Exercise therapy for children with obesity: a systematic literature review

M. Jung, Alice Rueber, Dagmar Freerk
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引用次数: 1

Abstract

Background: Obesity in childhood increased in recent years steadily and affects 14 million children in Europe. Since this disease presents a serious health risk and can develop into complications in adulthood, measures must be taken to prevent further damage. Methods: A systematic literature review was carried out in PubMed, MedPilot, CINAHL, Embase, and the Cochrane Library. Randomized controlled trials were included if they were published in the years 2006-2016, were written in German or English and described interventions with children from 0-18. Further studies were included manually. All studies were evaluated by the PEDroscale and the impact of the intervention was compared by the body mass index (BMI) value. Results: Five studies out of the first found 986 were included with a total of 605 children with obesity, thereof 328 in intervention groups and 277 in control groups. Children of the intervention groups undertook on average 100 minutes of exercise per week over three to 24 months periods. A reduction of the BMI value was proven only in four studies and varied from -0.1 kg/m2 up to -0.46 kg/m2 with different interventions. Conclusions: Adequate physical therapy including resistance and endurance training can help improve BMI in children with overweight and obesity.
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运动疗法治疗儿童肥胖:系统文献综述
背景:儿童肥胖近年来稳步增加,影响了欧洲1400万儿童。由于这种疾病对健康构成严重威胁,并可能在成年后发展成并发症,因此必须采取措施防止进一步损害。方法:在PubMed、MedPilot、CINAHL、Embase和Cochrane图书馆进行系统的文献综述。如果随机对照试验发表于2006-2016年,用德语或英语撰写,并描述了对0-18岁儿童的干预措施,则纳入其中。进一步的研究被手工纳入。所有研究均通过PEDroscale进行评估,并通过体重指数(BMI)值比较干预的影响。结果:在首批发现的986项研究中,共纳入5项研究,共605例肥胖儿童,其中干预组328例,对照组277例。干预组的孩子在3到24个月的时间里平均每周锻炼100分钟。仅在四项研究中证实了BMI值的降低,不同干预措施的BMI值从-0.1 kg/m2到-0.46 kg/m2不等。结论:适当的物理治疗包括阻力和耐力训练可以帮助改善超重和肥胖儿童的BMI。
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