scholarly journals Effects of Exercise in Improving Cardiometabolic Risk Factors in Overweight Children: A Systematic Review and Meta-Analysis

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 82
Author(s):  
Stefan Sebastian Busnatu ◽  
Liviu Ionut Serbanoiu ◽  
Andreea Elena Lacraru ◽  
Catalina Liliana Andrei ◽  
Cosmina Elena Jercalau ◽  
...  

This meta-analysis aims to evaluate the effects of exercise in improving cardiometabolic risk factors in overweight children and adolescents until the adolescent age, which is 18 years. A systemic search was conducted using the electronic databases PubMed/Medline, Cochrane Library, and Google Scholar, from inception to 29 June 2021. All statistical analyses were conducted in Review Manager 5.4.1. All studies meeting the inclusion criteria were selected. A random-effect model was used to pool the studies, and the results are reported in the odds ratio (OR) and corresponding 95% Confidence interval (CI). Twelve randomized control trials were selected for meta-analysis. Significant results were obtained for BMI in children after the interventions (0.38 95% CI 0.14, 0.62; p = 0.002; I2 = 65%). LDL level was also found significantly reduced (0.41 95% CI 0.01, 0.82; p = 0.05; I2 = 83%). Other factors such as HDL level, blood pressure, blood glucose level, body weight, and waist circumference were also analyzed. We found that exercise interventions significantly improved several cardiometabolic risk factors such as BMI, LDL level, BP, and blood glucose level. However, no significant effect on HDL concentration, waist circumference, and body weight were found. Long-term interventions are needed to attain improvement in all cardiometabolic risk factors.

2020 ◽  
pp. 1-9
Author(s):  
Marielly Rodrigues de Souza ◽  
Morgana Egle Alves Neves ◽  
Amanda de Moura Souza ◽  
Ana Paula Muraro ◽  
Rosangela Alves Pereira ◽  
...  

Abstract Breakfast is considered as the most important meal of the day. The habit of skipping this meal in adolescence tends to remain until adulthood and has been associated with cardiometabolic risk factors. The present study estimated the prevalence of skipping breakfast and its association with cardiometabolic risk factors. This is a cross-sectional study with data from the Study of Cardiovascular Risks in Adolescents (ERICA), with a nationally representative sample of 36 956 Brazilian adolescents, aged 12–17 years, enrolled in public and private schools. The outcomes were excess body weight (BMI), central obesity (waist circumference and waist:height ratio), lipid profile (total cholesterol (TC), LDL-cholesterol, HDL-cholesterol and TAG) and glycidic profile (fasting glycaemia, fasting insulin and glycated Hb). The association between skipping breakfast and each outcome was estimated using multiple Poisson regression models (prevalence ratio (PR) and 95 % CI). Prevalence of skipping breakfast was 68·7 % and, after adjustments, it was associated with excess body weight (PR = 1·30; 95 % CI 1·18, 1·43), central obesity both by waist circumference (PR = 1·27; 95 % CI 1·00, 1·61) and by waist:height ratio (PR = 1·32; 95 % CI 1·13, 1·54) and high fasting glucose levels (PR = 1·54; 95 % CI 1·09, 2·18), fasting insulin (PR = 1·64; 95 % CI 1·21, 2·22), glycated Hb (PR = 1·16; 95 % CI 1·03, 1·31) and total cholesterol (PR = 1·14; 95 % CI 1·02, 1·27). Skipping breakfast was associated with cardiometabolic risk factors in adolescence. In this context, the school environment is an ideal space to promote healthy eating habits, favouring the implementation of food and nutrition education activities to make adolescents aware of the importance of consuming breakfast daily.


2020 ◽  
Vol 44 (6) ◽  
pp. 481-492
Author(s):  
Sora Baek ◽  
Yuncheol Ha ◽  
Jaemin Mok ◽  
Hee-won Park ◽  
Hyo-Rim Son ◽  
...  

Objective To evaluate the safety and effectiveness of the community-based cardiac rehabilitation (CBCR) program that we had developed.Methods Individuals aged >40 years with cardiovascular disease or its risk factors who were residing in a rural area were recruited as study subjects. The CBCR program, which consisted of 10 education sessions and 20 weeks of customized exercises (twice a week), was conducted in a public health center for 22 weeks. Comprehensive outcomes including body weight, blood glucose level, and 6-minute walk distance (6MWD) were measured at baseline, 11th week, and completion. Furthermore, the outcomes of young-old (65–74 years) and old-old (≥75 years) female subjects were compared.Results Of 31 subjects, 21 completed the program (completion rate, 67.7%). No adverse events were observed, and none of the subjects discontinued the exercise program because of chest pain, dyspnea, and increased blood pressure. Body weight and blood glucose level were significantly decreased, and 6MWD was significantly increased following program implementation (p<0.05). Both young-old and old-old women exhibited an improvement in blood glucose level and 6MWD test (p<0.05).Conclusion We reported the results of the first attempted CBCR in South Korea that was implemented without adverse events during the entire program. Improved aerobic exercise ability and reduced risk factors in all participants were observed. These improvements were also achieved by older adults aged ≥75 years.


2014 ◽  
Vol 33 (2) ◽  
pp. 311-315 ◽  
Author(s):  
Anna Sijtsma ◽  
Gianni Bocca ◽  
Carianne L'Abée ◽  
Eryn T. Liem ◽  
Pieter J.J. Sauer ◽  
...  

2015 ◽  
Vol 30 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Laura N. Anderson ◽  
Gerald Lebovic ◽  
Jill Hamilton ◽  
Anthony J. Hanley ◽  
Brian W. McCrindle ◽  
...  

PEDIATRICS ◽  
2021 ◽  
Vol 148 (4) ◽  
pp. e2021050810
Author(s):  
Monserrat Solera-Martínez ◽  
Ángel Herraiz-Adillo ◽  
Ismael Manzanares-Domínguez ◽  
Lidia Lucas De La Cruz ◽  
Vicente Martínez-Vizcaíno ◽  
...  

2018 ◽  
Vol 29 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Santosh Singh Bhadoriya ◽  
Aditya Ganeshpurkar ◽  
Ravi Pratap Singh Bhadoriya ◽  
Sanjeev Kumar Sahu ◽  
Jay Ram Patel

AbstractBackground:Tamarindusis a monotypic genus and belongs to the subfamily Caesalpinioideae of the family Leguminosae (Fabaceae),Tamarindus indicaL., commonly known as Tamarind tree is one of the most important multipurpose tropical fruit tree species in the India, Sudan, Nigeria, Bangladesh and entire subcontinent.Methods:Hydroethanolic seed coat extract ofTamarindus indica(HETI) was assessed for presence of phytoconstituents and selection of optimum dose through acute and sub acute toxicity study. The single and multidose (14 days) study were conducted to evaluate antidiabetic potential of HETI in alloxan induced rats via determine of blood glucose level, body weight, hematological profile, extra-pancreatic glucose utilization of isolated rat hemi-diaphragm as well as histopathology of rat pancreas.Results:Phytochemical analysis of HETI showed the presence of polyphenol like flavonoids. Single and multidose of HETI significantly (p<0.05; p<0.001) reduced blood glucose level in normoglycaemic, glucose loaded and alloxan induced hyperglycaemic animals. HETI exerts the protective effect on pancreatic β-cells as per results obtained from histopathology of animals. Moreover, HETI increased glucose uptake in isolated rat hemi-diaphragm and prevents decrease in body weight along with recovery of altered hematological parameters.Conclusions:The study revealed that HETI have potent hypoglycaemic action by virtue of its phytoconstituents and it can be used as a herbal medicine for diabetes.


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