Effects of exercise training on blood pressure in overweight and obese adolescents: A systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.17623

Keywords:

Adolescents; Obesity; Blood pressure; Physical training.

Abstract

The aim of this review was to analyze the effects of physical training on the blood pressure of overweight and obese adolescents, searching to identify the magnitude of the effect in relation to the type of training. The present review used PUBMED, SCOPUS, WEB OF SCIENCE, COCHRANE LIBRARY and LILACS as databases. Inclusion criteria were: (1) Randomized Clinical Trials; (2) Overweight and obese adolescents; (3) Minimum 8 weeks of intervention with physical training; (4) pre and post-training blood pressure outcome measures; (5) control group without intervention and keeping their daily habits. The selected studies were analyzed for their methodological quality using the PEDro scale. Eight articles, out of a total of 625, met the inclusion criteria, totaling 249 participants. Three studies used aerobic physical training as an intervention, two used strength training and four studies used a combination of aerobic and strength training to meet their goals. Of the selected works, five showed significant reductions in their blood pressure values after training intervention, especially in SBP. The results suggest that physical training is capable of reducing blood pressure values, regardless of the type, whether it has aerobic characteristics, strength, or a combination of the two. Although blood pressure values tend to show a greater reduction when aerobic training is performed compared to strength training or combined training, the literature lacks consensus on the characteristics of each type of training and the best prescription strategy.

References

Antunes, B. M. M., et al. (2015). Effect of concurrent training on gender-specific biochemical variables and adiposity in obese adolescents. Archives of endocrinology and metabolism, 59(4), 303–309.

Balas-Nakash, M., et al. (2010). The effect of exercise on cardiovascular risk markers in Mexican school-aged children: comparison between two structured group routines. Salud publica de Mexico, 52(5),398–405.

Bharath, L. P., et al. (2018). Combined resistance and aerobic exercise training reduces insulin resistance and central adiposity in adolescent girls who are obese: randomized clinical trial. European journal of applied physiology, 118(8), 1653–1660.

BRASIL (2012). Diretrizes Metodológicas: elaboração de revisão sistemática e metanálise de ensaios clínicos randomizados. (1a Ed). Brasília: Ministério da Saúde.

Bruñó, A., et al. (2018). Home-exercise Childhood Obesity Intervention: A Randomized Clinical Trial Comparing Print Versus Web-based (Move It) Platforms. Journal of pediatric nursing, 42, e79–e84.

Cole, T. J., et al. (2000). Establishing a standard definition for child overweight and Obesity Worldwide : International Survey. BMJ,320, (table 1), 1–6.

Cvetković, N., et al. (2018). Exercise training in overweight and obese children: Recreational football and high-intensity interval training provide similar benefits to physical fitness. Scandinavian journal of medicine & science in sports, 28 (Suppl 1), 18–32.

Dias, I., et al. (2015). Effects of Resistance Training on Obese Adolescents. Medicine and science in sports and exercise, 47(12), 2636–2644.

Farah, B. Q., et al. (2012). Effect of physical training on the blood pressure of adolescents with obesity. Revista Paulista de Pediatria, 30(4), 600–607.

Farah, B. Q., et al. (2014). Does exercise intensity affect blood pressure and heart rate in obese adolescents? A 6-month multidisciplinary randomized intervention study. Pediatric obesity, 9(2), 111–120.

Farinatti, P., et al. (2016). Short-term resistance training attenuates cardiac autonomic dysfunction in obese adolescents. Pediatric Exercise Science, 28(3), 374–380.

Gambassi, B. B., et al. (2019). Effects of Exercise Training on Cardiovascular and Autonomic Parameters in Stroke Survivors: A Systematic Review. International Journal of Cardiovascular Sciences, 32(4), 408–413.

García-Hermoso, A., et al. (2013). Effects of exercise on resting blood pressure in obese children: A meta-analysis of randomized controlled trials. Obesity Reviews, 14(11), 919–928.

García-Hermoso, A., et al. (2015). Effects of aerobic plus resistance exercise on body composition related variables in pediatric obesity: A systematic review and meta-analysis of randomized controlled trials. Pediatric Exercise Science, 27(4), 431–440.

García-Hermoso, A., et al. (2020). Association between Exercise-Induced Changes in Cardiorespiratory Fitness and Adiposity among Overweight and Obese Youth: A Meta-Analysis and Meta-Regression Analysis. Children, 7(9), 147.

