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Published in: European Journal of Pediatrics 6/2023

13-04-2023 | Obesity | RESEARCH

Effects and individual response of continuous and interval training on adiponectin concentration, cardiometabolic risk factors, and physical fitness in overweight adolescents

Authors: Maiara Cristina Tadiotto, Patricia Ribeiro Paes Corazza, Francisco Jose de Menezes-Junior, Frederico Bento de Moraes-Junior, Tatiana Aparecida Affornali Tozo, Kátia Sheylla Malta Purim, Jorge Mota, Neiva Leite

Published in: European Journal of Pediatrics | Issue 6/2023

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Abstract

This study aimed to evaluate the effect and individual responsiveness after 12 weeks of high-intensity interval training (HIIT) and moderate-intensity of continuous training (MICT) on adiponectin, cardiometabolic risk factors and physical fitness in overweight adolescents. This study was participated by 52 adolescents, both sexes, 11 and 16 years old, separated into HIIT (n = 13), MICT (n = 15), and control group (CG, n = 24). Body mass, height, waist circumference (WC), fat mass (FM), fat-free mass (FFM), blood pressure, high-density lipoprotein (HDL-c), low-density lipoprotein (LDL-c), triglycerides, glucose, insulin, adiponectin, and C-reactive protein (CRP) were evaluated. Body mass index z-score (BMI-z), waist-to-height ratio (WHtR), insulin resistance, and insulin sensitivity were calculated. Resting heart rate (HRrest), peak oxygen consumption (VO2peak), right handgrip strength (HGS-right), left handgrip strength (HGS-left), and abdominal resistance (ABD) was evaluated. HIIT session lasted around 35 min and MICT of 60 min of exercises on stationary bicycle, three times a weekday for 12 weeks. ANOVA, effect size, and prevalence of responders were used for statistical analysis. HIIT reduced BMI-z, WHtR, LDL-c, and CRP, while increased of physical fitness. MICT reduced HDL-c, while increased of physical fitness. CG reduced FM, HDL-c, and CRP, while increased FFM and HRrest. Frequencies of respondents in HIIT were observed for CRP, VO2peak, HGS-right, and HGS-left. Frequencies of respondents in MICT were observed for CRP and HGS-right. Frequencies of no-respondents in CG were observed for WC, WHtR, CRP, HRrest, and ABD.
  Conclusion: Interventions with exercises were effective to adiposity, metabolic health, and physical fitness improvements. Individual responses were observed in inflammatory process and physical fitness, important changes in overweight adolescent’s therapy.
  Trial registration number and date of registration: This study was registered with the Brazilian Registry of Clinical Trials (REBEC), the number RBR-6343y7, date of registration May 3, 2017.
What is Known:
• Effect of regular physical exercise positively affects overweight, comorbidities, and metabolic diseases, recommended mainly for children and adolescents.
What is New:
• Due to the great inter-individual variability, the same stimulus can provide different responses; adolescents who benefit from the stimulus are considered responsive.
• Intervention of HIIT and MICT did not alter the concentrations of adiponectin; however, the adolescents presented responsiveness to the inflammatory process and physical fitness.
Literature
1.
go back to reference World Health Organization (2020) WHO guidelines on physical activity and sedentary behaviour. World Health Organization, Geneva World Health Organization (2020) WHO guidelines on physical activity and sedentary behaviour. World Health Organization, Geneva
2.
go back to reference García-Hermoso A, Ceballos-Ceballos RJM, Poblete-Aro CE, Hackney AC, Mota J, Ramírez-Vélez R (2017) Exercise, adipokines and pediatric obesity: a meta-analysis of randomized controlled trials. Int J Obes 41(4):475–482CrossRef García-Hermoso A, Ceballos-Ceballos RJM, Poblete-Aro CE, Hackney AC, Mota J, Ramírez-Vélez R (2017) Exercise, adipokines and pediatric obesity: a meta-analysis of randomized controlled trials. Int J Obes 41(4):475–482CrossRef
3.
