Abstract
Aim. - This review aimed to synthesize current scientific knowledge on the part played by the combination of individualized physical activity and diet in prevention and treatment of the paediatric obesity.
Current. - The physical activity is now recognized like an essential element of the fight against the obesity increase in children and adolescents. In the treatment the last meta-analysis and literature reviews confirm that the best strategy is the reduction of the sedentary behaviours, the increase in the physical activity associated with an education and restriction nutritional. The physical activity must be adapted to the required objective and the possibilities physical and physiological of obese subjects. Combination of diet and individualized physical training drive allows improvement in the body composition, usual index of insulin resistance, the use of the lipids during sub-maximal exercise and the plasma levels of adipokines in obese adolescents.
Conclusion. - Although the prescription of the physical activity or the diet has a beneficial effect on health obese children, the association of both methods resulted in a more significant decrease of levels in cardiovascular risk factors present at this population. (C) 2009 Elsevier Masson SAS. All rights reserved.