Ghorayeb, N., et al. (2005). Left Ventricular Hypertrophy of Athletes. Adaptative Physiologic Response of the Heart. Arq Bra Cardiol,85(3), 191–197.

Hutton, B., et al. (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: Checklist and explanations. Annals of Internal Medicine, 162(11), 777–784.

Jeon, J. Y., et al. (2013). The combined effects of physical exercise training and detraining on adiponectin in overweight and obese children. Integrative medicine research, 2(4), 145–150.

Kelly, L. A., et al. (2015). The effect of a home-based strength training program on type 2 diabetes risk in obese Latino boys. Journal of pediatric endocrinology & metabolism, 28(3–4), 315–322.

Lee, S. J., et al. (2019). What Is the Role of Resistance Exercise in Improving the Cardiometabolic Health of Adolescents with Obesity? Journal of Obesity & Metabolic Syndrome, 28(2), 76–91.

Lee, Y. H., et al. (2010). The effects of an exercise program on anthropometric, metabolic, and cardiovascular parameters in obese children. Korean circulation journal, 40(4), 179–184.

Liberati, A., et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of Clinical Epidemiology, 62, e1-e34.

Milano-Gai, G. E., et al. (2018). 12-Week aerobic exercise and nutritional program minimized the presence of the 64Arg allele on insulin resistance. Journal of pediatric endocrinology & metabolism, 31(9), 1033–1042.

Moher, D., et al. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. BMJ (Online), 339(7716), 332–336.

Monteiro, P. A., et al. (2015). Concurrent and aerobic exercise training promote similar benefits in body composition and metabolic profiles in obese adolescents. Lipids in Health and Disease, 14(1), 1–9.

Naylor, L. H., et al. (2008). Resistance training and diastolic myocardial tissue velocities in obese children. Medicine and Science in Sports and Exercise, 40(12), 2027–2032.

Ounis, O. B., et al. (2010). Exercise improves the ApoB/ApoA-I ratio, a marker of the metabolic syndrome in obese children. Acta Paediatrica, International Journal of Paediatrics, 99(11), 1679–1685.

Pithon-Curi, T. C., (2013). Fisiologia do Exercício. Guanabara Koogan.

SBP (2019). Obesidade na Infância e Adolescência: Manual de Orientação. (3a Ed). Sociedade Brasileira de Pediatria.

Shiwa, S. R., et al. (2011). PEDro: a base de dados de evidências em fisioterapia. Fisioter. Mov., 24(3), 523–533.

Sigal, R. J., et al. (2014). Effects of aerobic training, resistance training, or both on percentage body fat and cardiometabolic risk markers in obese adolescents: The healthy eating aerobic and resistance training in youth randomized clinical trial. JAMA Pediatrics, 168(11), 1006–1014.

Son, W. M., et al. (2017). Combined exercise training reduces blood pressure, arterial stiffness, and insulin resistance in obese prehypertensive adolescent girls. Clinical and experimental hypertension, 39(6), 546–552.

Vasconcellos, F., et al. (2014). Physical activity in overweight and obese adolescents: Systematic review of the effects on physical fitness components and cardiovascular risk factors. Sports Medicine, 44(8), 1139–1152.

WHO – World Health Organization (2017). Global Accelerated Action for the Health of Adolescents (AA-HA!): guidance to support country implementation - Summary. Geneva: World Health Organization.

WHO – World Health Organization (2018). Taking action on childhood obesity report. World Health Organization, 1–8.

WHO – World Health Organization (2020). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

Wong, P. C. H., et al. (2008). Effects of a 12-week exercise training programme on aerobic fitness, body composition, blood lipids and C-reactive protein in adolescents with obesity. Annals of the Academy of Medicine Singapore, 37(4), 286–293.

Yu, C. C. W., et al. (2016). Effects of resistance training on cardiovascular health in non-obese active adolescents. World J Clin Pediatr, 5(3), 293–300.

Published

20/07/2021

How to Cite

COELHO, J. M. de O.; PINTO, L. L. T.; LINO, R. de S.; MELO, G. L. R. de; SANTOS, C. P. C. dos; ROSA, T. dos S.; MORAES, M. R. de. Effects of exercise training on blood pressure in overweight and obese adolescents: A systematic review. Research, Society and Development, [S. l.], v. 10, n. 9, p. e4410917623, 2021. DOI: 10.33448/rsd-v10i9.17623. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17623. Acesso em: 28 dec. 2024.

Issue

Section

Health Sciences