Managing health for children and teenagers who are overweight or obese involves more than just weight loss. It is about managing internal markers like insulin and blood pressure that impact long-term health. A review of 12 trials looked at how combining aerobic exercise, like running, with resistance training, like lifting weights, affects these markers compared to doing only cardio or no exercise at all.
The data showed that the combined approach led to a significant drop in fasting insulin levels for these young people. It also showed a tendency toward lower blood pressure and higher adiponectin, which is a hormone that helps regulate metabolism. While some results were consistent, others like cholesterol levels did not show much change across the groups.
It is important to keep these findings in perspective. Because the studies varied so much in how they were designed and many had low-quality evidence for certain markers, we cannot say exactly how much of an impact this will have for every child. These results suggest a promising path for exercise programs, but you should always talk to a doctor to create a safe plan.