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 inApplied physiology, nutrition, and metabolism Vol. 47; no. 3; pp. 253 - 260
Main Authors Fanelli, Elvira, Abate Daga, Federico, Pappaccogli, Marco, Eula, Elisabetta, Astarita, Anna, Mingrone, Giulia, Fasano, Chiara, Magnino, Corrado, Schiavone, Domenica, Rabbone, Ivana, Gollin, Massimiliano, Rabbia, Franco, Veglio, Franco
Format Journal Article
LanguageEnglish
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
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Online AccessGet full text
ISSN1715-5312
1715-5320
1715-5320
DOI10.1139/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.
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
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  surname: Fanelli
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  givenname: Federico
  surname: Abate Daga
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  givenname: Marco
  surname: Pappaccogli
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  organization: Department of Medical Sciences, Internal Medicine and Hypertension Division, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
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  givenname: Elisabetta
  surname: Eula
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  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
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  givenname: Domenica
  surname: Schiavone
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  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
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  givenname: Massimiliano
  surname: Gollin
  fullname: Gollin, Massimiliano
  organization: Department of Physical Education and Sports, University of Turin, Turin, Italy
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  givenname: Franco
  surname: Rabbia
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  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
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exercice physique
physical exercise
obésité
obesity
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Snippet 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...
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StartPage 253
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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