Evidence map›Paper›PMID 40155857›Full record

SynthesisBMC pediatrics2025

Effects of different physical exercise programs on blood pressure in overweight children and adolescents: systematic review and meta-analysis.

João Victor Affornali Tozo, Maiara Cristina Tadiotto, Tatiana A Affornali Tozo, Francisco Jose de Menezes-Junior, Jorge Mota, Beatriz Oliveira de Pereira, Rafaela Rosário, Neiva Leite

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

João Victor Affornali TozoCajuru University Hospital, Pontifical Catholic University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0009-0004-4397-7767
Maiara Cristina TadiottoQuality of Life Center (NQV), Federal University of Paraná, Curitiba, Brazil. mctadiotto@gmail.com.ORCID http://orcid.org/0000-0002-6953-0793
Tatiana A Affornali TozoQuality of Life Center (NQV), Federal University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0002-9824-6206
Francisco Jose de Menezes-JuniorQuality of Life Center (NQV), Federal University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0003-4389-1213
Jorge MotaResearch Centre in Physical Activity, Health and Leisure (CIAFEL), University of Porto, Porto, Portugal.ORCID http://orcid.org/0000-0001-7571-9181
Beatriz Oliveira de PereiraResearch Centre on Child Studies (CIEC), University of Minho, Braga, Portugal.ORCID http://orcid.org/0000-0003-4771-9402
Rafaela RosárioHealth Sciences Research Unit: Nursing (UICISA:E), University of Minho, Braga, Portugal.ORCID http://orcid.org/0000-0001-6986-0007
Neiva LeiteQuality of Life Center (NQV), Federal University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0002-4752-6697

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe purpose of this meta-analysis was to systematically review studies in the literature that evaluated the effect of different exercise programs on blood pressure in overweight children and adolescents. DATA SOURCES: In September 2024, studies were searched in six electronic databases (PubMed, Web of Science, Scopus, Sportdiscus, Lilacs, and Scielo) and in reference lists. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND

interventionsRandomized and non-randomized controlled trials with interventions involving physical exercise programs and assessment of systolic blood pressure (SBP) and diastolic blood pressure (DBP) in children and adolescents with overweight and/or obesity were considered for synthesis. STUDY APPRAISAL AND SYNTHESIS

methodsThe quality of studies was assessed using the PEDro scale for studies with randomized clinical trials. Meta-analysis was conducted using a random model in the Review Manager Software.

resultsSeventeen studies were selected that involved 1,125 children and adolescents. The risk of bias score was considered moderate (five to eight points out of 11). The high-intensity interval training (HIIT) showed the largest effect, indicating a greater impact on BP reduction, while moderate-intensity continuous training (MICT) also had a significant effect, although with greater heterogeneity. No significant effects were found for the other types of exercise. For SBP, a summary effect of -0.44 (95% CI=-0.68; -0.20; I LIMITATIONS: There was a publication time limitation of ten years, and the search was restricted to articles published in journals indexed in databases, and there was also significant heterogeneity for the intervention subgroups, which can be explained by the moderate methodological quality of the studies. CONCLUSIONS AND IMPLICATIONS OF KEY

findingsConsidering the significant effects of exercise interventions on blood pressure, we suggest the development of more interventions based on physical exercise practice for overweight and obese children and adolescents, which may also add environmental elements, lasting at least 12 weeks, with three 60-minute sessions per week, better control of exercise intensity, as HIIT and MICT were more effective in promoting a reduction in blood pressure when compared to other types of exercise. The implementation of these programs must be carried out in a multicomponent and multiprofessional approach to guarantee the adherence of participants and promote significant and sustainable changes in the cardiovascular health of children and adolescents. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO no CRD42023469222.

Indexed as

Blood PressureExerciseExercise TherapyOverweightPediatric ObesityAdolescentChildHumansRandomized Controlled Trials as TopicExerciseHypertensionObesityTherapeutics

Identifiers

PMID40155857
PMCPMC11951679

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.