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Different consecutive training protocols to design an intervention program for overweight youth: a controlled study

Authors Fiorilli G, Iuliano E, Aquino G, Campanella E, Tsopani D, Di Costanzo A, Calcagno G, di Cagno A

Received 11 September 2016

Accepted for publication 17 October 2016

Published 16 January 2017 Volume 2017:10 Pages 37—45

DOI https://doi.org/10.2147/DMSO.S122110

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Professor Ming-Hui Zou


Giovanni Fiorilli,1 Enzo Iuliano,1 Giovanna Aquino,1 Emidio Campanella,1 Despina Tsopani,2 Alfonso Di Costanzo,1 Giuseppe Calcagno,1 Alessandra di Cagno3

1Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy; 2Department of Motor and Health Sciences, National Kapodistrian University of Athens, Athens, Greece; 3Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, Rome, Italy

Objective: To find the optimal exercise program to be recommended in reducing adiposity and promoting long-term physical activity adherence in a sample of overweight adolescents.
Methods: Forty-five overweight adolescents were randomly divided into three exercise groups, to perform two phases of physical activity as follows: in the first phase, the first group performed a 16-week moderate-intensity resistance training (RT), the second group performed a 16-week high-intensity RT, and the third group performed a 16-week aerobic training (AT); in the second phase, all groups performed a 6-week AT. Anthropometric body composition and fitness measures were considered as outcome measures.
Results: After the second protocol, both RT groups showed a significant improvement in percentage of fat mass (F2,76 = 5.843; p = 0.004; η2 = 0.133) and free fat mass (F2,76 = 6.254; p = 0.003; η2 = 0.141), and in fitness tests (p < 0.01). The VO2max values of the RT groups were significantly higher than those of the AT group (F2,38 = 4.264; p = 0.021; η2 = 0.183). The rate of adherence to exercise was an average of 94% in both RT groups, whereas in the AT group, it was 83%. During the 12-week post-intervention follow-up, the number of participants who continued to perform physical activities was significantly higher in both the RT groups than in the AT group (p < 0.05).
Conclusion: The present study provides preliminary evidence that moderate-to-intense RT, followed by AT, can be an effective treatment for overweight adolescents, and the positive effects are maintained even after 12 weeks of follow-up.

Keywords: exercise, obesity, adolescents, adherence, resistance training

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