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Table 1 Basic characteristics of the included literature

From: Physical activity interventions for cardiopulmonary fitness in obese children and adolescents: a systematic review and meta-analysis

Study Reference

-Design-

Country

Number of Subjects

Age (range or mean range)

Intervention Description

Intensity

Intervention Duration

Measurement program

Duration of Intervention  (week)

Results

Sex

Thivel et al.(2011) [21]

RCT

France

N:101

6–10

E:PE + AL

C:PE

N/A

60 min

2times weekly

Shuttle run test

cycle peak power

24

Wight*, HRR*, RHR*

(E&C)

Coute de Araujo et al. (2012) [22]

RCT

Brazil

N:30

8–12 岁

Endurance exercise: walking/running exercise

HIIT: Treadmill sprints

Endurance exercise: Medium intensity

HIIT: high intensity

twice a week

A modified Balke treadmill

12

Wight*, SBP*, DBP*

(HIIT)

Yin et al. (2012) [23]

RCT

USA

N:574

8.7 ± 0.5

Daily, Kids4Fit

Medium to high intensity

120 min daily

Step test

156

HR*

(E&C)

Koubaa et al.(2013) [24]

RCT

Tunis

N:29

13 ± 0.8

HIIT, CT

(Continuous training)

IT:80% of the VO2max

CT:60% to 70% of

VO2max

3 times weekly

dynamic test

12

Wight*, SBP*(E)

Racil et al. (2013) [25]

Tunis

N:34

F:34

15.9 ± 0.3

HIIT: running

MIIT: running

C: No intervention

Medium or high intensity

3 times weekly

The maximal test

12

VO2max*

Khan et al.(2014) [26]

RCT

USA

N:220

M:117

F:103

8–9

E: MVPA

C: No intervention

Medium to high intensity

70 min

5 times weekly

Treadmill protocol

39

Wight*, VO2max*

(E)

Farah et al. (2014) [27]

RCT

Brazil

N:19

M:9

F:10

15.1 ± 1.2

HIT, LIT

(Aerobic training on a treadmill)

HIT:100%VT

LIT:80% VT

3 times weekly

Treadmill protocol

24

Wight*, HR*, HRV*

(HIT)

SBP*, DBP*

BP*

(HIT&LIT)

Alberga et al. (2015) [28]

RCT

Canada

N:151

14–18

AE

C: No intervention

medium intensity

N/A

the 2003 Canadian Physical Activity Fitness and Lifestyle Appraisal tests

22

Wight*, VO2max*

(A)

Tan et al. (2015) [29]

RCT

China

M:24

8–10

E: Daily PA

C: No intervention

individualized FATmax intensity

40 min

5 times weekly

Shuttle run test

10

Wight*, VO2max*

(E)

Murphy et al. (2015) [30]

RCT

USA

N:13

M:3

F:10

13.7 ± 2.0

AE

HIIT

65% HRmax

80–90%HRmax

50 min

3 times weekly

Motorized Treadmill Protocol

4

VO2max*

(HIIT & AE)

Martinez et al. (2016) [16]

RCT

Spain

N:94

M:52

F:42

7–9

E:PE + AL

C:PE

High intensity

90 min

2 times weekly

Shuttle run test

Treadmill protocol

13

VO2max*

EPOC*

(E)

Lazzer et al. (2016) [31]

RCT

Italy

N:30

M:30

13.7 ± 2.0

LA

(Walking)

HIIT:100%VO2max

High intensity:70%VO2max

LIT:40%VO2max

37 ± 3 min

31 ± 4 min

45 ± 6 min

3 times weekly

Motorized Treadmill Protocol

3

Wight*, VO2peak*

(HIIT & High intensity)

Kargarfard et al. (2016) [32]

RCT

Iran

N:30

12.3 ± 1.3

HIIT

ET

(Running)

60–90%HRR

60–70%HRR

50-60 min

3 times weekly

Incremental two-phase cycle

8

SBP*, DBP*

(HIIT&ET)

Dias et al. (2017) [18]

RCT

Australia

N:41

M:21

F:20

12.2 ± 2.1

Walking

HIIT:85–95%HRmx

MICT:60–70%HRmax

3 times weekly

Treadmill protocol ramp

Respiratory gas analysis

12

Wight*, VO2peak*

(HIIT)

Son et al. (2017) [33]

RCT

Korea

N:40

F:40

15 ± 1

E: Combined exercise

C: No intervention

60–70% HRR

60 min-

utes per day, 3 times per week

Automatic sphygmomanometer

12

Wight*, SBP*, DBP*

(E)

Sung et al. (2018) [34]

