Influence of exclusive resistance training on body composition and cardiovascular risk factors in overweight and obese children and adolescents: A systematic review update

Pavel Dietz, Michael Ornik, Estelle Watson, Mireille van Poppel


Purpose: The aim of the present systematic review was to update a previous review, aiming at investigating the effects of exclusive resistance training on body composition and cardiovascular risk factors for obese or overweight children and adolescents and to report the efficiency of whole-body strength training in weight management and obesity prevention during adolescence. Method: Intervention studies that performed isolated resistance training with overweight or obese children and adolescents under 18 years of age were systematically reviewed. Body composition and cardiovascular risk factors constituted as the outcome measurements. Results: Five studies passed the inclusion criteria. All participants in treatment groups undertook supervised whole-body resistance training. The mean compliance was 87%. Four studies reported significant changes in body composition, with a decrease in mass, percentage body fat, waist circumference and waist-to-hip ratio as well as a significant increase in fat free mass. Three studies analysed the effects on cardiovascular risk factors and two reported significant changes with a decrease in systolic blood pressure and IL-6 as well as a significant increase in adiponectin. Conclusion: A strength training intervention appears safe and tends to show positive effects for obese adolescents. Several significant changes were observed. A lack of studies and a small sample size of participants conducting an isolated strength training intervention made a safe interpretation difficult. Due to this, more studies are needed to analyse the role of exclusive resistance training in weight management for obese adolescents and its influence on cardiovascular risk factors.


adiposity, heart disease, prevention, youth, weight training, exercise, adolescents

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Aguilar Cordero, M. J., Ortegón Piñero, A., Mur Vilar, N., Sánchez García, J. C., García Verazaluce, J. J., García García, I., & Sánchez López, A. M. (2014). Programas de actividad física para reducir sobrepeso y obesidad en niños y adolescentes; revisión sistemática [Physical activity programmes to reduce overweight and obesity in children and adolescents; a systematic review]. Nutricion hospitalaria, 30(4), 727–740.

Alberga, A. S., Farnesi, B.-C., Lafleche, A., Legault, L., & Komorowski, J. (2013). The effects of resistance exercise training on body composition and strength in obese prepubertal children. The Physician and sportsmedicine, 41(3), 103–109.

Cornette, R. (2008). The emotional impact of obesity on children. Worldviews on evidence-based nursing, 5(3), 136–141.

Després, J.-P. (2007). Cardiovascular disease under the influence of excess visceral fat. Critical pathways in cardiology, 6(2), 51–59.

Dias, I., Farinatti, P., Souza, M. G. C. de, Manhanini, D. P., Balthazar, E., Dantas, D. L. S.,. . . Kraemer-Aguiar, L. G. (2015). Effects of Resistance Training on Obese Adolescents. Medicine and science in sports and exercise, 47(12), 2636–2644.

Dietz, P., Hoffmann, S., Lachtermann, E., & Simon, P. (2012). Influence of exclusive resistance training on body composition and cardiovascular risk factors in overweight or obese children: A systematic review. Obesity facts, 5(4), 546–560.

Effective Public Health Practice Project. (2008). Quality Assessment Tool for Quantitative Studies. Retrieved from

Figueiredo, T., Willardson, J. M., Miranda, H., Bentes, C. M., Machado Reis, V., Freitas de Salles, B., & Simão, R. (2016). Influence of Rest Interval Length Between Sets on Blood Pressure and Heart Rate Variability After a Strength Training Session Performed By Prehypertensive Men. Journal of strength and conditioning research, 30(7), 1813–1824.

Flodmark, C.-E., Marcus, C., & Britton, M. (2006). Interventions to prevent obesity in children and adolescents: A systematic literature review. International journal of obesity (2005), 30(4), 579–589.

Flynn, J. (2013). The changing face of pediatric hypertension in the era of the childhood obesity epidemic. Pediatric nephrology (Berlin, Germany), 28(7), 1059–1066.

Ho, S. S., Dhaliwal, S. S., Hills, A. P., & Pal, S. (2012). The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC public health, 12, 704.

Ten Hoor, G. A. ten, Plasqui, G., Schols, A. M. W. J., & Kok, G. (2014). Combating adolescent obesity: An integrated physiological and psychological perspective. Current opinion in clinical nutrition and metabolic care, 17(6), 521–524.

Ten Hoor, G. A. ten, Sleddens, E. F. C., Kremers, S. P. J., Schols, A. M. W. J., Kok, G., & Plasqui, G. (2015). Aerobic and strength exercises for youngsters aged 12 to 15: What do parents think? BMC public health, 15, 994.