go back to reference García-Hermoso A, Ramírez-Campillo R, Izquierdo M (2019) Exercise, health outcomes, and pædiatric obesity: a systematic review of meta-analyses. J Sci Med Sport 22(1):76–84CrossRefPubMed García-Hermoso A, Ramírez-Campillo R, Izquierdo M (2019) Exercise, health outcomes, and pædiatric obesity: a systematic review of meta-analyses. J Sci Med Sport 22(1):76–84CrossRefPubMed
4.
go back to reference Lopes WA, Leite N, Silva LR, Brunelli DT, Gáspari AF, Radominski RB et al (2016) Effects of 12wk of combined training without caloric restriction on inflammatory markers in overweight girls. J Sports Sci 34(20):1902–1912CrossRefPubMed Lopes WA, Leite N, Silva LR, Brunelli DT, Gáspari AF, Radominski RB et al (2016) Effects of 12wk of combined training without caloric restriction on inflammatory markers in overweight girls. J Sports Sci 34(20):1902–1912CrossRefPubMed
5.
go back to reference Riebe D, Ehrman JK, Liguori G, Magal M (2018) American College of Sports Medicine (Eds.). ACSM’s guidelines for exercise testing and prescription. Wolters Kluwer Riebe D, Ehrman JK, Liguori G, Magal M (2018) American College of Sports Medicine (Eds.). ACSM’s guidelines for exercise testing and prescription. Wolters Kluwer
6.
go back to reference Keating SE, Machan EA, O’Connor ET, Gerofi JA, Sainsbury A et al (2014) Continuous exercise but not high intensity interval training improves fat distribution in overweight adults. J Obes 2014:834865CrossRefPubMedPubMedCentral Keating SE, Machan EA, O’Connor ET, Gerofi JA, Sainsbury A et al (2014) Continuous exercise but not high intensity interval training improves fat distribution in overweight adults. J Obes 2014:834865CrossRefPubMedPubMedCentral
7.
go back to reference Ramos JS, Dalleck LC, Tjonna AE, Beetham KS, Coombes JS (2015) The impact of high-intensity interval training versus moderate-intensity continuous training on vascular function: a systematic review and meta-analysis. Sports Med 45:679–692CrossRefPubMed Ramos JS, Dalleck LC, Tjonna AE, Beetham KS, Coombes JS (2015) The impact of high-intensity interval training versus moderate-intensity continuous training on vascular function: a systematic review and meta-analysis. Sports Med 45:679–692CrossRefPubMed
8.
go back to reference Bonafiglia JT, Rotundo MP, Whittall JP, Scribbans TD, Graham RB, Gurd BJ (2016) Inter-individual variability in the adaptive responses to endurance and sprint interval training: a randomized crossover study. PLoS ONE 11(12):e0167790CrossRefPubMedPubMedCentral Bonafiglia JT, Rotundo MP, Whittall JP, Scribbans TD, Graham RB, Gurd BJ (2016) Inter-individual variability in the adaptive responses to endurance and sprint interval training: a randomized crossover study. PLoS ONE 11(12):e0167790CrossRefPubMedPubMedCentral
9.
go back to reference Álvarez C, Ramírez-Campillo R, Ramírez-Vélez R, Izquierdo M (2017) Effects of 6-weeks high-intensity interval training in schoolchildren with insulin resistance: influence of biological maturation on metabolic, body composition, cardiovascular and performance non-responses. Front Physiol 29(8):444CrossRef Álvarez C, Ramírez-Campillo R, Ramírez-Vélez R, Izquierdo M (2017) Effects of 6-weeks high-intensity interval training in schoolchildren with insulin resistance: influence of biological maturation on metabolic, body composition, cardiovascular and performance non-responses. Front Physiol 29(8):444CrossRef
10.
go back to reference Álvarez C, Ramírez-Campillo R, Ramírez-Vélez R, Martínez C, Castro-Sepúlveda M, Alonso-Martínez A, Izquierdo M (2017) Metabolic effects of resistance or high-intensity interval training among glycemic control-nonresponsive children with insulin resistance. Int J Obes 42(1):79–87CrossRef Álvarez C, Ramírez-Campillo R, Ramírez-Vélez R, Martínez C, Castro-Sepúlveda M, Alonso-Martínez A, Izquierdo M (2017) Metabolic effects of resistance or high-intensity interval training among glycemic control-nonresponsive children with insulin resistance. Int J Obes 42(1):79–87CrossRef
11.
