In conclusion , overweight and obese youth can improve physical fitness across a variety of test measures .
When fitness improves , beneficial health effects are observed in some , but not all chronic disease risk factors
A systematic review of literature was conducted to examine the association between changes in health-related fitness ( e.g. aerobic capacity and muscular strength /endurance ) and chronic disease risk factors in overweight and /or obese youth .
Treatment of Childhood Obesity in Obese Families
BACKGROUND Parental obesity reduces the likelihood of a multidisciplinary childhood obesity program to succeed , suggesting that special family-based interventions should be constructed for obese children from obese families . AIM To examine the effects of an intense combined 3-month familial dietary-behavioral-physical activity intervention for a subgroup of obese children ( BMI > 95th percentile ) from obese families ( parental BMI > 27 kg/m2 ) compared to a control group of obese children and obese parents who did not participate in the combined intervention . CHILDREN Twenty-two obese children were r and omly assigned to the  intervention  ( n = 11 ) or control  ( n = 11 ) group . Anthropometric measurements , body composition , dietary and activity habits and fitness levels were measured before and at the end of a 3-month intervention . RESULTS The intervention led to a significant difference in change in body weight ( -0.2 + /- 0.3 vs 1.7 + /- 0.6 kg ; p < 0.05 ) , BMI percentiles ( -1.4 + /- 0.5 vs -0.1 + /- 0.2 % ; p < 0.05 ) , and to a decrease in screen ( television and computer ) time ( -2.2 + /- 0.6 vs 0.1 + /- 0.3 h/day ; p < 0.05 ) in the intervention group compared to the controls . In addition , the intervention led to a significant improvement in fitness level determined by endurance time ( 181 + /- 30 vs 26 + /- 63 seconds in the intervention vs control group , respectively ; p < 0.05 ) . CONCLUSION Obese children from obese families pose a therapeutic challenge to health care providers . Intense family-oriented multidisciplinary weight management intervention should be design ed for treatment in this unique population
In conclusion , overweight and obese youth can improve physical fitness across a variety of test measures .
When fitness improves , beneficial health effects are observed in some , but not all chronic disease risk factors
A systematic review of literature was conducted to examine the association between changes in health-related fitness ( e.g. aerobic capacity and muscular strength /endurance ) and chronic disease risk factors in overweight and /or obese youth .