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2011 | 29 | 67-78

Article title

Effects of Exercise and/or Diet Programs on Kinanthropometric and Metabolic Parameters in Obese Children: a Pilot Study


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This study was aimed at determining the effects of implementing a medium-term (six-month) exercise and/or a diet program on the kinanthropometric and metabolic parameters of obese children. The participants were 42 subjects (27 boys, 15 girls), whose ages were between 8 and 11, divided into three groups according to the program they followed. The E group followed a physical exercise program (three 90-minute sessions per week), the D group a low calorie diet, and the E+D group both interventions. A repeated-measure ANOVA was used to compare measurements of the participants' kinanthropometric and metabolic parameters at different times of the program, with the means being compared using the Tukey post-hoc test. It was found that medium-term intervention based on the combination of exercise and low calorie diet improved the obese children's kinanthropometric and metabolic parameters, especially those related to the lipid profile. Also, this combined program was more effective in controlling weight than the exercise or low calorie diet interventions alone.







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1 - 9 - 2011
4 - 10 - 2011


  • Facultad de Ciencias del Deporte, AFIDES Research Group, Universidad de Extremadura, Spain
  • Facultad de Ciencias del Deporte, AFIDES Research Group, Universidad de Extremadura, Spain
  • Facultad de Ciencias del Deporte, AFIDES Research Group, Universidad de Extremadura, Spain


