Physical activity in the treatment of childhood overweight and obesity: current evidence and research issues
- 1 November 1999
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Medicine & Science in Sports & Exercise
- Vol. 31 (11), S553-9
- https://doi.org/10.1097/00005768-199911001-00011
Abstract
EPSTEIN, L. H. and G. S. GOLDFIELD. Physical activity in the treatment of childhood overweight and obesity: current evidence and research issues. Med. Sci. Sports Exerc., Vol. 31, No. 11, Suppl., pp. S553–S559, 1999. This paper reviews the utility of exercise as a treatment for overweight and obese children and adolescents. Computer database searches identified 13 studies that met the following criteria for inclusion: 1) obese children or adolescents were provided either different types of exercise programs or an exercise program compared with a no-exercise control, 2) subjects were randomly assigned to groups or assigned by matching on demographic and anthropometric variables, and 3) the exercise program was at least 2 months in duration. The only area in which there were a sufficient number of studies to make a quantitative analysis was the comparison of diet versus diet plus exercise programs, which suggested that exercise adds to the effect of diet in the short-term treatment of pediatric obesity. There was not enough research to evaluate the effects of exercise alone. The majority of findings indicate fitness changes are greater for subjects provided exercise alone or exercise combined with diet in comparison with subjects provided no exercise (control) or diet alone. Research on effects of exercise or physical activity in pediatric obesity treatments are encouraging and may be important for improving treatment outcome for obesity and comorbid conditions. Recommendations for future research are presented.This publication has 37 references indexed in Scilit:
- Executive SummaryObesity Research, 1998
- Behavioral engineering of activity choice in obese childrenInternational Journal of Obesity, 1998
- Psychological Aspects of Childhood Obesity: A Controlled Study in a Clinical and Nonclinical SampleJournal of Pediatric Psychology, 1997
- Physical Training Improves Body Composition of Black Obese 7‐ to 11‐Year‐Old GirlsObesity Research, 1995
- Metabolic Differences in Response to a High‐Fat vs. a High‐Carbohydrate DietObesity Research, 1994
- Familial Aggregation in Physical ActivityResearch Quarterly for Exercise and Sport, 1991
- Influence of parents' physical activity levels on activity levels of young childrenThe Journal of Pediatrics, 1991
- Behavioral economic analysis of activity choice in obese children.Health Psychology, 1991
- Exercise Therapy and Hypocaloric Diet in the Treatment of Obese Children and AdolescentsActa Paediatrica, 1990
- Effect of diet and controlled exercise on weight loss in obese childrenThe Journal of Pediatrics, 1985