title: Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis.
abstract: 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.
  
  
  METHODS
  Systematic review with meta-analysis.
  
  
  METHODS
  Computerised search of 3 databases (MEDLINE, EMBASE, and Cochrane Controlled Trials Registry).
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  Concurrent aerobic plus resistance exercise improves body composition, metabolic profiles, and inflammatory state in the obese paediatric population.
  
  
  BACKGROUND
  CRD42016039807.
authors.affiliation: Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, Santiago, Chile.
authors.forename: Antonio
authors.initials: A
authors.lastname: García-Hermoso
authors.affiliation: Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia.
authors.forename: Robinson
authors.initials: R
authors.lastname: Ramírez-Vélez
authors.affiliation: Departamento de Ciencias de la Actividad Física, Universidad de Los Lagos, Osorno, Chile.|Núcleo de Investigación en Salud, Actividad Física y Deporte; Laboratorio de Medición y Evaluación Deportiva, Universidad de Los Lagos, Osorno, Chile.|Laboratorio del Ciencias del Ejercicio, Unidad de Fisiología Integrativa, Clínica MEDS, Santiago, Chile.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Ramírez-Campillo
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA.|Global REACH, University of Michigan Medical School, University of Michigan, Ann Arbor, Michigan, USA.
authors.forename: Mark D
authors.initials: MD
authors.lastname: Peterson
authors.affiliation: Social and Health Care Research Center, University of Castilla-La Mancha, Cuenca, Spain.
authors.forename: Vicente
authors.initials: V
authors.lastname: Martínez-Vizcaíno
mesh_terms: D052242:Adiponectin / Q000097:blood; D050154:Adiposity; D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D008078:Cholesterol, LDL / Q000097:blood; D015444:Exercise; D006801:Humans; D063766:Pediatric Obesity / Q000628:therapy*; D016032:Randomized Controlled Trials as Topic; D055070:Resistance Training
chemical_list: D052242:Adiponectin; D008078:Cholesterol, LDL
keywords: Aerobics; Meta-analysis; Paediatrics; Strength; Young