Schwartz, CJ, King, N, Perreira, B et al. (2 more authors) (2017) A systematic review and meta-analysis of energy and macronutrient intake responses to physical activity interventions in children and adolescents with obesity. Pediatric Obesity, 12 (3). pp. 179-194. ISSN 2047-6310
Abstract
BACKGROUND: The effects of regular physical activity on energy intake in obese adolescents are unknown. OBJECTIVE: The objective is to determine how physical activity interventions affect energy and macronutrient intake in overweight/obese youth. DATA SOURCES: Databases were searched from December 2014 to December 2015 for studies that measured energy and/or macronutrient consumption in response to physical activity intervention in overweight/obese youth. DATA SELECTION: The review comprises primary source articles published in English in peer-reviewed journals. Articles that presented data on energy and/or macronutrient intake before and after a physical activity intervention (without dietary restriction) in overweight or obese children and teenagers (up to 18 years old) were included. Of the initial 307 references found, nine were included. RESULTS: The nine included studies analysed the effect of 15 different physical activity interventions. Nine showed a decrease and six unchanged energy intakes. The effect size for total energy intake ranged from -2.108 to -0.207 (n = 14). Results of the meta-analysis revealed a mean effect of physical intervention to reduce intake of -1.003 (95% confidence interval = -1.261 to -0.745, p < 0.001). Results for heterogeneity among these studies were I2 = 67.421; Q = 39.903; df = 13, p < 0.001. The mean energy intake reduction was -323 ± 286 kcal. Macronutrient intake was assessed in 11 interventions. Protein intake was found decreased in five (reduction of -26.8 ± 19.2 g), seven reported fat decrease (reduction of -26.4 ± 17.8 g) and five a decrease in CHO (reduction of -72.5 ± 22.8 g). The meta-analysis revealed significant decreases of each macronutrient (p < 0.001). CONCLUSION: Structured physical activity interventions favour decreased daily energy intake in obese adolescents.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Energy intake; paediatric obesity; physical activity |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 01 Nov 2016 16:06 |
Last Modified: | 02 Aug 2017 15:33 |
Published Version: | https://doi.org/10.1111/ijpo.12124 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/ijpo.12124 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:105321 |