Int J Sports Med 2011; 32(2): 142-146
DOI: 10.1055/s-0030-1268436
Clinical Sciences

© Georg Thieme Verlag KG Stuttgart · New York

Energy Cost of Youth Obesity Exercise Modes

C. Thiel1 , L. Vogt1 , G. Claußnitzer2 , W. Banzer1
  • 1Goethe University, Sports Medicine, Frankfurt, Germany
  • 2Medinet Spessart Clinic, Youth Obesity Center, Bad Orb, Germany
Further Information

Publication History

accepted after revision October 22, 2010

Publication Date:
25 November 2010 (online)

Abstract

The purpose of this study was to assess the energy expenditure (EE) of different exercise intervention modes commonly employed in youth obesity programs. Individual heart rate (HR) – EE relationships were obtained in 20 obese adolescents (13.6±1.4 years, BMI 31.8±4.1 kg·m−2, peak VO2 30.1±4.9 ml·kg−1·min−1) attending inpatient comprehensive multidisciplinary intervention and EE was calculated from HR during different exercise therapy modes. Per week, a cumulative EE above baseline of 7 829±2 229 kJ·week−1 was induced by 7.5 h of structured exercise intervention. EE [kJ·kg−1·h−1] of walking (14.0±2.9) differed significantly from swimming (19.9±5.9), water games (18.0±4.4), 65–85 W cycle ergometry (19.6±3.7), strength/stability circuit (18.9±3.7), small group games/relays (19.0±5.4) and team sports (20.6±7.0) (p<0.05). Since the energy cost of all exercise modes except walking was comparable, priority should be given to the adolescents’ preferences to promote long-term activity behaviour change.

