Physical Exercise in the Treatment of Obesity and Hypertension: New Approach to Individualize Treatment

  • Pau Redon
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)


Childhood obesity is increasing worldwide and consequently its associated comorbidities, such as obesity-related hypertension. All scientific and clinical guidelines recommend weight loss programs as the initial step to prevent or fight against obesity and obesity-related hypertension in youth.

A key component of these programs is the promotion of physical activity. Scientific evidence reveals positive results regarding the prevention of youth overweight/obesity when (1) performing at least 40 min of daily vigorous physical activity or (2) 60 min of daily moderate-to-vigorous activity, with additional benefits for every 15 min of daily vigorous activity.

Unfortunately, there is no “one size fits all” solution, and physical fitness should be taken into consideration for developing personalized interventions. Physical fitness not only impacts on the outcome of performing physical activity but also is a stronger predictor of future development of adiposity or even of metabolic syndrome than vigorous physical activity time.

Cardiorespiratory fitness is a parameter to assess physical fitness. In youth, it has been revealed to be clinically relevant to effectively fight against childhood obesity, and therefore, its assessment is worth implementing in the healthcare system, just as recently suggested by the American Heart Association.


Obesity Pediatrics Physical fitness Physical activity Cardiorespiratory fitness VO2max VO2peak Cardiopulmonary exercise test Active lifestyle Obesity-related hypertension 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Pau Redon
    • 1
    • 2
  1. 1.Pediatric DepartmentConsorcio Hospital General Universitario de ValenciaValenciaSpain
  2. 2.CIBER Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIMadridSpain

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