Does Physical Exercise Improve Resting Autonomic Cardiac Modulation in Overweight and Obese Children and Adolescents? A Systematic Review and Meta-Analysis.

IF 1.4 4区医学 Q3 PEDIATRICS

Pediatric Exercise Science Pub Date : 2024-11-08 DOI:10.1123/pes.2023-0195

Henrique Flore Cavenago, Emerson José Venancio, Gabriela de Oliveira, Tamara Beres Lederer Goldberg, Solange de Paula Ramos, Carla Cristiane Silva

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引用次数: 0

Abstract

Purpose: The objective of this study was to analyze the impact of interventions with physical exercise on cardiac autonomic modulation of overweight and/or obese children and adolescents.

Method: The present systematic review was registered in PROSPERO. Searches were performed in the MEDLINE, CENTRAL, SciELO, Scopus, CINAHL, SportDiscus, LILACS, EMBASE, and Web of Science databases. The methodological quality was assessed using the Cochrane Risk of Bias tool. A meta-analysis was performed using the standardized mean difference. The quality of evidence was rated by the Grading of Recommendations, Assessment, Development, and Evaluation system.

Results: From 1866 records identified, 15 randomized clinical trials were included in the systematic review; however, only 4 randomized clinical trials were pooled in the meta-analysis (69 participants in the experimental group and 71 in the control group). The meta-analysis showed a positive effect on the experimental group for the high-frequency power (%; standardized mean difference = 2.22; 95% CI, 1.46-2.98; P < .01), and low-frequency power (%) was reduced after the intervention (standardized mean difference = -1.66; 95% CI, -2.19 to -1.12; P < .01).

Conclusion: This study showed that interventions had a positive effect on frequency domain variables of cardiac autonomic modulation in overweight and/or obese children and adolescents. However, more studies with lower heterogeneity and higher quality evidence are needed.

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体育锻炼能改善超重和肥胖儿童及青少年的静息自律性心脏调节吗？系统回顾与元分析》。

目的：本研究旨在分析体育锻炼干预对超重和/或肥胖儿童和青少年心脏自主神经调节的影响：本系统综述已在 PROSPERO 上注册。在 MEDLINE、CENTRAL、SciELO、Scopus、CINAHL、SportDiscus、LILACS、EMBASE 和 Web of Science 数据库中进行了检索。采用 Cochrane 偏倚风险工具对方法学质量进行了评估。使用标准化平均差进行了荟萃分析。证据质量采用推荐、评估、发展和评价分级系统进行评级：从已确定的 1866 条记录中，有 15 项随机临床试验被纳入系统综述；然而，只有 4 项随机临床试验被纳入荟萃分析（实验组 69 人，对照组 71 人）。荟萃分析表明，实验组对高频功率（%；标准化平均差 = 2.22；95% CI，1.46-2.98；P < .01）有积极影响，干预后低频功率（%）降低（标准化平均差 = -1.66；95% CI，-2.19 至 -1.12；P < .01）：本研究表明，干预措施对超重和/或肥胖儿童和青少年心脏自主神经调节的频域变量有积极影响。然而，还需要更多异质性较低、证据质量较高的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Exercise Science 医学-生理学

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.