Obesity

Effects of short‐term supervised exercise training on liver fat in adolescents with obesity: a randomized controlled trial

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

The implemented exercise protocol did not reduce IHTG, but it led to modest improvement in markers of cardiometabolic health.

Study context

Population
Adolescents aged 13–18 y with obesity (BMI 36.7 ± 5.8 kg/m²) at risk for MASLD based on obesity and elevated Fibroscan controlled attenuation parameter (CAP) scores
Participants
40 adolescents
Comparison
4-week supervised high-intensity interval training (HIIT) vs observation
  • HIITn = 34
  • Controln = 6reference
Primary endpoint
IHTG (%) by liver magnetic resonance imaging proton-density fat-fraction (MRI-PDFF)
Follow-up
4 weeks
Methodological detailssupervised exercise
  • Supervised exercise

Primary result

As reported in the abstract

IHTG, within-group change with HIIT
GroupValueBaseline IHTGΔ
HIIT5.26 %5.26%−0.31 percentage points

HIIT

Value5.26 %
Baseline IHTG5.26%
Δ−0.31 percentage points
HIIT had no impact on IHTG
Δ −0.31 percentage points (95% CI −0.77 to 0.15; p = 0.179)

Further findings

MASLD by MRI-PDFF (IHTG ≥ 5%) at baseline

2-h glucose concentration, within-group change with HIIT · 4 weeks

Decrease with HIIT from baseline 116 mg/dL
−11 mg/dL (95% CI −17.6 to −5.5; p < 0.001)

IHTG in participants with MASLD (n = 17), within-group change with HIIT · 4 weeks

Decrease with HIIT from baseline 8.81%
−1.05 percentage points (95% CI −2.08 to −0.01; p = 0.048)

Cardiorespiratory fitness (CRF) · 4 weeks

HIIT had no impact on CRF

Original publication

Effects of short‐term supervised exercise training on liver fat in adolescents with obesity: a randomized controlled trial. Obesity (Silver Spring). Published 20 September 2023. doi:10.1002/oby.23887

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