Thivel David, Ring-Dimitriou Susanne, Weghuber Daniel, Frelut Marie-Laure, O'Malley Grace
Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), UE3533, Clermont Auvergne University, Clermont-Ferrand, France.
Obes Facts. 2016;9(1):52-63. doi: 10.1159/000443687. Epub 2016 Feb 23.
The increasing prevalence of paediatric obesity and related metabolic complications has been mainly associated with lower aerobic fitness while less is known regarding potential musculoskeletal impairments. The purpose of the present systematic review was to report the evidence regarding muscular fitness in children and adolescents with obesity. A systematic article search was conducted between November 2014 and June 2015 using MEDLINE, EMBASE, CINAHL psycINFO, SPORTDiscus and SocINDEX. Articles published in English and reporting results on muscle strength and muscular fitness in children and adolescents aged 6 to 18 years were eligible. Of 548 identified titles, 36 studies were included for analyses. While laboratory-based studies described higher absolute muscular fitness in youth with obesity compared with their lean peers, these differences are negated when corrected for body weight and lean mass, then supporting field-based investigations. All interventional studies reviewed led to improved muscular fitness in youth with obesity. Children and adolescents with obesity display impaired muscular fitness compared to healthy-weight peers, which seems mainly due to factors such as excessive body weight and increased inertia of the body. Our analysis also points out the lack of information regarding the role of age, maturation or sex in the current literature and reveals that routinely used field tests analysing overall daily muscular fitness in children with obesity provide satisfactory results when compared to laboratory-based data.
儿童肥胖症及相关代谢并发症的患病率不断上升，这主要与有氧适能较低有关，而关于潜在的肌肉骨骼损伤的了解则较少。本系统综述的目的是报告有关肥胖儿童和青少年肌肉适能的证据。2014年11月至2015年6月期间，我们使用MEDLINE、EMBASE、CINAHL、psycINFO、SPORTDiscus和SocINDEX进行了系统的文献检索。符合条件的文章需以英文发表，并报告6至18岁儿童和青少年的肌肉力量和肌肉适能结果。在548篇已识别的标题中，有36项研究被纳入分析。虽然基于实验室的研究表明，肥胖青少年的绝对肌肉适能高于瘦的同龄人，但在根据体重和瘦体重进行校正后，这些差异就不存在了，这支持了基于实地的调查。所有纳入综述的干预性研究都使肥胖青少年的肌肉适能得到了改善。与健康体重的同龄人相比，肥胖儿童和青少年的肌肉适能受损，这似乎主要是由于体重过重和身体惯性增加等因素。我们的分析还指出，当前文献中缺乏关于年龄、成熟度或性别的作用的信息，并表明与基于实验室的数据相比，常规用于分析肥胖儿童日常总体肌肉适能的实地测试提供了令人满意的结果。
