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
Lobstein T, Frelut ML (2003) Prevalence of overweight among children in Europe. Obes Rev 4:195–200
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
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
Forbes GB (1987) Human body composition. Growth, aging, nutrition, activity. Springer-Verlag, New York
World Health Organization (1985) Energy and protein requirements: report of a joint FAO/WHO/UNU export consultation. Geneva: World Health Organization
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
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
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
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
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
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
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
Rowland TW (1993) Pediatric laboratory exercise testing. Clinical guidelines. Human Kinetics Publishers
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
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
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
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
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
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
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
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
Ritov VB, Menshikova EV, He J et al (2005) Deficiency of subsarcolemmal mitochondria in obesity and type 2 diabetes. Diabetes 54:8–14
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
Molnar D, Livingstone B (2000) Physical activity in relation to overweight and obesity in children and adolescents. Eur J Pediatr 159Suppl 1:S45–55
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
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
Maffeis C (2000) Aetiology of overweight and obesity in children and adolescents. Eur J Pediatr 159[Suppl 1]:S35–44
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
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
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
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
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
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
Klesges RC, Shelton ML, Klesges LM (1993) Effects of television on metabolic rate: potential implications for childhood obesity. Pediatrics 91:281–286
Halford JC, Gillespie J, Brown V et al (2004) Effect of television advertisements for foods on food consumption in children. Appetite 42:221–225
Robinson TN (1999) Reducing children’s television viewing to prevent obesity: a randomized controlled trial. JAMA 282:1561–1567
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
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
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
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]
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
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
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
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
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
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
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
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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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