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July 1983, Vol 137, No. 7 >
Article | July 1983

Effects of Weight Loss on Fitness in Obese Children FREE

Leonard H. Epstein, PhD; Randi Koeske, PhD; John Zidansek; Rena R. Wing, PhD
[+] Author Affiliations

Reprint requests to Department of Psychiatry, Western Psychiatric Institute and Clinic, 3811 O'Hara St, Pittsburgh, PA 15213 (Dr Epstein).


Am J Dis Child. 1983;137(7):654-657. doi:10.1001/archpedi.1983.02140330038010.
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• The relationship between weight and fitness change was established in 113 obese preadolescents participating in a six-month behavioral weight control program. Results showed significant improvements for both weight and fitness. Program success was strongly related to changes in exercise heart rate. Children who were most successful in the program decreased their maximal and recovery heart rates by 10.1 and 17.8 beats per minute, children with medium success had decreases of 4.9 and 11.8 beats per minute, and least successful children had decreases of 3.9 and 6.4 beats per minute. Analyses revealed that the combination of effective weight loss and an initially moderate degree of overweight (40% to 50%) combined to produce the greatest fitness changes. Children who entered treatment more than moderately overweight achieved comparable fitness improvements only if their weight loss was dramatic.

(Am J Dis Child 1983;137:654-657)

