Impact of Dietary and Exercise Interventions on Weight Change and Metabolic Outcomes in Obese Children and Adolescents

医学 心理干预 肥胖 物理疗法 儿科 老年学 环境卫生 内科学 精神科
作者
Mandy Ho,Sarah P. Garnett,Louise A. Baur,Tracy Burrows,Laura Stewart,Melinda Neve,Clare E. Collins
出处
期刊:JAMA Pediatrics [American Medical Association]
卷期号:167 (8): 759-759 被引量:226
标识
DOI:10.1001/jamapediatrics.2013.1453
摘要

Diet and exercise represent the mainstays of obesity treatment. No systematic review has been conducted comparing the effect of dietary and exercise intervention in reducing metabolic risks in overweight children.To compare the effects of diet-only intervention with those of diet plus exercise or exercise only on weight loss and metabolic risk reduction in overweight children.English-language articles from 1975 to 2010 available from 7 databases were reviewed. One person searched the databases. Two independent reviewers assessed abstracts and articles against the following eligibility criteria: randomized controlled trials conducted in overweight and obese children aged 18 years or younger, comparing dietary intervention with a diet plus exercise program or an exercise-only program. Study quality was critically appraised by 2 reviewers using established criteria. The main outcome measures were body mass index, body fat percentage, lean body mass, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, fasting glucose, and fasting insulin.Fifteen studies were identified and included. Based on the small number of short-term trials currently available, both diet-only and diet plus exercise interventions resulted in weight loss and metabolic profile improvement. However, the addition of exercise to dietary intervention led to greater improvements in levels of high-density lipoprotein cholesterol (3.86 mg/dL [to convert to millimoles per liter, multiply by 0.0259]; 95% CI, 2.70 to 4.63), fasting glucose (-2.16 mg/dL [to convert to millimoles per liter, multiply by 0.0555]; 95% CI, -3.78 to -0.72), and fasting insulin (-2.75 μIU/mL [to convert to picomoles per liter, multiply by 6.945]; 95% CI, -4.50 to -1.00) over 6 months. The diet-only intervention caused greater reductions in levels of triglycerides (at the end of active intervention) and low-density lipoprotein cholesterol (at subsequent follow-up).This review provides insights into the impact of dietary and exercise interventions on metabolic risk reduction in the pediatric population. However, further studies are required to confirm the evidence with rigorous design, appropriate sample size, longer duration of follow-up, and better strategies to improve compliance and achieve long-term sustainability.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Tourist完成签到 ,获得积分10
1秒前
王路飞发布了新的文献求助10
1秒前
4秒前
5秒前
6秒前
西南楚留香完成签到,获得积分10
9秒前
Newky发布了新的文献求助10
10秒前
12秒前
12秒前
王路飞完成签到,获得积分10
13秒前
16秒前
mmm发布了新的文献求助10
17秒前
boltos发布了新的文献求助10
19秒前
ASA完成签到,获得积分10
19秒前
abin发布了新的文献求助10
20秒前
Newky完成签到,获得积分10
20秒前
卿君完成签到,获得积分10
24秒前
24秒前
Jasper应助乔佳怡采纳,获得10
26秒前
Akim应助hwezhu采纳,获得10
26秒前
27秒前
alpv完成签到,获得积分10
27秒前
28秒前
南冥发布了新的文献求助10
31秒前
31秒前
32秒前
迷路的绿藻头完成签到 ,获得积分10
32秒前
量子星尘发布了新的文献求助10
33秒前
哈哈完成签到,获得积分10
33秒前
A阿澍发布了新的文献求助10
34秒前
abin完成签到,获得积分10
34秒前
36秒前
36秒前
36秒前
hwezhu发布了新的文献求助10
37秒前
39秒前
jyy应助科研通管家采纳,获得10
41秒前
czh应助科研通管家采纳,获得20
41秒前
烟花应助科研通管家采纳,获得10
42秒前
充电宝应助科研通管家采纳,获得10
42秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989263
求助须知:如何正确求助?哪些是违规求助? 3531418
关于积分的说明 11253814
捐赠科研通 3270066
什么是DOI,文献DOI怎么找? 1804884
邀请新用户注册赠送积分活动 882084
科研通“疑难数据库(出版商)”最低求助积分说明 809136