A structured physical activity program in an adolescent population with overweight or obesity: a prospective interventional study
Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sed...
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Published in | Applied physiology, nutrition, and metabolism Vol. 47; no. 3; pp. 253 - 260 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
1840 Woodward Drive, Suite 1, Ottawa, ON K2C 0P7
Canadian Science Publishing
01.03.2022
NRC Research Press Canadian Science Publishing NRC Research Press |
Subjects | |
Online Access | Get full text |
ISSN | 1715-5312 1715-5320 1715-5320 |
DOI | 10.1139/apnm-2021-0092 |
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Abstract | Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m
2
, p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation.
Novelty:
Physical exercise induces positive effect on cardiovascular risk profile.
Positive effects persist also after brief discontinuation.
Physical exercise reduces early signs of autonomic disfunction. |
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AbstractList | Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m
,
= 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg,
< 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg,
= 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s,
= 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation.
Physical exercise induces positive effect on cardiovascular risk profile. Positive effects persist also after brief discontinuation. Physical exercise reduces early signs of autonomic disfunction. Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m 2 , p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation. Novelty: Physical exercise induces positive effect on cardiovascular risk profile. Positive effects persist also after brief discontinuation. Physical exercise reduces early signs of autonomic disfunction. Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m2, p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation.Novelty:Physical exercise induces positive effect on cardiovascular risk profile.Positive effects persist also after brief discontinuation.Physical exercise reduces early signs of autonomic disfunction. Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/[m.sup.2], p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 [+ or -] 8.9 vs. 68.2 [+ or -] 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation. Novelty: * Physical exercise induces positive effect on cardiovascular risk profile. * Positive effects persist also after brief discontinuation. * Physical exercise reduces early signs of autonomic disfunction. Key words: obesity, adolescence, physical exercise. L'obesite est un probleme de sante important qui prend de l'ampleur au sein de la population jeune dans le monde. Le but de cette etude etait d'evaluer les effets de deux types differents d'exercice physique (resistance vs. combinaison resistance et aerobie) sur le profil cardiovasculaire et anthropometrique d'un echantillon d'adolescents sedentaires en surpoids et obeses. Apres une evaluation clinique, cardiovasculaire et anthropometrique-metabolique (<< T0 >>), les sujets en surpoids et obeses ont ete randomises pour participer a un programme de six mois d'entrainement en resistance ou en aerobie-resistance. Les evaluations cliniques, cardiovasculaires et anthropometriques-metaboliques ont ete repetees apres six mois d'entrainement (<< T1 >>) et apres trois mois de desentrainement (<< T2 >>). Trente adolescents en surpoids/obesite ont ete inclus et 20 sujets ont termine le programme d'entrainement. Une amelioration significative de la composition corporelle a ete detectee apres six mois : reduction de l'indice de masse corporelle (32,1 [30,5 a 34,4] vs. 31,1 [29,6 a 33,4] kg/[m.sup.2], p = 0,02) et du tissu adipeux (45,5 [41,1 a 49,7] vs. 41,6 [37,0 a 49,2] kg, p < 0,01). Une reduction de la pression arterielle diastolique (75,5 [+ or -] 8,9 vs. 68,2 [+ or -] 6,4 mm Hg, p = 0,02) et de la vitesse de l'onde pulsatile (5,7 [5,1 a 5,9] vs. 5,2 [4,7 a 5,7] m/s, p = 0,04) a egalement ete observee. La persistance de l'effet sur les parametres les plus importants a egalement ete observee apres la periode de desentrainement. En conclusion, l'exercice physique regulier induit des effets metaboliques et cardiovasculaires positifs avec persistance meme apres un bref arret. [Traduit par la Redaction] Les nouveautes : * L'exercice physique induit un effet positif sur le profil de risque cardiovasculaire. * Les effets positifs persistent egalement apres un bref arret. * L'exercice physique reduit les premiers signes de dysfonctionnement autonome. Mots-cles : obesite, adolescence, exercice physique. Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m 2 , p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation. Novelty: Physical exercise induces positive effect on cardiovascular risk profile. Positive effects persist also after brief discontinuation. Physical exercise reduces early signs of autonomic disfunction. Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/[m.sup.2], p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 [+ or -] 8.9 vs. 68.2 [+ or -] 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation. Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m2, p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation. Novelty: Physical exercise induces positive effect on cardiovascular risk profile. Positive effects persist also after brief discontinuation. Physical exercise reduces early signs of autonomic disfunction.Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m2, p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation. Novelty: Physical exercise induces positive effect on cardiovascular risk profile. Positive effects persist also after brief discontinuation. Physical exercise reduces early signs of autonomic disfunction. Obesity is a significant health problem, with increasing involvement of young population worldwide. The aim of this study was to evaluate the effects of 2 different types of physical exercise (resistance vs. combined aerobic-resistance) on cardiovascular and anthropometric profile of a sample of sedentary adolescents with overweight and obesity. After undergoing clinical, cardiovascular and anthropometric-metabolic evaluation (T0), subjects with overweight and obesity were randomized to a 6-month resistance or combined aerobic-resistance training program. Clinical, cardiovascular and anthropometric-metabolic evaluations were repeated after 6 months of training (T1) and after 3 months of detraining (T2). Thirty adolescents with overweight/obesity were enrolled and 20 subjects completed training program. A significant improvement in body composition was detected after 6 months, with a reduction of body mass index (32.1 [30.5 to 34.4] vs. 31.1 [29.6 to 33.4] kg/m², p = 0.02) and adipose tissue (45.5 [41.1 to 49.7] vs. 41.6 [37.0 to 49.2] kg, p < 0.01). A reduction in diastolic blood pressure (75.5 ± 8.9 vs. 68.2 ± 6.4 mm Hg, p = 0.02) and pulse wave velocity (5.7 [5.1 to 5.9] vs. 5.2 [4.7 to 5.7] m/s, p = 0.04) was also observed. Persistence of the effect on the most important parameters was observed also after detraining period. In conclusion, regular physical exercise induces positive metabolic and cardiovascular effects, persisting even after brief discontinuation. Novelty: Physical exercise induces positive effect on cardiovascular risk profile. Positive effects persist also after brief discontinuation. Physical exercise reduces early signs of autonomic disfunction. |
Abstract_FL | L’obésité est un problème de santé important qui prend de l’ampleur au sein de la population jeune dans le monde. Le but de cette étude était d’évaluer les effets de deux types différents d’exercice physique (résistance vs. combinaison résistance et aérobie) sur le profil cardiovasculaire et anthropométrique d’un échantillon d’adolescents sédentaires en surpoids et obèses. Après une évaluation clinique, cardiovasculaire et anthropométrique-métabolique (« T0 »), les sujets en surpoids et obèses ont été randomisés pour participer à un programme de six mois d’entraînement en résistance ou en aérobie-résistance. Les évaluations cliniques, cardiovasculaires et anthropométriques-métaboliques ont été répétées après six mois d’entraînement (« T1 ») et après trois mois de désentraînement (« T2 »). Trente adolescents en surpoids/obésité ont été inclus et 20 sujets ont terminé le programme d’entraînement. Une amélioration significative de la composition corporelle a été détectée après six mois : réduction de l’indice de masse corporelle (32,1 [30,5 à 34,4] vs. 31,1 [29,6 à 33,4] kg/m
2
, p = 0,02) et du tissu adipeux (45,5 [41,1 à 49,7] vs. 41,6 [37,0 à 49,2] kg, p < 0,01). Une réduction de la pression artérielle diastolique (75,5 ± 8,9 vs. 68,2 ± 6,4 mm Hg, p = 0,02) et de la vitesse de l’onde pulsatile (5,7 [5,1 à 5,9] vs. 5,2 [4,7 à 5,7] m/s, p = 0,04) a également été observée. La persistance de l’effet sur les paramètres les plus importants a également été observée après la période de désentraînement. En conclusion, l’exercice physique régulier induit des effets métaboliques et cardiovasculaires positifs avec persistance même après un bref arrêt. [Traduit par la Rédaction]
Les nouveautés :
L’exercice physique induit un effet positif sur le profil de risque cardiovasculaire.
Les effets positifs persistent également après un bref arrêt.
L’exercice physique réduit les premiers signes de dysfonctionnement autonome. |
Audience | Academic |
Author | Rabbone, Ivana Fanelli, Elvira Pappaccogli, Marco Gollin, Massimiliano Astarita, Anna Abate Daga, Federico Veglio, Franco Magnino, Corrado Rabbia, Franco Mingrone, Giulia Eula, Elisabetta Fasano, Chiara Schiavone, Domenica |
Author_xml | – sequence: 1 givenname: Elvira surname: Fanelli fullname: Fanelli, Elvira organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 2 givenname: Federico surname: Abate Daga fullname: Abate Daga, Federico organization: Department of Physical Education and Sports, University of Turin, Turin, Italy – sequence: 3 givenname: Marco surname: Pappaccogli fullname: Pappaccogli, Marco organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 4 givenname: Elisabetta surname: Eula fullname: Eula, Elisabetta organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 5 givenname: Anna surname: Astarita fullname: Astarita, Anna organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 6 givenname: Giulia surname: Mingrone fullname: Mingrone, Giulia organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 7 givenname: Chiara surname: Fasano fullname: Fasano, Chiara organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 8 givenname: Corrado surname: Magnino fullname: Magnino, Corrado organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 9 givenname: Domenica surname: Schiavone fullname: Schiavone, Domenica organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 10 givenname: Ivana surname: Rabbone fullname: Rabbone, Ivana organization: Department of Paediatrics, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 11 givenname: Massimiliano surname: Gollin fullname: Gollin, Massimiliano organization: Department of Physical Education and Sports, University of Turin, Turin, Italy – sequence: 12 givenname: Franco surname: Rabbia fullname: Rabbia, Franco organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy – sequence: 13 givenname: Franco surname: Veglio fullname: Veglio, Franco organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34706211$$D View this record in MEDLINE/PubMed |
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SubjectTerms | adipose tissue adolescence Adolescent adolescents Aerobic exercises body composition Body Mass Index Care and treatment clinical trials Comparative analysis diastolic blood pressure exercice physique Exercise Exercise for children Health aspects Humans Metabolism Methods nutrition Obesity Obesity - therapy Obesity in adolescence obésité Overweight Pediatric research physical exercise Physical fitness Physical fitness for children Prospective Studies Pulse Wave Analysis risk profile Teenagers Weight training |
Title | A structured physical activity program in an adolescent population with overweight or obesity: a prospective interventional study |
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