References

  • 1 Ainsworth BE, Haskell WL, Leon AS, Jacobs DR, Montoye HJ, Sallis JF, Paffenbarger RS. Compendium of physical activities: classification of energy costs of human physical activities.  Med Sci Sports Exerc. 1993;  25 71-80
  • 2 Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR, Schmitz KH, Emplaincourt PO, Jacobs DR, Leon AS. Compendium of physical activities: an update of activity codes and MET intensities.  Med Sci Sports Exerc. 2000;  32 S498-S504
  • 3 Barlow SE. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report.  Pediatrics. 2007;  120 (S 04) S164-S192
  • 4 Bruce RA, Kusumi F, Hosmer D. Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease.  Am Heart J. 1973;  85 546-562
  • 5 Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults.  Med Sci Sports Exerc. 2009;  41 459-471
  • 6 Eisenmann JC, Strath SJ, Shadrick D, Rigsby P, Hirsch N, Jacobson L. Validity of uniaxial accelerometry during activities of daily living in children.  Eur J Appl Physiol. 2004;  91 259-263
  • 7 Ekkekakis P. Let them roam free? Physiological and psychological evidence for the potential of self-selected exercise intensity in public health.  Sports Med. 2009;  39 857-888
  • 8 Fulton JE, Garg M, Galuska DA, Rattay KT, Caspersen CJ. Public health and clinical recommendations for physical activity and physical fitness: special focus on overweight youth.  Sports Med. 2004;  34 581-599
  • 9 Harris AM, Macbride LR, Foster RC, McCrady SK, Levine JA. Does non-exercise activity thermogenesis contribute to non-shivering thermogenesis?.  J Therm Biol. 2006;  31 634-638
  • 10 Harriss DJ, Atkinson G. International Journal of Sports Medicine – Ethical Standards in Sport and Exercise Science Research.  Int J Sports Med. 2009;  30 701-702
  • 11 Jiménez-Pavón D, Ortega FB, Ruiz JR, Chillón P, Castillo R, Artero EG, Martinez-Gómez D, Vicente-Rodriguez G, Rey-López JP, Gracia LA, Noriega MJ, Moreno LA, Gonzalez-Gross M. Influence of socioeconomic factors on fitness and fatness in Spanish adolescents: The AVENA study.  Int J Pediatr Obes. 2010;  (epub ahead of print)
  • 12 Knöpfli BH, Radtke T, Lehmann M, Schätzle B, Eisenblätter J, Gachnang A, Wiederkehr P, Hammer J, Brooks-Wildhaber J. Effects of a multidisciplinary inpatient intervention on body composition, aerobic fitness, and quality of life in severely obese girls and boys.  J Adolesc Health. 2008;  42 119-127
  • 13 Korsten-Reck U, Kromeyer-Hauschild K, Wolfarth B, Dickhuth H, Berg A. Freiburg Intervention Trial for Obese Children (FITOC): results of a clinical observation study.  Int J Obes (Lond). 2005;  29 356-361
  • 14 Lazzer S, Boirie Y, Montaurier C, Vernet J, Meyer M, Vermorel M. A weight reduction program preserves fat-free mass but not metabolic rate in obese adolescents.  Obes Res. 2004;  12 233-240
  • 15 Livingstone MB, Coward WA, Prentice AM, Davies PS, Strain JJ, McKenna PG, Mahoney CA, White JA, Stewart CM, Kerr MJ. Daily energy expenditure in free-living children: comparison of heart-rate monitoring with the doubly labeled water (2H2(18)O) method.  Am J Clin Nutr. 1992;  56 343-352
  • 16 Livingstone MB, Robson PJ, Totton M. Energy expenditure by heart rate in children: an evaluation of calibration techniques.  Med Sci Sports Exerc. 2000;  32 1513-1519
  • 17 Maffeis C, Pinelli L, Zaffanello M, Schena F, Iacumin P, Schutz Y. Daily energy expenditure in free-living conditions in obese and non-obese children: comparison of doubly labelled water (2H2(18)O) method and heart-rate monitoring.  Int J Obes Relat Metab Disord. 1995;  19 671-677
  • 18 Mak K, Ho S, Lo W, Thomas GN, McManus AM, Day JR, Lam T. Health-related physical fitness and weight status in Hong Kong adolescents.  BMC Public Health. 2010;  10 88
  • 19 Nemet D, Barkan S, Epstein Y, Friedland O, Kowen G, Eliakim A. Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity.  Pediatrics. 2005;  115 e443-e449
  • 20 Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O'Malley C, Stolk RP, Summerbell CD. Interventions for treating obesity in children.  Cochrane Database Syst Rev. 2009;  CD001872
  • 21 Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine.  JAMA. 1995;  273 402-407
  • 22 Pollock ML, Gaesser GA, Butcher JD, Despres J, Dishman RK, Franklin BA, Garber CE. American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults.  Med Sci Sports Exerc. 1998;  30 975-991
  • 23 Poujade B, Hautier CA, Rouard A. Determinants of the energy cost of front-crawl swimming in children.  Eur J Appl Physiol. 2002;  87 1-6
  • 24 Regula J, Jeszka J, Gramza A. Effectiveness of weight reduction program in adolescents under sanatorium conditions in Poland including the role of diet and energy balance.  Asia Pac J Clin Nutr. 2007;  16 (S 01) 353-358
  • 25 Ridley K, Ainsworth BE, Olds TS. Development of a compendium of energy expenditures for youth.  Int J Behav Nutr Phys Act. 2008;  5 45
  • 26 Ridley K, Olds TS. Assigning energy costs to activities in children: a review and synthesis.  Med Sci Sports Exerc. 2008;  40 1439-1446
  • 27 Sothern MS. Exercise as a modality in the treatment of childhood obesity.  Pediatr Clin North Am. 2001;  48 995-1015
  • 28 Spadano JL, Must A, Bandini LG, Dallal GE, Dietz WH. Energy cost of physical activities in 12-y-old girls: MET values and the influence of body weight.  Int J Obes Relat Metab Disord. 2003;  27 1528-1533
  • 29 Spear BA, Barlow SE, Ervin C, Ludwig DS, Saelens BE, Schetzina KE, Taveras EM. Recommendations for treatment of child and adolescent overweight and obesity.  Pediatrics. 2007;  120 (S 04) S254-S288
  • 30 Stewart JA, Dennison DA, Kohl HW, Doyle JA. Exercise level and energy expenditure in the TAKE 10! in-class physical activity program.  J Sch Health. 2004;  74 397-400
  • 31 Strong WB, Malina RM, Blimkie CJR, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM, Rowland T, Trost S, Trudeau F. Evidence based physical activity for school-age youth.  J Pediatr. 2005;  146 732-737
  • 32 Thiel C, Claußnitzer G, Rhodius U, Vogt L, Banzer W. Immediate effects of inpatient obesity therapy in children and youth.  Deutsche Z Sportmedizin. 2005;  56 34S
  • 33 Thiel C, Claußnitzer G, Vogt L, Banzer W. Energy expenditure estimation by flex heart rate method in obese children.  Deutsche Z Sportmedizin. 2007;  58 78-82
  • 34 Torun B. Energy requirements of children and adolescents.  Public Health Nutr. 2005;  8 968-993
  • 35 Wabitsch M, Kunze D. Obesity in children and adolescents – information and guidelines for diagnostics and therapy.  [Internet] Datteln (Germany): Deutsche Adipositas Gesellschaft, Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter; [cited 2008 Apr 15].available from: http://www.a-g-a.de/Leitlinie.pdf

Correspondence

Dr. Christian Thiel

Goethe University

Sports Medicine

Ginnheimer Landstraße 39

60487 Frankfurt

Germany

Phone: +49/69/798 24506

Fax: +49/69/798 24592

Email: c.thiel@sport.uni-frankfurt.de

    >