Kavey, R.-E. W. (2015). Combined dyslipidemia in childhood. Journal of clinical lipidology, 9(5 Suppl), S41-56.

Kelly, L. A., Loza, A., Lin, X., Schroeder, E. T., Hughes, A., Kirk, A., & Knowles, A.-M. (2015). The effect of a home-based strength training program on type 2 diabetes risk in obese Latino boys. Journal of pediatric endocrinology & metabolism : JPEM, 28(3-4), 315–322.

Liang, Y., Hou, D., Zhao, X., Wang, L., Hu, Y., Liu, J.,. . . Mi, J. (2015). Childhood obesity affects adult metabolic syndrome and diabetes. Endocrine, 50(1), 87–92.

Lloyd, L. J., Langley-Evans, S. C., & McMullen, S. (2012). Childhood obesity and risk of the adult metabolic syndrome: A systematic review. International journal of obesity (2005), 36(1), 1–11.

Lobstein, T., & Jackson-Leach, R. (2016). Planning for the worst: Estimates of obesity and comorbidities in school-age children in 2025. Pediatric obesity, 11(5), 321–325.

Mahé, E., Gnossike, P., & Sigal, M.-L. (2014). Le psoriasis de l'enfant [Childhood psoriasis]. Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 21(7), 778–786.

Must, A., & Strauss, R. S. (1999). Risks and consequences of childhood and adolescent obesity. International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 23 Suppl 2, S2-11.

Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C.,. . . Gakidou, E. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 384(9945), 766–781.

Oja, P., Titze, S., Bauman, A., Geus, B. de, Krenn, P., Reger-Nash, B., & Kohlberger, T. (2011). Health benefits of cycling: a systematic review. Scandinavian journal of medicine & science in sports, 21(4), 496–509.

Oosterhoff, M., Joore, M., & Ferreira, I. (2016). The effects of school-based lifestyle interventions on body mass index and blood pressure: A multivariate multilevel meta-analysis of randomized controlled trials. Obesity reviews : an official journal of the International Association for the Study of Obesity, 17(11), 1131–1153.

Papoutsakis, C., Priftis, K. N., Drakouli, M., Prifti, S., Konstantaki, E., Chondronikola, M.,. . . Matziou, V. (2013). Childhood overweight/obesity and asthma: Is there a link? A systematic review of recent epidemiologic evidence. Journal of the Academy of Nutrition and Dietetics, 113(1), 77–105.

Park, M. H., Falconer, C., Viner, R. M., & Kinra, S. (2012). The impact of childhood obesity on morbidity and mortality in adulthood: A systematic review. Obesity reviews : an official journal of the International Association for the Study of Obesity, 13(11), 985–1000.

Pizzi, M. A., & Vroman, K. (2013). Childhood obesity: Effects on children's participation, mental health, and psychosocial development. Occupational therapy in health care, 27(2), 99–112.

Rosenfield, R. L. (2013). Clinical review: Adolescent anovulation: maturational mechanisms and implications. The Journal of clinical endocrinology and metabolism, 98(9), 3572–3583.

Savino, A., Pelliccia, P., Chiarelli, F., & Mohn, A. (2010). Obesity-related renal injury in childhood. Hormone research in paediatrics, 73(5), 303–311.

Schranz, N., Tomkinson, G., Parletta, N., Petkov, J., & Olds, T. (2014). Can resistance training change the strength, body composition and self-concept of overweight and obese adolescent males? A randomised controlled trial. British journal of sports medicine, 48(20), 1482–1488.

Shultz, S. P., Dahiya, R., Leong, G. M., Rowlands, D. S., Hills, A. P., & Byrne, N. M. (2015). Muscular strength, aerobic capacity, and adipocytokines in obese youth after resistance training: A pilot study. The Australasian medical journal, 8(4), 113–120.

Stolzman, S., & Bement, M. H. (2012). Inflammatory Markers in Pediatric Obesity. ICAN: Infant, Child, & Adolescent Nutrition, 4(5), 297–302.

World Health Organization (2018). Obesity and overweight – Fact sheet. Retrieved from

Zhou, B.-F. (2002). Effect of body mass index on all-cause mortality and incidence of cardiovascular diseases--report for meta-analysis of prospective studies open optimal cut-off points of body mass index in Chinese adults. Biomedical and environmental sciences : BES, 15(3), 245–252.

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