Exercise and Diet for Pediatric Obesity
Condition: Pediatric Obesity; COVID-19
MeSH terms: COVID-19; Obesity; Pediatric Obesity
Study type: Interventional

Summary: 
      The coronavirus disease (COVID-19), is a communicable pandemic disease as stated by the world
      health organization (WHO), which has been affecting the world since December 2019. COVID-19
      infected children develop the signs and symptoms of the disease, which can be exaggerated or
      life-threatening when associated with comorbidities like; obesity, sickle cell anemia, immune
      disorders, chromosomal abnormalities, chronic respiratory or cardiac problems, and congenital
      malformations.3 It is observed that children affected with COVID-19 who are physically
      inactive or in a sedentary lifestyle may induce and develop obesity. It is a major health
      concern in this pandemic situation, which can be addressed and treated with the use of
      appropriate physical training and proper dietary habits.
    

Detailed description: 
      Children confirmed with COVID-19 infection have some systemic illness, that might lead to
      children with obesity. They are advised to perform regular physical training and consume a
      proper diet to prevent and treat negative consequences. Therefore, different obesity
      management and weight reduction protocols are developed to control and prevent health
      problems and socio-economic issues associated with obesity. The management of this clinical
      condition has received very little attention, there is no well-defined exercise protocols or
      dietary prescription for this special population; therefore, there is a need for an
      elaborative trial in this field. Hence, the aim of this trial was to investigate and compare
      the clinical and psychological effects of integrated physical training with a high protein
      diet versus a low protein diet in community-dwelling COVID-19 infected children with obesity.
    

Intervention name(s): High-intensity aerobic training with high protein diet; Control group
Intervention type(s): Other; Other
Intervention description(s): High-intensity aerobic training (HAT) was given at 50 to 70 percent of maximum heart rate. Subsequent to stretching, the subjects were asked to do 30 mins of HAT exercises; consisting of 20 mins on the treadmill and 10 mins on a cycle ergometer at 50 to 70 % of MHR, lastly, 10 mins of cool down was performed.
Next the participants, in this group A were prescribed with strength training exercises with resistance depending upon each subject's individual muscle assessment.
In addition to these physical training exercises, this group also received a high protein diet in the range of 1.1 - 1.3 g/kg protein/ ideal body weight/day (>1 g/kg aBW/d), as prescribed by a qualified nutritionist.; This group is considered a control group and they were allowed to follow their regular physical activities and dietary pattern.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Health Services Research
Keywords: aerobic training; biochemical; children with obesity; COVID-19; high protein diet