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超重及肥胖学童的炎症与身体表现

Inflammation and Physical Performance in Overweight and Obese Schoolchildren.

作者信息

Popescu Cristina, Matei Daniela, Amzolini Anca Maria, Trăistaru Magdalena Rodica

机构信息

Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Department of Medical Rehabilitation, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

出版信息

Life (Basel). 2024 Dec 1;14(12):1583. doi: 10.3390/life14121583.

Abstract

UNLABELLED

Obesity represents a critical public health concern, often linked to low-grade chronic inflammation starting in childhood. This study aimed to evaluate the impact of a 12-week kinesiotherapy program on physical performance and levels of leptin and C-reactive protein (CRP) in overweight and obese children.

METHODS

Conducted at the Filantropia Municipal Clinical Hospital, 160 children aged 6 to 15 were randomly assigned to a study group (SG, n = 80) and a control group (CG, n = 80). The SG engaged in a tailored kinesiotherapy program, while the CG maintained their usual activities. All children and their families learned five key principles for preventing and managing obesity.

RESULTS

Results indicated significant improvements in the SG, with enhancements in the 6 min walking distance, Timed Up and Go test, and walking cadence (all -values < 0.001). Notably, leptin and CRP levels (23.02 ± 7.17 to 16.62 ± 7.83, 4.13 ± 1.00 to 3.90 ± 0.95 mg/l, respectively) decreased significantly in the SG, contrasting with no significant changes in the CG. Regression analysis revealed a positive correlation between leptin levels and physical activity in the SG (coefficient: 0.5642, R-squared: 0.266).

CONCLUSIONS

These findings suggest that targeted exercise programs can effectively enhance physical performance and reduce inflammation markers in overweight children, highlighting the importance of tailored interventions in managing obesity.

摘要

未标注

肥胖是一个关键的公共卫生问题,常常与始于儿童期的低度慢性炎症相关。本研究旨在评估一项为期12周的运动疗法计划对超重和肥胖儿童身体机能以及瘦素和C反应蛋白(CRP)水平的影响。

方法

在市慈善临床医院进行,160名6至15岁的儿童被随机分为研究组(SG,n = 80)和对照组(CG,n = 80)。研究组参与了量身定制的运动疗法计划,而对照组维持其日常活动。所有儿童及其家庭学习了预防和管理肥胖的五项关键原则。

结果

结果表明研究组有显著改善,6分钟步行距离、计时起立行走测试和步行节奏均有所提高(所有P值<0.001)。值得注意的是,研究组的瘦素和CRP水平(分别从23.02±7.17降至16.62±7.83,从4.13±1.00降至3.90±0.95mg/l)显著下降,而对照组无显著变化。回归分析显示研究组中瘦素水平与身体活动之间存在正相关(系数:0.5642,决定系数:0.266)。

结论

这些发现表明,有针对性的运动计划可以有效提高超重儿童的身体机能并降低炎症标志物,突出了量身定制干预措施在管理肥胖方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a756/11678139/42cde4a952b2/life-14-01583-g001.jpg

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