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The Effects of an Exercise Program on Anthropometric, Metabolic, and Cardiovascular Parameters in Obese Children

Lee, Yun-Hee;Song, Young-Whan;Kim, Hae-Soon;Lee, Sun-Young;Jeong, Hee-Seong;Suh, Sang-Hoon;Park, Jin-Kyoung;Jung, Jo-Won;Kim, Nam-Su;Noh, Chung-Il;Hong, Young-Mi

  • Published : 20100400

Abstract

Background and Objectives: Obesity is a chronic disease that requires good eating habits and an active life style. Obesity may start in childhood and continue until adulthood. Severely obese children have complications such as diabetes, hypercholesterolemia, hypertension and atherosclerosis. The goal of this study was to determine the effects of exercise programs on anthropometric, metabolic, and cardiovascular parameters in obese children. Subjects and Methods: Fifty four obese children were included. Anthropometric data such as blood pressures, body mass index (BMI) and obesity index (OI) were measured. Blood glucose, total cholesterol, triglycerides, low density lipoprotein-cholesterol (LDL-C), high density lipoprotein-cholesterol (HDL-C), aspartate aminotransferase (AST), alanine aminotransferase (ALT), high sensitive-CRP (hs-CRP), brachial-ankle pulse wave velocity (BaPWV) and ankle brachial index (ABI) were measured. Physical fitness measurements were done. Obese children were divided into three groups: an aerobic exercise group (n=16), a combined exercise group (n=20), and a control group (n=18). Obese children exercised in each program for 10 weeks while those in the control group maintained their former lifestyle. After 10 weeks, anthropometric data and cardiovascular parameters were compared with the data obtained before the exercise program. Results: LDL-C, waist circumference, and systolic blood pressure decreased significantly in the aerobic exercise group compared to the control group (p<0.05). Waist circumference and systolic blood pressure decreased significantly in the combined exercise group compared to controls (p<0.05). Physical fitness level increased significantly after the exercise programs (p<0.05 vs. control). PWV did not show a significant change after exercise. Conclusion: A short-term exercise program can play an important role in decreasing BMI, blood pressure, waist circumference, LDL-C and in improving physical fitness. Future investigations are now necessary to clarify the effectiveness of exercise on various parameters.