go back to reference Brand C, Martins CMDL, Lemes VB, Pessoa MLF, Dias AF, Cadore EL et al (2020) Effects and prevalence of responders after a multicomponent intervention on cardiometabolic risk factors in children and adolescents with overweight/obesity: Action for health study. J Sports Sci 38(6):682–691CrossRefPubMed Brand C, Martins CMDL, Lemes VB, Pessoa MLF, Dias AF, Cadore EL et al (2020) Effects and prevalence of responders after a multicomponent intervention on cardiometabolic risk factors in children and adolescents with overweight/obesity: Action for health study. J Sports Sci 38(6):682–691CrossRefPubMed
12.
go back to reference Leite N, Tadiotto MC, Corazza PRP, Menezes Junior FJ, Carli MEC, Milano-Gai GE et al (2021) Responsiveness on metabolic syndrome criteria and hepatic parameters after 12 weeks and 24 weeks of multidisciplinary intervention in overweight adolescents. J Endocrinol Invest 45(4):741–752CrossRefPubMed Leite N, Tadiotto MC, Corazza PRP, Menezes Junior FJ, Carli MEC, Milano-Gai GE et al (2021) Responsiveness on metabolic syndrome criteria and hepatic parameters after 12 weeks and 24 weeks of multidisciplinary intervention in overweight adolescents. J Endocrinol Invest 45(4):741–752CrossRefPubMed
13.
go back to reference Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J (2007) Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 85:660–667CrossRefPubMedPubMedCentral Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J (2007) Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 85:660–667CrossRefPubMedPubMedCentral
14.
go back to reference Moore SA, McKay HA, MacDonald H, Nettlefold L, Baxter-Jones AD, Cameron N et al (2015) Enhancing a somatic maturity prediction model. Med Sci Sports Exerc 47(8):1755–1764CrossRefPubMed Moore SA, McKay HA, MacDonald H, Nettlefold L, Baxter-Jones AD, Cameron N et al (2015) Enhancing a somatic maturity prediction model. Med Sci Sports Exerc 47(8):1755–1764CrossRefPubMed
15.
go back to reference Houtkooper LB, Going SB, Lohman TG, Roche AF, Van Loan M (1992) Bioelectrical impedance estimation of fat-free body mass in children and youth: a cross-validation study. J Appl Physiol 72(1):366–373CrossRefPubMed Houtkooper LB, Going SB, Lohman TG, Roche AF, Van Loan M (1992) Bioelectrical impedance estimation of fat-free body mass in children and youth: a cross-validation study. J Appl Physiol 72(1):366–373CrossRefPubMed
16.
go back to reference Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419CrossRefPubMed Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419CrossRefPubMed
17.
go back to reference Katz A, Nambi SS, Mather K, Baron AD, Follmann DA, Sullivan G, Quon MJ (2000) Quantitative insulin sensitivity check index: a simple, accurate method for assessing insulin sensitivity in humans. J Clin Endocrinol Metab 85(7):2402–2410CrossRefPubMed Katz A, Nambi SS, Mather K, Baron AD, Follmann DA, Sullivan G, Quon MJ (2000) Quantitative insulin sensitivity check index: a simple, accurate method for assessing insulin sensitivity in humans. J Clin Endocrinol Metab 85(7):2402–2410CrossRefPubMed
18.
go back to reference Plowman SA, Meredith MD (2013) Fitnessgram/Activitygram reference guide. Dallas Cooper Institute Plowman SA, Meredith MD (2013) Fitnessgram/Activitygram reference guide. Dallas  Cooper Institute
19.
go back to reference Hopkins WG (2007) A spreadsheet for deriving a confidence interval, mechanistic inference and clinical inference from a P value. Sportscience 11:16–21 Hopkins WG (2007) A spreadsheet for deriving a confidence interval, mechanistic inference and clinical inference from a P value. Sportscience 11:16–21
20.