REFERENCES

1 +
Gutin B, Trinidad A, Norton C, et al:  Morphological and physiological factors related to endurance performance of 11- to 12-year-old girls . Res Q 1978;;49:44-52.
2 +
Cureton KJ, Boileau RA, Lohman TG, et al:  Determinants of distance running performance in children: Analysis of a path model . Res Q 1977;;48: 270-279.
3 +
Gilliam TB, Katch VL, Thorland W, et al:  Prevalence of coronary heart disease risk factors in active children, 7 to 12 years of age . Med Sci Sports 1977;;9:21-25.
4 +
Cumming GR, Everatt D, Hastman L:  Bruce treadmill test in children: Normal values in a clinic population . Am J Cardiol 1978;;41:69-75.
Link to Article
5 +
Boulton J:  Nutrition in childhood and its relationships to early somatic growth, body fat, blood pressure, and physical fitness . Acta Paediatr Scand , 1981;, (suppl 284) , pp 80-85.
6 +
Morrow JR, Jackson AS, Bell JA:  The function of age, sex and body mass on distance running . Res Q 1978;;49:491-497.
7 +
Waxman M, Stunkard AJ:  Caloric intake and expenditure of obese boys . J Pediatr 1980;;96: 187-193.
Link to Article
8 +
Johnson ML, Burke BS, Mayer J:  Relative importance of inactivity and overeating in the energy balance of obese high school girls . Am J Clin Nutr 1956;;4:37-44.
9 +
Stefanik PA, Heald FP, Mayer J:  Caloric intake in relation to energy output of obese and non-obese adolescent boys . Am J Clin Nutr 1959;;7:55-62.
10 +
Viulle JC, Mellbin T:  Obesity in 10-year-olds: An epidemiologic study . Pediatrics 1979;;64: 564-572.
11 +
Hanson JS:  Exercise responses following production of experimental obesity . J Appl Physiol 1973;;35:587-591.
12 +
Epstein LH, Masek BJ, Marshall WR:  A nutritionally based school program for control of eating in obese children . Behav Ther 1978;;9:766-788.
Link to Article
13 +
Epstein LH, Wing RR, Koeske R, et al:  Child and parent weight loss in family-based behavior modification programs . J Consult Clin Psychol 1981;;49:674-685.
Link to Article
14 +
Epstein LH, Wing RR, Koeske R, et al:  A comparison of lifestyle change and programmed aerobic exercise on weight and fitness changes in obese children . Behav Ther 1982;;13:651-665.
Link to Article
15 +
Taylor HL, Jacobs DR Jr, Schucker B, et al:  A questionnaire for the assessment of leisure time physical activities . J Chronic Dis 1978;;31: 741.
Link to Article
16 +
Robinson CH: Fundamentals of Normal Nutrition . New York, Macmillan Publishing Co Inc, 1968;, pp 618-621.
17 +
Montoye HJ: Physical Activity and Health: An Epidemiologic Study of an Entire Community . Englewood Cliffs, NJ, Prentice-Hall Inc, 1975;.
18 +
Maccoby EE, Jacklin C: Psychology of Sex Differences . Stanford, Calif, Stanford University Press, 1974;.
19 +
Garn SM, Clark DC:  Trends in fatness and the origin of obesity . Pediatrics 1976;;57:443-456.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Gutin B, Trinidad A, Norton C, et al:  Morphological and physiological factors related to endurance performance of 11- to 12-year-old girls . Res Q 1978;;49:44-52.
2 +
Cureton KJ, Boileau RA, Lohman TG, et al:  Determinants of distance running performance in children: Analysis of a path model . Res Q 1977;;48: 270-279.
3 +
Gilliam TB, Katch VL, Thorland W, et al:  Prevalence of coronary heart disease risk factors in active children, 7 to 12 years of age . Med Sci Sports 1977;;9:21-25.
4 +
Cumming GR, Everatt D, Hastman L:  Bruce treadmill test in children: Normal values in a clinic population . Am J Cardiol 1978;;41:69-75.
Link to Article
5 +
Boulton J:  Nutrition in childhood and its relationships to early somatic growth, body fat, blood pressure, and physical fitness . Acta Paediatr Scand , 1981;, (suppl 284) , pp 80-85.
6 +
Morrow JR, Jackson AS, Bell JA:  The function of age, sex and body mass on distance running . Res Q 1978;;49:491-497.
7 +
Waxman M, Stunkard AJ:  Caloric intake and expenditure of obese boys . J Pediatr 1980;;96: 187-193.
Link to Article
8 +
Johnson ML, Burke BS, Mayer J:  Relative importance of inactivity and overeating in the energy balance of obese high school girls . Am J Clin Nutr 1956;;4:37-44.
9 +
Stefanik PA, Heald FP, Mayer J:  Caloric intake in relation to energy output of obese and non-obese adolescent boys . Am J Clin Nutr 1959;;7:55-62.
10 +
Viulle JC, Mellbin T:  Obesity in 10-year-olds: An epidemiologic study . Pediatrics 1979;;64: 564-572.
11 +
Hanson JS:  Exercise responses following production of experimental obesity . J Appl Physiol 1973;;35:587-591.
12 +
Epstein LH, Masek BJ, Marshall WR:  A nutritionally based school program for control of eating in obese children . Behav Ther 1978;;9:766-788.
Link to Article
13 +
Epstein LH, Wing RR, Koeske R, et al:  Child and parent weight loss in family-based behavior modification programs . J Consult Clin Psychol 1981;;49:674-685.
Link to Article
14 +
Epstein LH, Wing RR, Koeske R, et al:  A comparison of lifestyle change and programmed aerobic exercise on weight and fitness changes in obese children . Behav Ther 1982;;13:651-665.
Link to Article
15 +
Taylor HL, Jacobs DR Jr, Schucker B, et al:  A questionnaire for the assessment of leisure time physical activities . J Chronic Dis 1978;;31: 741.
Link to Article
16 +
Robinson CH: Fundamentals of Normal Nutrition . New York, Macmillan Publishing Co Inc, 1968;, pp 618-621.
17 +
Montoye HJ: Physical Activity and Health: An Epidemiologic Study of an Entire Community . Englewood Cliffs, NJ, Prentice-Hall Inc, 1975;.
18 +
Maccoby EE, Jacklin C: Psychology of Sex Differences . Stanford, Calif, Stanford University Press, 1974;.
19 +
Garn SM, Clark DC:  Trends in fatness and the origin of obesity . Pediatrics 1976;;57:443-456.

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