  • Barlow SE, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics, 2007; 120(Suppl. 1): 164-192.[Crossref]
  • Ben Ounis O, Elloumi M, Ben Chiekh I, Zbidi A, Amri M, Lac G, Tabka Z. Effects of two-month physical-endurance and diet-restriction programmes on lipid profiles and insulin resistance in obese adolescent boys. Diabetes Metab, 2008; 34(6 Pt 1): 595-600.[PubMed][Crossref]
  • Bibbins-Domingo K, Coxson P, Pletcher MJ, Lightwood J, Goldman L. Adolescent overweight and future adult coronary heart disease. N Engl J Med, 2007; 357(23): 2371-2379.
  • Braet C, Tanghe A, De Bode P, Franckx H, Van Winckel M. Inpatient treatment of obese children: a multicomponent programme without stringent calorie restrintion. Eur J Pediatr, 2003; 162 (6): 391-396.
  • Chang C, Liu W, Zhao X, Li S, Yu C. Effect of supervised exercise intervention on metabolic risk factors and physical fitness in Chinese obese children in early puberty. Obes Rev, 2008; 9(Suppl. 1): 135-141.[PubMed][Crossref]
  • Cohen J. Statistical Power Analysis for the Behavioral Sciences. Lawrence Erlbaum Associates, Hillsdale. 1988.
  • Després JP, Lemieux I, Bergeron J, Pibarot P, Mathieu P, Larose E, Rodés-Cabau J, Bertrand OF, Poirier P. Abdominal obesity and the metabolic syndrome: contribution to global cardiometabolic risk. Arterioscler Thromb Vasc Biol, 2008; 28(6): 1039-1049.[Crossref][PubMed]
  • Edmunds L, Waters E, Elliott EJ. Evidence based paediatrics: Evidence based management of childhood obesity. BMJ, 2001; 323(7318): 916-919.
  • Elloumi M, Ben Ounis O, Makni E, Van Praagh E, Tabka Z, Lac G. Effect of individualized weight-loss programmes on adiponectin, leptin and resistin levels in obese adolescent boys. Acta Paediatr, 2009; 98(9): 1487-1493.[PubMed][Crossref]
  • Epstein LH, Myers MD, Raynor HA, Saelens BE. Treatment of pediatric obesity. Pediatrics, 1998; 101(3 Pt 2): 554-570.[PubMed]
  • Flodmark CE. Management of obese child using psychological-based treatments. Acta Paediatr, 2005; 94(Suppl. 448): 14-28.
  • Golan M, Crow S. Targeting parents exclusively in the treatment of childhood obesity: long term results. Obesity Research, 2004; 12(2): 357-361.[PubMed][Crossref]
  • Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet, 2010; 375(9727): 1737-1748.
  • Hernández M, Castellet J, Narvaiza JL, Rincón JM, Ruiz I, Sánchez E. Curvas y tablas de crecimiento. Garsi. Instituto de Investigación sobre Crecimiento y Desarrollo, Fundación Faustino Orbegozo, Madrid. 1988.
  • Kang HS, Gutin B, Barbeau P, Owens S, Lemmon CR, Allison J, Litaker M, Le NA. Physical training improves insulin resistance syndrome markers in obese adolescents. Med Sci Sports Exerc, 2002; 34(12): 1920-1927.[PubMed][Crossref]
  • Kershaw EE, Flier JS. Adipose tissue as an endocrine organ. J Clin Endocrinol Metab, 2004; 89(6): 2548-2556.[Crossref][PubMed]
  • Kimm SY, Glynn NW, Kriska AM, Fitzgerald SL, Aaron DJ, Similo SL, McMahon RP, Barton BA. Longitudinal changes in physical activity in a biracial cohort during adolescence. Med Sci Sports Exerc, 2000; 32(8): 1445-1454.[Crossref]
  • Kumahara H, Schutz Y, Ayabe M, Yoshioka M, Yoshitake Y, Shindo M, Ishii K, Tanaka H. The use of uniaxial accelerometry for the assessment of physical-activity-related energy expenditure: a validation study against whole-body indirect calorimetry. Br J Nutr, 2004; 91(2): 235-243.[Crossref][PubMed]
  • Law MR, Morris JK. By how much does fruit and vegetable consumption reduce the risk of ischaemic heart disease: response to commentary. Eur J Clin Nutr, 1999; 53(11): 903-904.[Crossref][PubMed]
  • Leon AS, Sanchez OA. Response of blood lipids to exercise training alone or combined with dietary intervention. Med Sci Sports Exerc, 2001; 33(Suppl. 6): 502-515.[Crossref]
  • Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev, 2004; 5(Suppl. 1): 4-104.[Crossref]
  • Maliszewski AF, Freedson PS, Ebbeling CJ, Crussemeyer J, Kastango KB. Validity of the Caltrac accelerometer in estimating energy expenditure and Activity in children and adults. Pediatr Exerc Sci, 1991; 3(2): 141-151.
  • Maffeis C, Castellani M. Physical activity: an effective way to control weight in children? Nutr Metab Cardiovasc Dis, 2007; 17(5): 394-408.[Crossref][PubMed]
  • Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia, 1985; 28(7): 412-429.[Crossref][PubMed]
  • McKeown NM, Meigs JB, Liu S, Saltzman E, Wilson PW, Jacques PF. Carbohydrate nutrition, insulin resistance, and the prevalence of the metabolic syndrome in the Framingham Offspring Cohort. Diabetes Care, 2004; 27(2): 538-546.[Crossref][PubMed]
  • Moore LL, Gao D, Bradlee ML, Cupples LA, Sundarajan-Ramamurti A, Proctor MH, Hood MY, Singer MR, Ellison RC. Does early physical activity predict body fat change throughout childhood? Prev Med, 2003; 37(1): 10-17.[PubMed][Crossref]
  • Natarajan S, Glick H, Criqui M, Horowitz D, Lipsitz SR, Kinosian B. Cholesterol measures to identify and treat individuals at risk for coronary heart disease. Am J Prev Med, 2003; 25(1): 50-57.[Crossref][PubMed]
