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Benefits in Cardiac Function from a Remote Exercise Program in Children with Obesity

Author

Listed:
  • Savina Mannarino

    (Pediatric Cardiology Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy
    These authors contributed equally to this work.)

  • Sara Santacesaria

    (Pediatric Cardiology Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy
    These authors contributed equally to this work.)

  • Irene Raso

    (Pediatric Cardiology Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy
    These authors contributed equally to this work.)

  • Massimo Garbin

    (Pediatric Cardiology Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy)

  • Andreana Pipolo

    (Pediatric Cardiology Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy)

  • Silvia Ghiglia

    (Pediatric Cardiology Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy)

  • Gabriele Tarallo

    (Pediatric Cardiology Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy)

  • Annalisa De Silvestri

    (Biometry & Clinical Epidemiology, Scientific Direction, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy)

  • Matteo Vandoni

    (Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, Italy)

  • Daniela Lucini

    (BIOMETRA Department, University of Milan, 20129 Milan, Italy
    Exercise Medicine Unit, Istituto Auxologico Italiano, IRCCS, 20135 Milan, Italy)

  • Vittoria Carnevale Pellino

    (Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, Italy
    Department of Industrial Engineering, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Giuseppina Bernardelli

    (Exercise Medicine Unit, Istituto Auxologico Italiano, IRCCS, 20135 Milan, Italy
    DISCCO Department, University of Milan, 20122 Milan, Italy)

  • Alessandro Gatti

    (Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, Italy)

  • Virginia Rossi

    (Pediatric Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy)

  • Valeria Calcaterra

    (Pediatric Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy
    Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy)

  • Gianvincenzo Zuccotti

    (Pediatric Unit, Pediatric Department, Buzzi Children’s Hospital, 20154 Milan, Italy
    Department of Biomedical and Clinical Science, University of Milano, 20157 Milan, Italy)

Abstract

Physical activity (PA) is a crucial factor in preventing and treating obesity and related complications. In this one-arm pre–post longitudinal prospective study, we evaluated the effects of a 12-week online supervised training program on cardiac morphology, function and blood pressure (BP) in children with obesity. The training program consisted of three sessions per week, each lasting 60 min. Advanced echocardiographic imaging (tissue Doppler and longitudinal strain analysis) was used to detect subclinical changes in heart function. Categorical variables were described as counts and percentages; quantitative variables as the mean and standard deviation (SD) as they were normally distributed (Shapiro–Wilks test). Pre–post comparisons were made with a paired t -test. A total of 27/38 (71%) enrolled patients (18M/9F, 11 ± 2 years) completed the training protocol and were considered in the analysis. At baseline, no hypertensive patient was noted; all echocardiographic variables were within the normal range. After training, we observed a significant reduction in BP parameters, including systolic BP values and Z-score, diastolic BP values, centiles and Z-score, and mean arterial pressure (all p < 0.05). Significant variations in echocardiographic interventricular septum (IVSd) thickness ( p = 0.011), IVSd Z-score ( p = 0.001), left ventricular (LV) end-diastolic diameter ( p = 0.045), LV posterior wall thickness Z-score ( p = 0.017), and LV global longitudinal strain ( p = 0.016) were detected. No differences in LV diastolic function and right ventricular strain were noted. PA plays a decisive role in improving BP control and has benefits on left ventricle systolic function, representing a strategic approach to limit CV risk. Online exercise could be an excellent method of training in children with obesity.

Suggested Citation

  • Savina Mannarino & Sara Santacesaria & Irene Raso & Massimo Garbin & Andreana Pipolo & Silvia Ghiglia & Gabriele Tarallo & Annalisa De Silvestri & Matteo Vandoni & Daniela Lucini & Vittoria Carnevale , 2023. "Benefits in Cardiac Function from a Remote Exercise Program in Children with Obesity," IJERPH, MDPI, vol. 20(2), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1544-:d:1035899
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    References listed on IDEAS

    as
    1. Valeria Calcaterra & Gianvincenzo Zuccotti, 2022. "Physical Exercise as a Non-Pharmacological Intervention for Attenuating Obesity-Related Complications in Children and Adolescents," IJERPH, MDPI, vol. 19(9), pages 1-2, April.
    2. Matteo Vandoni & Vittoria Carnevale Pellino & Alessandro Gatti & Daniela Lucini & Savina Mannarino & Cristiana Larizza & Virginia Rossi & Valeria Tranfaglia & Agnese Pirazzi & Valentina Biino & Gianvi, 2022. "Effects of an Online Supervised Exercise Training in Children with Obesity during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(15), pages 1-11, August.
    3. Federica Valeriani & Carmela Protano & Daniela Marotta & Giorgio Liguori & Vincenzo Romano Spica & Giuliana Valerio & Matteo Vitali & Francesca Gallè, 2021. "Exergames in Childhood Obesity Treatment: A Systematic Review," IJERPH, MDPI, vol. 18(9), pages 1-12, May.
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