study

Wang et al. (2023) conducted a systematic review in Obesity or overweight (n=2,737). Physical activity vs. Control (no intervention or standard physical education) was evaluated on Cardiorespiratory fitness (VO2max, VO2peak, heart rate, blood pressure). Physical activity, particularly moderate to high intensity interventions, effectively improves cardiorespiratory fitness markers such as maximal oxygen uptake and resting heart rate in obese children and adolescents.

synapsesocial.com/papers/6a858c0ed1e5e0588dd4e324https://doi.org/10.21203/rs.3.rs-2933485/v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An After-School, high-intensity, interval physical activity programme improves health-related fitness in children2016 · 17 citations
  2. 2<scp>GABA</scp>ergic signalling in the immune system2015 · 115 citations
  3. 3Impact of the FITKids Physical Activity Intervention on Adiposity in Prepubertal Children2014 · 44 citations
  4. 4Physiological adaptations to low‐volume, high‐intensity interval training in health and disease2012 · 1,743 citations
  5. 5Catecholamine metabolic pathways and exercise training. Plasma and urine catecholamines, metabolic enzymes, and chromogranin-A.1991 · 40 citations