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Attività fisica e regolazione del bilancio metabolico

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Salute & equilibrio nutrizionale
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Conclusioni

Le modificazioni socio-economiche e culturali nelle decadi più recenti hanno promosso uno stile di vita sedentario nelle popolazioni che vivono nelle regioni industrializzate. La riduzione dei fabbisogni energetici dovuti alla ridotta attività fisica e alla sedentarietà è un potente fattore di rischio per l’accumulo di eccessivi depositi di lipidi nell’organismo. Evidenze scientifiche disponibili sostengono la necessità di aumentare l’attività muscolare scheletrica per prevenire e trattare l’obesità. Il razionale di questa scelta si basa sul dispendio energetico indotto dall’attività motoria ma anche sull’importante ruolo giocato dall’ossidazione lipidica nel muscolo scheletrico, ai fini del bilancio lipidico e della regolazione della massa adiposa.

L’allenamento fisico aumenta la flessibilità del rapporto tra carboidrati e grassi ossidati nel muscolo scheletrico, aumentando la sensibilità all’insulina così come tutte le conseguenze metaboliche dell’obesità.

Strategie che comprendono la riduzione della sedentarietà, soprattutto l’esposizione al video, e la promozione di una partecipazione regolare ad attività fisica organizzata (sport) o non organizzata (attività ricreative) di intensità moderata-intensa per almeno 30 minuti al giorno, sono consigliate per tutti i bambini.

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Bibliografia

  1. Lobstein T, Frelut ML (2003) Prevalence of overweight among children in Europe. Obes Rev 4:195–200

    Article  PubMed  CAS  Google Scholar 

  2. Maffeis C, Zaffanello M, Pinelli L et al (1996) Total energy expenditure and patterns of activity in 8–10-year-old obese and nonobese children. J Pediatr Gastroenterol Nutr 23:256–261

    Article  PubMed  CAS  Google Scholar 

  3. Fomon SJ, Haschke F, Ziegler EE et al (1982) Body composition of reference children from birth to age 10 years. Am J Clin Nutr 35:1169–1175

    PubMed  CAS  Google Scholar 

  4. Forbes GB (1987) Human body composition. Growth, aging, nutrition, activity. Springer-Verlag, New York

    Google Scholar 

  5. World Health Organization (1985) Energy and protein requirements: report of a joint FAO/WHO/UNU export consultation. Geneva: World Health Organization

    Google Scholar 

  6. Goran MI (1998) Measurement issues related to studies of childhood obesity: assessment of body composition, body fat distribution, physical activity, and food intake. Pediatrics 101:505–518

    Article  PubMed  CAS  Google Scholar 

  7. Ainsworth BE, Haskell WL, Whitt MC et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exer 32:S498–504

    Article  CAS  Google Scholar 

  8. Maffeis C, Schutz Y, Schena F et al (1993) Energy expenditure during walking and running in obese and nonobese prepubertal children. J Pediatr 123:193–199

    Article  PubMed  CAS  Google Scholar 

  9. Schoeller DA, Ravussin E, Schutz Y et al (1986) Energy expenditure by doubly labeled water: validation in humans and proposed calculation. Am J Physiol 250:R823–830

    PubMed  CAS  Google Scholar 

  10. Maffeis C, Pinelli L, Zaffanello M et al (1995) Daily energy expenditure in free-living conditions in obese and non-obese children: comparison of doubly labelled water (2H2(18)O) method and heart-rate monitoring. Int J Obes Relat Metab Disord 19:671–677

    PubMed  CAS  Google Scholar 

  11. Maffeis C, Schutz Y, Zaffanello M et al (1994) Elevated energy expenditure and reduced energy intake in obese prepubertal children: paradox of poor dietary reliability in obesity? J Pediatr Mar 124:348–354

    Article  CAS  Google Scholar 

  12. Livingstone MB, Cowand WA, Prentice AM et al (1992) Daily energy expenditure in free-living children: comparison of heart-rate monitoring with the doubly labeled water (2H2(18)O) method. Am J Clin Nutr 56:343–352

