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Effect of Diet and Exercise-Induced Weight Loss among Metabolically Healthy and Metabolically Unhealthy Obese Children and Adolescents

Author

Listed:
  • Qin Yang

    (International College of Football, Tongji University, Shanghai 200092, China)

  • Kun Wang

    (Shanghai Dianfeng Sports Management Co., Ltd., Shanghai 200441, China)

  • Qianqian Tian

    (Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    China Hospital Management Institute, Shanghai Jiao Tong University, Shanghai 200025, China)

  • Jian Zhang

    (International College of Football, Tongji University, Shanghai 200092, China)

  • Linyu Qi

    (International College of Football, Tongji University, Shanghai 200092, China)

  • Tao Chen

    (Sports and Health Research Center, Department of Physical Education, Tongji University, Shanghai 200092, China)

Abstract

Objective: To study the effect of diet- and exercise-based lifestyle intervention on weight loss (WL) and cardiovascular risk among metabolically healthy obese (MHO) and metabolically unhealthy obese (MUO) children and adolescents. Methods: The sample included 282 obese individuals (54% males, age (±SD) 12.9 (±2.3) years) who completed a 3- to 4-week WL camp program between 2017 and 2019. MUO was defined according to the consensus-based definition of pediatric MHO in 2018. Results: The intervention exhibited significantly benefits in improving body weight, body mass index, body fat ratio, waist circumference, systolic blood pressure (SBP), diastolic blood pressure (DBP), resting heart rate (RHR), triglycerides (TG), total cholesterol, and low-density lipoprotein–cholesterol levels in both MHO and MUO groups (for all comparisons, p < 0.01). However, the beneficial high-density lipoprotein–cholesterol (HDL-C) level (both p < 0.01) decreased evidently in both groups after intervention. In addition, percent changes in SBP ( p < 0.001), DBP ( p < 0.001), RHR ( p = 0.025), fasting blood glucose ( p = 0.011), and TG ( p < 0.001) were more profound in MUO group than that in MHO group. Conclusion: Metabolical health is a mutable and transient state during childhood. Although both groups gained comparable WL benefits from diet- and exercise-based lifestyle intervention, the MUO group may benefit more than the MHO group. Strategies aiming at lowering blood pressure and preventing the decrease of HDL-C level should be considered for the precise treatment of childhood obesity in clinical practice, with the goal of improving metabolically healthy state.

Suggested Citation

  • Qin Yang & Kun Wang & Qianqian Tian & Jian Zhang & Linyu Qi & Tao Chen, 2022. "Effect of Diet and Exercise-Induced Weight Loss among Metabolically Healthy and Metabolically Unhealthy Obese Children and Adolescents," IJERPH, MDPI, vol. 19(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6120-:d:818021
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    References listed on IDEAS

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    1. Beata Bondyra-Wiśniewska & Joanna Myszkowska-Ryciak & Anna Harton, 2021. "Impact of Lifestyle Intervention Programs for Children and Adolescents with Overweight or Obesity on Body Weight and Selected Cardiometabolic Factors—A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-25, February.
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    Cited by:

    1. Déborah Cristina de Souza Marques & Lilian Rosana dos Santos Moraes & Marilene Ghiraldi de Souza Marques & Joed Jacinto Ryal & Isabella Caroline Santos & Marielle Priscila De Paula Silva Lalucci & Jor, 2023. "Effects of 12 Weeks of Family and Individual Multi-Disciplinary Intervention in Overweight and Obese Adolescents under Cardiometabolic Risk Parameters: A Clinical Trial," IJERPH, MDPI, vol. 20(20), pages 1-18, October.

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