In order to obtain suitable exercise intervention model for children and adolescents with obese or metabolic syndrome in China, we conduct a RCT to examine the effects of different intensity exercise intervention on weight, and other cardiometabolic risk factors among children and adolescents, we also test the effects of exercise interventions on multi-omics such as metabolomics, gut microbiome, genetics, and explore the potential mechanisms by which exercise interventions modulate cardiometabolic risk. This is a randomized controlled study. Children and adolescents with obesity or metabolic syndrome were randomly divided into three groups, including low intensity exercise training group, moderate and intermittent high intensity exercise training group. The investigators will obtain organ hydrodynamics indexes by abdominal ultrasound and computational fluid dynamics technology, and obtain the metabolic regulation mechanism of the body in response to exercise through the detection of metabolism related small molecules in blood and urine and the analysis of intestinal flora, so as to explore the potential value and mechanism of different exercise modes in the treatment of obesity and metabolic syndrome. At the same time, the behavior and self-consciousness of children and adolescents will be investigated to obtain the suitable exercise intervention model for Chinese children and adolescents with obesity and metabolic syndrome. In conclusion, this study aims to demonstrate which exercise mode can alleviate obesity or reverse metabolic diseases, analyze which factors can sense exercise, and explore the potential mechanisms through mutil-omic approach, so as to improve metabolic syndrome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
366
The exercise method is broadcast gymnastics and sports dance. Through the design of different exercise intensities, This arm receives a low-intensity exercise training.
The exercise method is broadcast gymnastics and sports dance. Through the design of different exercise intensities, This arm receives a moderate-intensity exercise training.
The exercise method is broadcast gymnastics and sports dance. Through the design of different exercise intensities, This arm receives a high-intensity exercise training.
Peking University Third Hospital
Beijing, Beijing Municipality, China
RECRUITINGChanges from Baseline Obesity Indicators after 3 months of exercise
BMI in kg/m\^2
Time frame: Before and after three months of exercise training
Changes from Baseline Body Fat Composition after 3 months of exercise
Body fat composition (%)
Time frame: Before and after three months of exercise training
Changes from Baseline Peak Metabolic Equivalent after 3 months of exercise
Peak Metabolic Equivalent in MET
Time frame: Before and after three months of exercise training
Changes from Baseline Blood Pressure after 3 months of exercise
Blood pressure in mmHg
Time frame: Before and after three months of exercise training
Changes from Baseline Fasting Blood Glucose after 3 months of exercise
Fasting Blood Glucose in mmol/L
Time frame: Before and after three months of exercise training
Changes from Baseline Total Serum Cholesterol after 3 months of exercise
Total Serum Cholesterol in mmol/L
Time frame: Before and after three months of exercise training
Changes from Baseline Triglyceride after 3 months of exercise
Triglyceride in mmol/L
Time frame: Before and after three months of exercise training
Changes from Baseline Serum High-density Lipoprotein Cholesterol after 3 months of exercise
Serum High-density Lipoprotein Cholesterol in mmol/L
Time frame: Before and after three months of exercise training
Changes from Baseline Serum Low-density Lipoprotein Cholesterol after 3 months of exercise
Serum Low-density Lipoprotein Cholesterol in mmol/L
Time frame: Before and after three months of exercise training
Changes from Baseline Sexual Hormones after 3 months of exercise
Detection of hormone indicators related to growth and development
Time frame: Before and after three months of exercise training
Changes from Baseline Exercise Performance after 3 months of exercise
VO2max/Kg in mL/min/Kg
Time frame: Before and after three months of exercise training
Changes from Baseline Hepatic Hemodynamic Index after 3 months of exercise
wall shear stress in proper hepatic artery,Pa
Time frame: Before and after three months of exercise training
Changes from Baseline Bone Mineral Density after 3 months of exercise
Using ultrasound bone density instruments for detection
Time frame: Before and after three months of exercise training
Changes from Baseline C-reactive protein after 3 months of exercise
Inflammatory Biomarker C-reactive protein in mg/L
Time frame: Before and after three months of exercise training
Changes from Baseline Oxidative Stress Biomarkers after 3 months of exercise
Oxidative Stress Biomarker MDA in nmol/mL
Time frame: Before and after three months of exercise training
Changes from Baseline Serum Metabolomics after 3 months of exercise
Metabolomics
Time frame: Before and after three months of exercise training
Changes from Baseline Oral and Gut Microbiome after 3 months of exercise
oral and gut microbiome
Time frame: Before and after three months of exercise training
Changes from Baseline Viromics after 3 months of exercise
viromics
Time frame: Before and after three months of exercise training
Exome sequencing and genome sequencing
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genetics
Time frame: At baseline
Changes from Baseline Proteomics after 3 months of exercise
proteomics
Time frame: Before and after three months of exercise training
Changes from Baseline Volatile Organic Compounds in Breath after 3 months of exercise
Collect exhaled gas and use mass spectrometry for small molecule detection
Time frame: Before and after three months of exercise training
Changes from Baseline Attention performance after 3 months of exercise
Attention Survey Questionnaire
Time frame: Before and after three months of exercise training
Changes from Baseline Sleep Quality after 3 months of exercise
Wearing a heart rate monitoring watch to collect data
Time frame: Before and after three months of exercise training
Changes from Baseline Total Thyroid Hormone after 3 months of exercise
Total Thyroid Hormone in nmol/L
Time frame: Before and after three months of exercise training
Changes from Baseline Liver steatosis after 3 months of exercise
Abdominal ultrasound evaluation of the presence of hepatic steatosis
Time frame: Before and after three months of exercise training