go back to reference García-Hermoso A, Ramírez-Vélez R, Ramírez-Campillo R, Peterson MD, Martínez-Vizcaíno V (2018) Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis. Br J Sports Med 52(3):161–166CrossRefPubMed García-Hermoso A, Ramírez-Vélez R, Ramírez-Campillo R, Peterson MD, Martínez-Vizcaíno V (2018) Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis. Br J Sports Med 52(3):161–166CrossRefPubMed
21.
go back to reference Borfe L, Brand C, Schneiders LB, Mota J, Cavaglieri CR, Leite N et al (2021) Effects and responsiveness of a multicomponent intervention on body composition, physical fitness, and leptin in overweight/obese adolescents. Int J Environ Res Public Health 18(14):7267–7281CrossRefPubMedPubMedCentral Borfe L, Brand C, Schneiders LB, Mota J, Cavaglieri CR, Leite N et al (2021) Effects and responsiveness of a multicomponent intervention on body composition, physical fitness, and leptin in overweight/obese adolescents. Int J Environ Res Public Health 18(14):7267–7281CrossRefPubMedPubMedCentral
22.
go back to reference Yu N, Ruan Y, Gao X (2017) Sun J (2017) Systematic review and meta-analysis of randomized, controlled trials on the effect of exercise on serum leptin and adiponectin in overweight and obese individuals. Horm Metab Res 49(3):164–173CrossRefPubMed Yu N, Ruan Y, Gao X (2017) Sun J (2017) Systematic review and meta-analysis of randomized, controlled trials on the effect of exercise on serum leptin and adiponectin in overweight and obese individuals. Horm Metab Res 49(3):164–173CrossRefPubMed
23.
go back to reference Nascimento H, Costa E, Rocha S, Lucena C, Rocha-Pereira P, Rêgo C et al (2014) Adiponectin and markers of metabolic syndrome in obese children and adolescents: impact of 8-mo regular physical exercise program. Pediatr Res 76(2):159–165CrossRefPubMed Nascimento H, Costa E, Rocha S, Lucena C, Rocha-Pereira P, Rêgo C et al (2014) Adiponectin and markers of metabolic syndrome in obese children and adolescents: impact of 8-mo regular physical exercise program. Pediatr Res 76(2):159–165CrossRefPubMed
24.
go back to reference Park TG, Hong HR, Lee J, Kang HS (2007) Lifestyle plus exercise intervention improves metabolic syndrome markers without change in adiponectin in obese girls. Ann Nutr Metab 51(3):197–203CrossRefPubMed Park TG, Hong HR, Lee J, Kang HS (2007) Lifestyle plus exercise intervention improves metabolic syndrome markers without change in adiponectin in obese girls. Ann Nutr Metab 51(3):197–203CrossRefPubMed
25.
go back to reference Borges MC, Oliveira IO, Freitas DF, Horta BL, Ong KK, Gigante DP, Barros AJD (2017) Obesity-induced hypoadiponectinemia: the opposite influences of central and peripheral fat compartments. Int J Epidemiol 46(6):2044–2055CrossRefPubMedPubMedCentral Borges MC, Oliveira IO, Freitas DF, Horta BL, Ong KK, Gigante DP, Barros AJD (2017) Obesity-induced hypoadiponectinemia: the opposite influences of central and peripheral fat compartments. Int J Epidemiol 46(6):2044–2055CrossRefPubMedPubMedCentral
26.
go back to reference Shakiba E, Sheikholeslami-Vatani D, Rostamzadeh N, Karim H (2019) The type of training program affects appetite-regulating hormones and body weight in overweight sedentary men. Appl Physiol Nutr Metab 44(3):282–287CrossRefPubMed Shakiba E, Sheikholeslami-Vatani D, Rostamzadeh N, Karim H (2019) The type of training program affects appetite-regulating hormones and body weight in overweight sedentary men. Appl Physiol Nutr Metab 44(3):282–287CrossRefPubMed
27.