Keywords

References

  1. Bouchard L, Drapeau V, Provencher V, et al. Neuromedin beta: a strong candidate gene linking eating behaviors and susceptibility to obesity. Am J Clin Nutr 2004;80:1478-86
  2. Poirier P, Eckel RH. Obesity and cardiovascular disease. Curr Atheroscler Rep 2002;4:448-53 https://doi.org/10.1007/s11883-002-0049-8
  3. Steinberger J, Daniels SR, Eckel RH, et al. Progress and challenges in metabolic syndrome in children and adolescents: a scientific statement from the American Heart Association Atherosclerosis,Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; and Council on Nutrition, Physical Activity, and Metabolism. Circulation 2009;119:628-47 https://doi.org/10.1161/CIRCULATIONAHA.108.191394
  4. Lissin LW, Gauri AJ, Froelicher VF, Ghayoumi A, Myers J, Giacommini J. The prognostic value of body mass index and standard exercise testing in male veterans with congestive heart failure. J Card Fail 2002;8:206-15 https://doi.org/10.1054/jcaf.2002.126812
  5. Woo KS, Chook P, Yu CW, et al. Effects of diet and exercise on obesity-related vascular dysfunction in children. Circulation 2004;109:1981-6 https://doi.org/10.1161/01.CIR.0000126599.47470.BE
  6. Cha BS, Kim HJ. Metabolic syndrome and cardiovascular disease. Korean Circ J 2003;33:645-52
  7. Stewart KJ. Exercise training and the cardiovascular consequences of type 2 diabetes and hypertension: plausible mechanisms for improving cardiovascular health. JAMA 2002;288:1622-31 https://doi.org/10.1001/jama.288.13.1622
  8. Evenson KR, Stevens J, Thomas R, Cai J. Effect of cardiorespiratory fitness on mortality among hypertensive and normotensive women and men. Epidemiology 2004;15:565-72 https://doi.org/10.1097/01.ede.0000129527.53181.c8
  9. Backman L, Freyschuss U, Hallberg D, Melcher A. Reversibility of cardiovascular changes in extreme obesity: effects of weight reduction through jejunoileostomy. Acta Med Scand 1979;205:367-73 https://doi.org/10.1111/j.0954-6820.1979.tb06066.x
  10. Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS,Koplan JP. The spread of the obesity epidemic in the United States,1991-1998. JAMA 1999;282:1519-22 https://doi.org/10.1001/jama.282.16.1519
  11. Alpert MA, Lambert CR, Panayiotou H, et al. Relation of duration of morbid obesity to left ventricular mass, systolic function,and diastolic filling, and effect of weight loss. Am J Cardiol 1995;76:1194 -7 https://doi.org/10.1016/S0002-9149(99)80338-5
  12. Karason K, Lindroos AK, Stenlof K, Sjostrom L. Relief of cardiorespiratory symptoms and increased physical activity after surgically induced weight loss: results from the Swedish Obese Subjects study. Arch Intern Med 2000;160:1797-802 https://doi.org/10.1001/archinte.160.12.1797
  13. Drenick EJ, Fisler JS. Sudden cardiac arrest in morbidly obese surgical patients unexplained after autopsy. Am J Surg 1988;155:720-6 https://doi.org/10.1016/S0002-9610(88)80029-1
  14. Hong YM, Koo HS, Lee JY, Jung JW, Kim NS, Noh CI. Serum cytokine levels in hypertensive children: tumor necrosis factoralpha,interleukin-6. Korean Circ J 2007;37:312-7 https://doi.org/10.4070/kcj.2007.37.7.312
  15. Iacobellis G, Ribaudo MC, Leto G, et al. Influence of excess fat on cardiac morphology and function: study in uncomplicated obesity. Obes Res 2002;10:767-73 https://doi.org/10.1038/oby.2002.104
  16. Barbeau GR, Arsenault F, Dugas L, Simard S, Lariviere MM. Evaluation of the ulnopalmar arterial arches with pulse oximetry and plethysmography: comparison with the Allen's test in 1010 patients. Am Heart J 2004;147:489-93 https://doi.org/10.1016/j.ahj.2003.10.038
  17. Eisenstein EL, Shaw LK, Nelson CL, Anstrom KJ, Hakim Z, Mark DB. Obesity and long-term clinical and economic outcomes in coronary artery disease patients. Obes Res 2002;10:83-91 https://doi.org/10.1038/oby.2002.14
  18. Lakka TA, Lakka HM, Salonen R, Kaplan GA, Salonen JT. Abdominal obesity is associated with accelerated progression of carotid atherosclerosis in men. Atherosclerosis 2001;154:497-504 https://doi.org/10.1016/S0021-9150(00)00514-1
  19. Voors AW, Webber LS, Frerichs RR, Berenson GS. Body height and body mass as determinants of basal blood pressure in children:the Bogalusa Heart Study. Am J Epidemiol 1977;106:101-8 https://doi.org/10.1093/oxfordjournals.aje.a112439
  20. Otsuka Y, Miyazaki S, Okumura H, et al. Abnormal glucose tolerance,not small vessel diameter, is a determinant of long-term prognosis in patients treated with balloon coronary angioplasty. Eur Heart J 2000;21:1790-6 https://doi.org/10.1053/euhj.2000.2181
  21. de Maat MP, Kluft C. Determinants of C-reactive protein concentration in blood. Ital Heart J 2001;2:189-95
  22. Ford ES. C-reactive protein concentration and cardiovascular disease risk factors in children: findings from the National Health and Nutrition Examination Survey 1999-2000. Circulation 2003;108:1053-8 https://doi.org/10.1161/01.CIR.0000080913.81393.B8
  23. Baynard T, Carhart RL Jr, Ploutz-Snyder LL, Weinstock RS,Kanaley JA. Short-term training effects on diastolic function in obese persons with the metabolic syndrome. Obesity 2008;16:1277-83 https://doi.org/10.1038/oby.2008.212
  24. Green DJ, Maiorana A, O’Driscoll G, Taylor R. Effect of exercise training on endothelium-derived nitric oxide function in humans. J Physiol 2004;561:1-25 https://doi.org/10.1113/jphysiol.2004.068197
  25. Cononie CC, Goldberg AP, Rogus E, Hagberg JM. Seven consecutive days of exercise lowers plasma insulin responses to an oral glucose challenge in sedentary elderly. J Am Geriatr Soc 1994;42:394-8 https://doi.org/10.1111/j.1532-5415.1994.tb07487.x
  26. Collier SR, Kanaley JA, Carhart R Jr, et al. Effect of 4 weeks of aerobic or resistance exercise training on arterial stiffness, blood flow and blood pressure in pre- and stage-1 hypertensives. J Hum Hypertens 2008;22:678-86 https://doi.org/10.1038/jhh.2008.36

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