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The Physician and Sportsmedicine Volume 41, 2013 - Issue 2
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Clinical Focus: Obesity and Diabetes

A Review of Randomized Controlled Trials of Aerobic Exercise Training on Fitness and Cardiometabolic Risk Factors in Obese Adolescents

A. S. Alberga University of Ottawa, Faculty of Health Sciences, School of Human Kinetics, Ottawa, ON, Canada
, MSc,
A. Frappier University of Ottawa, Faculty of Health Sciences, School of Human Kinetics, Ottawa, ON, Canada
, BSc,
R. J. Sigal Division of Endocrinology and Metabolism, Richmond Road Diagnostic and Treatment Centre, Calgary, ALB, Canada
, MD, MPH,
D. Prud'homme University of Ottawa, Faculty of Health Sciences, School of Human Kinetics, Ottawa, ON, Canada
, MSc MD &
G. P. Kenny University of Ottawa, Faculty of Health Sciences, School of Human Kinetics, Ottawa, ON, CanadaCorrespondence[email protected]
, PhD
Pages 44-57 | Published online: 13 Mar 2015
 
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Abstract

Aerobic training is the most prescribed exercise modality for the management of pediatric obesity. There is strong evidence that it decreases waist circumference, percent body fat and visceral fat, increases cardiorespiratory fitness, and decreases blood pressure in obese adolescents. However, the independent effects of aerobic exercise training on other cardiometabolic risk factors (ie, insulin resistance markers, plasma lipid levels, and inflammatory markers) are limited and yield inconsistent findings. Our article reviews randomized controlled trials evaluating the effects of aerobic exercise training on body composition, fitness, lipid levels, and insulin resistance in obese adolescents (aged 13-18 years) and outlines future research directions for this population.

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