go back to reference Fasshauer M, Kralischa S, Klier M, Lossner U, Bluher M, Klein J, Paschke R (2003) Adiponectin gene expression and secretion is inhibited by interleukin-6 in 3T3-L1 adipocytes. Biochem Biophys Res Commun 301(4):1045–1050CrossRefPubMed Fasshauer M, Kralischa S, Klier M, Lossner U, Bluher M, Klein J, Paschke R (2003) Adiponectin gene expression and secretion is inhibited by interleukin-6 in 3T3-L1 adipocytes. Biochem Biophys Res Commun 301(4):1045–1050CrossRefPubMed
28.
go back to reference Briones AM, Aras-López R, Alonso MJ, Salaices M (2014) Small artery remodeling in obesity and insulin resistance. Curr Vasc Pharmacol 12(3):427–437CrossRefPubMed Briones AM, Aras-López R, Alonso MJ, Salaices M (2014) Small artery remodeling in obesity and insulin resistance. Curr Vasc Pharmacol 12(3):427–437CrossRefPubMed
29.
go back to reference Emken BA, Richey J, Belcher B, Hsu YW, Spruijt-Metz D (2010) Objectively measured physical activity is negatively associated with plasma adiponectin levels in minority female youth. Int J Pediatr Endocrinol 2010:846070CrossRefPubMedPubMedCentral Emken BA, Richey J, Belcher B, Hsu YW, Spruijt-Metz D (2010) Objectively measured physical activity is negatively associated with plasma adiponectin levels in minority female youth. Int J Pediatr Endocrinol 2010:846070CrossRefPubMedPubMedCentral
30.
go back to reference Nielsen MS, Quist JS, Chaput JP, Dalskov SM, Damsgaard CT, Ritz C et al (2016) Physical activity, sedentary time, and sleep and the association with inflammatory markers and adiponectin in 8-to 11-year-old Danish children. J Phys Act Health 13(6):733–739CrossRefPubMed Nielsen MS, Quist JS, Chaput JP, Dalskov SM, Damsgaard CT, Ritz C et al (2016) Physical activity, sedentary time, and sleep and the association with inflammatory markers and adiponectin in 8-to 11-year-old Danish children. J Phys Act Health 13(6):733–739CrossRefPubMed
31.
go back to reference Liu Y, Sweeney G (2014) Adiponectin action in skeletal muscle. Best Pract Res Clin Endocrinol Metab 28(1):33–41CrossRefPubMed Liu Y, Sweeney G (2014) Adiponectin action in skeletal muscle. Best Pract Res Clin Endocrinol Metab 28(1):33–41CrossRefPubMed
33.
go back to reference Turer AT, Scherer PE (2012) Adiponectin: mechanistic insights and clinical implications. Diabetologia 55(9):2319–2326CrossRefPubMed Turer AT, Scherer PE (2012) Adiponectin: mechanistic insights and clinical implications. Diabetologia 55(9):2319–2326CrossRefPubMed
34.
go back to reference Ciccone MM, Faienza MF, Altomare M, Nacci C, Montagnani M, Valente F et al (2016) Endothelial and metabolic function interactions in overweight/obese children. J Atheroscler Thromb 23(8):950–959CrossRefPubMedPubMedCentral Ciccone MM, Faienza MF, Altomare M, Nacci C, Montagnani M, Valente F et al (2016) Endothelial and metabolic function interactions in overweight/obese children. J Atheroscler Thromb 23(8):950–959CrossRefPubMedPubMedCentral
Metadata
Title
Effects and individual response of continuous and interval training on adiponectin concentration, cardiometabolic risk factors, and physical fitness in overweight adolescents
Authors
Maiara Cristina Tadiotto
Patricia Ribeiro Paes Corazza
Francisco Jose de Menezes-Junior
Frederico Bento de Moraes-Junior
Tatiana Aparecida Affornali Tozo
Kátia Sheylla Malta Purim
Jorge Mota
Neiva Leite
Publication date
13-04-2023
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 6/2023
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-023-04974-6

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