  • National Cholesterol Education Program. Report of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents. Pediatrics, 1992; 89(3): 495-501.
  • Nordmann AJ, Nordmann A, Briel M, Keller U, Yancy WS, Brehm BJ, Bucher HC. Effects of low-carbohydrate vs low-fat diets on weight loss and cardiovascular risk factors: a meta-analysis of randomized controlled trials. Arch Intern Med, 2006; 166(3): 285-293.[Crossref][PubMed]
  • Norton K, Whittingham N, Carter L, Kerr D, Gore C, Marfell-Jones M. Measurement techniques anthropometry. In: Antropometría. Ed: Norton, K. and Olds, T. Sydney: Editorial UNSW. 1996; p. 25-75.
  • Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O'Malley C, Stolk RP, Summerbell CD. Interventions for treating obesity in children. Cochrane Database Syst Rev, 2009; 1.
  • Reinehr T, de Sousa G, Toschke AM, Andler W. Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention. Am J Clin Nutr, 2006; 84(3): 490-496.[PubMed]
  • Ribeiro MM, Silva AG, Santos NS, Guazzelle I, Matos LNJ, Trobetta IC, Halpern A, Negrâo CE, Villares SMF. Diet and exercise training restore blood pressure and vasodilatory responses during physiological maneuvers in obese children. Circulation, 2005; 111(15): 1915-1923.[Crossref][PubMed]
  • Rodríguez G, Moreno LA. Is dietary intake able to explain differences in body fatness in children and adolescents? Nutr Metab Cardiovasc Dis, 2006; 16(4): 294-301.[Crossref][PubMed]
  • Rowland TW. The role of physical activity and fitness in children in the prevention of adult cardiovascular disease. Prog Pediatr Cardiol, 2001; 12(2): 199-203.[Crossref][PubMed]
  • Sallis JF, Buono MJ, Roby JJ, Carlson D, Nelson J. The Caltrac accelerometer as a physical activity monitor for school-age children. Med Sci Sports Exerc, 1990; 22(5): 698-703.[Crossref][PubMed]
  • Schaefer EJ, Lichtenstein AH, Lamon-Fava S, Contois JH, Li Z, Rasmussen H, McNamara JR, Ordovas JM. Efficacy of a National Cholesterol Education Program Step 2 diet in normolipidemic and hypercholesterolemic middle-aged and elderly men and women. Arterioscler Thromb Vasc Biol, 1995; 15(8): 1079-1085.[Crossref][PubMed]
  • Shalitin S, Ashkenazi-Hoffnung L, Yackobovitch-Gavan M, Nagelberg N, Karni Y, Hershkovitz E, Loewenthal N, Shtaif B, Gat-Yablonski G, Phillip M. Effects of a twelve-week randomized intervention of exercise and/or diet on weight loss and weight maintenance, and other metabolic parameters in obese preadolescent children. Horm Res, 2009; 72(5): 287-301.[Crossref][PubMed]
  • Steinberger J, Daniels SR. Obesity, insulin resistance, diabetes, and cardiovascular risk in children: an American Heart Association scientific statement from the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation, 2003; 107(10): 1448-1453.
  • Sudi KM, Gallistl S, Trobinger M, Payerl D, Aigner R, Borkenstein MH. The effects of changes in body mass and subcutaneous fat on the improvement in metabolic risk factors in obese children after short-term weight loss. Metabolism, 2001; 50(11): 1323-1329.[PubMed][Crossref]
  • Summerbell CD, Waters E, Edmunds L, Kelly SAM, Brown T, Campbell KJ. Interventions for preventing obesity in children. Cochrane Database Syst Rev, 2005; 3.
  • Sung RY, Yu CW, Chang SK, Mo SW, Woo KS, Lam CW. Effects of dietary intervention and strength training on blood lipid level in obese children. Arch Dis Child, 2002; 86(6): 407-410.[Crossref][PubMed]
  • Tall AR. Exercise to reduce cardiovascular risk-how much is enough? N Engl J Med, 2002; 347(19): 1522-1524.
  • Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children 1965. Arch Dis Child, 1966; 41: 454-471.
  • The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 2003; 25(Suppl.1): 5-20.
  • Tolfrey K, Jones AM, Campbell IG. The effect of aerobic exercise training on the lipid-lipoprotein profile of children and adolescents. Sports Med, 2000; 29(2): 99-112.[PubMed][Crossref]
  • Turley ML, Skeaff CM, Mann JI, Cox B. The effect of a low-fat, high-carbohydrate diet on serum high density lipoprotein cholesterol and triglyceride. Eur J Clin Nutr, 1998; 52(10): 728-732.[PubMed][Crossref]
  • Watts K, Jones TW, Davis EA, Green D. Exercise training in obese children and adolescents: current concepts. Sports Med, 2005; 35(5): 375-392.[Crossref][PubMed]
  • Weiss R, Dziura J, Burgert TS, Tamborlane WV, Taksali SE, Yeckel CW, Allen K, Lopes M, Savoye M, Morrison J, Sherwin RS, Caprio S. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med, 2004; 350(23): 2362-2674.
  • WHO. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. 2000; Available online at
  • WHO. Diet, Nutrition and the Prevention of Chronic Diseases. Report of a Joint FAO/ WHO Expert consultation. 2003; Available online at
  • WHO. Global Strategy on Diet Physical Activity and Health. Resolution WHA55.23. 2004; Available online at
  • Woo KS, Chook P, Yu CW, Sung RYT, Qiao M, Leung SSF, Lam CWK, Metreweli C, Celermajer DS. Effects of diet and exercise on obesity-related vascular dysfunction in children. Circulation, 2004; 109(16): 1981-1986.[PubMed][Crossref]

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