RCT

Korea

N:40

F:40

14–16

E: Jump rope

C: No intervention

medium intensity

50 min per day, 5 times per week

Automatic sphygmomanometer

12

Wight*, SBP*, DBP*, HR*

(E)

Ingul et al. (2018) [35]

RCT

Norway

N:41

M:21

F:20

12.0 ± 2.3

Cycling

HIIT:85–95%HRmax

MICT:60–70%HRmax

3 times weekly

Treadmill Protocol ramp

Respiratory gas analysis

12

SBP*, DBP*

(HIIT&MICT)

Cvetkovic et al. (2018) [36]

RCT

Serbia

N:21

M:21

11–13

The football training

HIIT: Running

100% MAS

N/R

60 min

3 times weekly

Yo − Yo test distance

12

Wight*, RHR*, DBP*, SBP*

(HIIT)

DBP*, SBP*

(The football training)

Morrissey et al. (2018) [37]

non-RCT

France

N:29

M:8

F:21

15.2 ± 1.4

HIIT

MICT

90–95% HRmax

60–70% HRmax

24-32 min

40-60 min

3 times weekly

20mShuttle run test bouts

12

Wight*, RHR*

(HIIT&MICT)

DBP*

(MICT)

Leeuwen et al. (2018) [10]

QES

Netherlands

N:154

M:66

F:88

8.5 ± 1.8

Kds4Fit

N/A

60 min

2times weekly;(First 6 weeks)

1 times weekly (Last 6 weeks)

Shuttle run test

13

VO2max*

BP*

(E)

Ye et al. (2019) [38]

QES

China

N:81

M:42

F:39

9.23 ± 0.62

E:PE + EXG

C:PE

N/A

50 min

1/week

Half-mile run

35

/

Davis et al. (2019) [11]

RCT

USA

N:75

M:29

F:46

9.5–9.8

E: ASAE

C: No intervention

AHR > 140times/min

Daily 40 min

Treadmill protocol

Carotid-femoral pulse wave velocity

35

VO2peak*

(E)

Espinoza-Silva et al. [39] (2019)

RCT

Chile

N:274

M:120

F:154

7–9

E: HIIT

C: No intervention

High intensity

40–50 min

2x/week

6 min walk test

30

VO2max*

(E)

Roh et al. (2020) [40]

RCT

Korea

N:20

12.55 ± 0.51

E: Taekwondo training

C: No intervention

Medium to high intensity

60 min

five times a week

colorimetric assay

16

Wight*, VO2max*

(E)

Leandro et al. (2021) [12]

RCT

Brazil

M:41

7–9

E: PLT

C: No intervention

Medium to high intensity

20 min

3times weekly

automatic arterial blood pressure monitor

13

BP*, RHR*

(E)

Martinez-Viscaiano et al. (2022) [13]

RCT

Spain

N:487

M:233

F:254

9.89 ± 0.71

The MOVI-daFit

High intensity

60 min

4times weekly

Shuttle run test

39

BP*, VO2max*

(E)

Machado et al. (2022) [41]

RCT

Brazil

N:56

10.3 ± 1.8

PE + swimming

PE + sedentary

Medium to high intensity

50 min

2times weekly

20 m Shuttles run test

48

SBP*, DBP*

(Swimming)

Pinho et al. (2023) [42]

QES

Brazil

M:13

8–12

RMST

 > 80%HRmax

80 min

2times weekly

McMaster All-Out Progressive Continuous Cycling Test

12

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  1. N number of respondents, male participants, F female participants, E experimental group, C Control group, PA physical activity, PE Physical Education, Kids4Fit multidisciplinary weight reduction program, FT Football training, MVPA moderate-to-vigorous intensity physical activity, TCT Treadmill cardio training, AE aerobic exercise, LA leisure activities, ET Endurance training, EXG exergaming, ASAE after school aerobic exercise, PLT plyometric training, RMST Recreational Mini Soccer Training Program, HIIT high intensity interval training, MICT Moderate intensity continuous training, LIT Low-intensity training, VT Ventilation threshold, HRmax maximum heart rate, VO2max maximal oxygen consumption, VO2peak peak oxygen uptake, HRR Heart rate reserve, MAS Maximum aerobic speed, AHR Average heart rate, RHR rest heart rate, HR Heart rate, HRV Heart rate variability, LVSEF left ventricular systolic ejection fraction, IVRTglobal global isovolumetric relaxation time, BP blood pressure, SBP Systolic blood pressure, DBP Diastolic blood pressure, EPOC Excess post-exercise oxygen consumption
  2. *Significant improvement