    PubMed  CAS  Google Scholar 

  13. Rowland TW (1993) Pediatric laboratory exercise testing. Clinical guidelines. Human Kinetics Publishers

    Google Scholar 

  14. Maffeis C, Schena F, Zaffanello M et al (1994) Maximal aerobic power during running and cycling in obese and non-obese children. Acta Paediatr 83:113–116

    PubMed  CAS  Google Scholar 

  15. Schutz Y, Flatt JP, Jequier E (1989) Failure of dietary fat intake to promote fat oxidation: a factor favoring the development of obesity. Am J Clin Nutr 50:307–314

    PubMed  CAS  Google Scholar 

  16. Schutz Y (2004) Concept of fat balance in human obesity revisited with particular reference to de novo lipogenesis. Int J Obes Relat Metab Disord 28:S3–S11

    Article  PubMed  CAS  Google Scholar 

  17. De Glisezinski I, Moro C, Pillard F et al (2003) Aerobic training improves exercise-induced lipolysis in SCAT and lipid utilization in overweight men. Am J Physiol Endocrinol Metab 285:E984–990

    PubMed  Google Scholar 

  18. Richterova B, Stich V, Moro C et al (2004) Effect of endurance training on adrenergic control of lipolysis in adipose tissue of obese women. J Clin Endocrinol Metab 89:1325–1331

    Article  PubMed  CAS  Google Scholar 

  19. Maffeis C, Zaffanello M, Pellegrino M et al (2005) Nutrient oxidation during moderately intense exercise in obese prepubertal boys. J Clin Endocrinol Metab 90:231–236

    Article  PubMed  CAS  Google Scholar 

  20. Ukropcova B, McNeil M, Sereda O et al (2005) Dynamic changes in fat oxidation in human primary myocytes mirror metabolic characteristics of the donor. J Clin Invest 115:1934–1941

    Article  PubMed  CAS  Google Scholar 

  21. Goodpaster BH, Thaete FL, Kelley DE (2000) Thigh adipose tissue distribution is associated with insulin resistance in obesity and in type 2 diabetes mellitus. Am J Clin Nutr 71:885–892

    PubMed  CAS  Google Scholar 

  22. Ritov VB, Menshikova EV, He J et al (2005) Deficiency of subsarcolemmal mitochondria in obesity and type 2 diabetes. Diabetes 54:8–14

    PubMed  CAS  Google Scholar 

  23. Menshikova EV, Ritov VB, Toledo FG et al (2005) Effects of weight loss and physical activity on skeletal muscle mitochondrial function in obesity. Am J Physiol Endocrinol Metab 288:E818–825

    Article  PubMed  CAS  Google Scholar 

  24. Molnar D, Livingstone B (2000) Physical activity in relation to overweight and obesity in children and adolescents. Eur J Pediatr 159Suppl 1:S45–55

    Article  PubMed  Google Scholar 

  25. Zurlo F, Ferraro RT, Fontvielle AM et al (1992) Spontaneous physical activity and obesity: cross-sectional and longitudinal studies in Pima Indians. Am J Physiol 263:E296–300

    PubMed  CAS  Google Scholar 

  26. Davison KK, Birch LL (2002) Obesigenic families: parents’ physical activity and dietary intake patterns predict girls’ risk of overweight. Int J Obes Relat Metab Disord 26:1186–1193

    Article  PubMed  Google Scholar 

  27. Maffeis C (2000) Aetiology of overweight and obesity in children and adolescents. Eur J Pediatr 159[Suppl 1]:S35–44

    Article  PubMed  Google Scholar 

  28. Kimm SY, Glynn NW, Obarzanek E et al (2005) Relation between the changes in physical activity and body-mass index during adolescence: a multicentre longitudinal study. Lancet 366:301–307

    Article  PubMed  Google Scholar 

  29. Moore LL, Nguyen US, Rothman KJ et al (1995) Preschool physical activity level and change in body fatness in young children. The Framingham Children’s Study. Am J Epidemiol 142:982–988

