A 20-week exercise program improved total body and legs bone mineral density in children with overweight or obesity: The ActiveBrains randomized controlled trial.

Adiposity Bone development Child Endurance training Resistance training

Journal

Journal of science and medicine in sport
ISSN: 1878-1861
Titre abrégé: J Sci Med Sport
Pays: Australia
ID NLM: 9812598

Informations de publication

Date de publication:
12 Oct 2023
Historique:
received: 24 01 2023
revised: 23 09 2023
accepted: 09 10 2023
medline: 28 10 2023
pubmed: 28 10 2023
entrez: 27 10 2023
Statut: aheadofprint

Résumé

The aim of this study was to investigate the effect of a 20-week exercise program on bone mineral parameters in children with overweight or obesity. Randomized controlled trial. This study took part from November 21, 2014, to June 30, 2016, in Granada, Spain. A secondary analysis of this parallel-group randomized controlled trial was performed with 77 children with overweight or obesity (9.9 ± 1.2, 65 % boys) who were randomly allocated to exercise or control group. All participants received lifestyle recommendations. The control group continued their usual routines, whereas the exercise group attended a minimum of 3 supervised 90-minute sessions/week of aerobic plus resistance training for 20 weeks. A whole-body scan by dual-energy X-ray absorptiometry was carried out to obtain body composition at total body less head, arms, lumbar spine, pelvis, and legs. Participants in the exercise group acquired significantly higher total body aBMD (mean z-score [95 % confidence intervals, CI], 0.607 [0.522-0.692]) compared with the participants in the control group (mean z-score, 0.472 [0.388-0.556]); difference between groups, 0.135 standard deviations [95 % CI 0.015-0.255], and legs aBMD (mean z-score, 0.629 [0.550-0.708]); control group (mean z-score, 0.518 [0.440-0.596]); difference between groups, 0.111 [0.001-0.222]; all p < 0.05. There were no significant differences between exercise group and control group at the remaining evaluated regions (p > 0.05). A 20-week non-specifically bone-targeted exercise program induced a small, yet significant, improvement on total body and legs aBMD in children with overweight or obesity. Future studies should investigate the interaction of weight status in the bone response to exercise programs. Prospectively registered in ClinicalTrials.gov Identifier: NCT02295072.

Identifiants

DOI: 10.1016/j.jsams.2023.10.005 PMID: 37891146
pubmed: 37891146
pii: S1440-2440(23)00426-7
doi: 10.1016/j.jsams.2023.10.005
pii:
doi:

Banques de données

ClinicalTrials.gov
['NCT02295072']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of interest statement None.

Auteurs

Jose J Gil-Cosano (JJ)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain; Faculty of Health Sciences, Universidad Loyola Andalucía, Seville, Spain. Electronic address: jjgil@uloyola.es.

Esther Ubago-Guisado (E)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.

Jairo H Migueles (JH)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain. Electronic address: https://twitter.com/Jairohm8.

Cristina Cadenas-Sanchez (C)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain. Electronic address: https://twitter.com/CCadenasSanchez.

Lucia V Torres-Lopez (LV)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain. Electronic address: https://twitter.com/luuTL.

Miguel Martin-Matillas (M)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.

Idoia Labayen (I)

Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain; Institute for Sustainability & Food Chain Innovation, Department of Health Sciences, Public University of Navarre, Pamplona, Spain; Navarra Institute for Health Research, Pamplona, Spain. Electronic address: https://twitter.com/Idoialabgo1.

Francisco B Ortega (FB)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland. Electronic address: ortegaf@ugr.es.

Luis Gracia-Marco (L)

Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain. Electronic address: https://twitter.com/graciamarcoluis.

Classifications MeSH