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What Exercises Are Most Beneficial for Overweight and Obese Elementary-Aged Children?

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What Exercises Are Most Beneficial for Overweight and Obese Elementary-Aged Children?
The increased prevalence of childhood obesity has been known for over three decades. Despite this awareness, the obesity rate in children has increased two- to three-fold during this same time period. The current child obesity rate in the United States appears to be leveling off but obesity prevalence still remains high and above national goals (Farris et al, 2011). Based upon the National Health and Nutrition Examination Survey (NHANES) data, the current national prevalence of child obesity is estimated as follows: ages 2-5, 12.4%; ages 6-11, 17%; and ages 12-19, 17.6% (Farris et al , 2011). An excessive increase in BMI during early childhood may be related to the development and acceleration of adverse cardiovascular and metabolic risk factors (Pedrosa et al, 2011). The current national goal for the obesity rate in children is 5% of all children who are obese have an increased risk of cardiovascular disease when compared to their normal weight peers the risk of being obese as an adult is greater if a child’s weight status tracks into adolescence (Farris et al , 2011). Because of the increased prevalence of cardiovascular disease risk factors observed both in children who are overweight and in children who are obese, there is a need for interventions that effectively reduce the degree of obesity.
Physical inactivity is one of the leading causes of major chronic illnesses tracking from childhood and adulthood. Overweight and obese children are four times more likely to become overweight as adults. In 2010, The World Health Organization (WHO) stated that physical inactivity is the fourth leading risk factor for global mortality (Laframboise & deGraauw, 2011). It is known that increasing physical activity to increase total energy expenditure and reducing caloric intake is the theoretical basis for management of obesity. Thus increasing aerobic physical activity may be the foundation for decreasing childhood obesity and making the first steps towards



References: Baquet G. van Praagh E. Berthoin S (2003). Endurance training and aerobic fitness in young people. Sports Med, (33) 1127-1143. Bar-Or O, Rowland TW. (2004). Pediatric exercise medicine: from physiological principles to health care application. Champaign, U,: Human Kinetics. Berry, D., Colindres, M., Sanchez-Lugo, L., Sanchez, M., Neal, M., & Smith-Miller, C. (2011). Adapting, Feasibility Testing, and Pilot Testing a Weight Management Intervention for Recently Immigrated Spanish-Speaking Women and Their 2- to 4-Year-Old Children. Hispanic Health Care International, 9(4), 186-193. doi:10.1891/1540-4153.9.4.186 Darrah, J., & Kelly, M. (2006). Aerobic exercise for children. Physiotherapy Canada, 58(3), 187-195. Elloumi, M., Makni, E., Ounis, O., Moalla, W., Zbidi, A., Zaoueli, M., Lac, G., & Tabka, Z. (2011). Six-minute walking test and the assessment of cardiorespiratory responses during weight loss programmes in obese children. Physiotherapy Research International, 16(1), 32-42. Doi:10.1002/p Farris, J. W., Taylor, L., Williamson, M., & Robinson, C. (2011). A 12-week interdisciplinary intervention program for children who are obese. Cardiopulmonary Physical Therapy Journal, 22(4), 12-20. Laframboise, M. A., & deGraauw, C. (2011). The effects of aerobic physical activity on adiposity in school-aged children and youth: a systematic review of randomized controlled trials. Journal Of The Canadian Chiropractic Association, 55(4), 256-268. Ohtake, P. (2005). Field tests of aerobic capacity for children and older adults. Cardiopulmonary Physical Therapy Journal, 16(2), 5. Pedrosa, C. C., Oliveira, B. B., Albuquerque, I. I., Simões-Pereira, C. C., Vaz-de-Almeida, M. M., & Correia, F. F. (2011). Markers of metabolic syndrome in obese children before and after 1-year lifestyle intervention program. European Journal Of Nutrition, 50(6), 391-400. doi:10.1007/s00394-010-0148-1 Roberts, S. (2000). The role of physical activity in the prevention and treatment of childhood obesity. Pediatric Nursing, 26(1), 33.

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