    PubMed  CAS  Google Scholar 

  30. Maffeis C, Zaffanello M, Schutz Y (1997) Relationship between physical inactivity and adiposity in prepubertal boys. J Pediatr 131:288–292. Erratum in: (1998) J Pediatr 132:747

    Article  PubMed  CAS  Google Scholar 

  31. Janssen I, Katzmarzyk PT, Boyce WF et al (2005) Health Behaviour in School-Aged Children Obesity Working Group. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev 6:123–132

    Article  PubMed  CAS  Google Scholar 

  32. Marshall SJ, Biddle SJ, Gorely T et al (2004) Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis. Int J Obes Relat Metab Disord 28:1238–1246

    Article  PubMed  CAS  Google Scholar 

  33. Dennison BA, Erb TA, Jenkins PL (2002) Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics 109:1028–1035

    Article  PubMed  Google Scholar 

  34. Klesges RC, Shelton ML, Klesges LM (1993) Effects of television on metabolic rate: potential implications for childhood obesity. Pediatrics 91:281–286

    PubMed  CAS  Google Scholar 

  35. Halford JC, Gillespie J, Brown V et al (2004) Effect of television advertisements for foods on food consumption in children. Appetite 42:221–225

    Article  PubMed  Google Scholar 

  36. Robinson TN (1999) Reducing children’s television viewing to prevent obesity: a randomized controlled trial. JAMA 282:1561–1567

    Article  PubMed  CAS  Google Scholar 

  37. Paffenbarger RS Jr, Hyde RT, Wing AL et al (1993) The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. N Engl J Med 328:538–545

    Article  PubMed  Google Scholar 

  38. Paffenbarger RS Jr, Hyde RT, Wing AL et al (1986) Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med 314:605–613

    Article  PubMed  Google Scholar 

  39. Lee CD, Blair SN, Jackson AS (1999) Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. Am J Clin Nutr 69:373–380

    PubMed  CAS  Google Scholar 

  40. Rapp K, Schroeder J, Klenk J et al (2005) Obesity and incidence of cancer: a large cohort study of over 145 000 adults in Austria. Br J Cancer [Epub ahead of print]

    Google Scholar 

  41. Gonullu G, Ersoy C, Ersoy A et al (2005) Relation between insulin resistance and serum concentrations of IL-6 and TNF-alpha in overweight or obese women with early stage breast cancer. Cytokine 31:264–269

    Article  PubMed  CAS  Google Scholar 

  42. Stattin P, Soderberg S, Biessy C et al (2004) Plasma leptin and breast cancer risk: a prospective study in northern Sweden. Breast Cancer Res Treat 86:191–196

    Article  PubMed  CAS  Google Scholar 

  43. Hu FB, Willett WC, Li T et al (2004) Adiposity as compared with physical activity in predicting mortality among women. N Engl J Med 351:2694–2703

    Article  PubMed  CAS  Google Scholar 

  44. Wilson DK, Williams J, Evans A et al (2005) Brief report: a qualitative study of gender preferences and motivational factors for physical activity in underserved adolescents. J Pediatr Psychol 30:293–297

    Article  PubMed  Google Scholar 

  45. Epstein LH, Valoski AM, Vara LS et al (1995) Effects of decreasing sedentary behavior and increasing activity on weight change in obese children. Health Psychol 14:109–115

    Article  PubMed  CAS  Google Scholar 

  46. Goran MI, Reynolds KD, Lindquist CH (1999) Role of physical activity in the prevention of obesity in children. Int J Obes Relat Metab Disord Suppl 3:S18–33

    Article  Google Scholar 

  47. Parizkova J, Maffeis C, Poskitt E (2002) Management through activity. In: Burniat W, Cole T, Lissau I, Poskitt E, Cambridge University Press, pp 307–326

    Google Scholar 

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Maffeis, C. (2006). Attività fisica e regolazione del bilancio metabolico. In: Giovannini, M., Maffeis, C., Molinari, E., Scaglioni, S. (eds) Salute & equilibrio nutrizionale. Springer, Milano. https://doi.org/10.1007/88-470-0450-0_7

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  • DOI: https://doi.org/10.1007/88-470-0450-0_7

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