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 .
Effect of physical training on total and visceral fat in obese children.
PURPOSE Children with high levels of total body fat mass ( TFM ) and visceral adipose tissue ( VAT ) have elevated levels of certain risk factors for coronary artery disease and non-insulin-dependent diabetes mellitus . We tested the hypothesis that controlled physical training , without dietary intervention , would have a favorable impact on VAT and percent body fat ( % BF ) in obese children . METHODS A volunteer sample of 74 obese children , 7 - 11 yr of age , accepted r and om assignment to physical training  or  control groups .  Before and after 4 months of intervention , measurements were obtained for VAT , TFM , % BF , daily physical activity , and cardiovascular fitness . The intervention involved 4 months of controlled physical training 5 d x wk(-1 ) , 40 min per session , at a mean heart rate ( HR ) of 157 beats x min(-1 ) . The estimated energy expenditure ( EE ) per training session was 925+/-201 kJ. RESULTS Compared with the control group , the physical training group declined significantly in % BF ( delta = -2.2 % ) ( P < 0.01 ) , TFM ( delta = -3.1 % ) ( P < 0.01 ) , and subcutaneous abdominal adipose tissue ( delta = - 16.1 % ) ( P < 0.05 ) , and increased significantly in fat-free mass ( delta = + 6.1 % ) ( P < 0.05 ) and moderate-to-very hard physical activity ( delta = + 14.1 % ) ( P < 0.05 ) . The increase in VAT was significantly less in the physical training group ( delta = + 0.5 % ) as compared with that in the control group ( delta = + 8.1 % ) ( P < 0.05 ) . CONCLUSIONS This study showed that during physical training  obese children : 1 ) were capable of participating in a substantial amount of high intensity physical training over a 4-month period : 2 ) accumulated significantly less VAT as compared with nonexercising controls ; and 3 ) experienced other beneficial changes in total and regional body composition
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 .