Journal of Bone and Mineral Metabolism

, Volume 36, Issue 1, pp 12–30 | Cite as

Effects of interventions with a physical activity component on bone health in obese children and adolescents: a systematic review and meta-analysis

  • Elodie Chaplais
  • Geraldine Naughton
  • David Greene
  • Frederic Dutheil
  • Bruno Pereira
  • David Thivel
  • Daniel Courteix
Review Article


Given the rise in pediatric obesity, clarifications on the relationship between obesity and bone health and on the impact of structured intervention on this relationship are needed. This systematic review and meta-analysis investigated the effect of obesity on bone health and assessed the effect of structured intervention in children and adolescents with obesity. Medline complete, OVID, CINAHL, EMBASE and PubMed databases were searched for studies on obesity and bone health variables up to September 2016, then an update occurred in March 2016. Search items included obesity, childhood, dual energy X-ray absorptiometry and peripheral quantitative computed tomography. Twenty-three studies (14 cross-sectional and nine longitudinal) matched the inclusion criteria. Results from the meta-analysis (cross-sectional studies) confirmed that children and adolescents with obesity have higher bone content and density than their normal weight peers. Results from longitudinal studies remain inconclusive as only 50% of the included studies reported a positive effect of a structured intervention program on bone health. As such, the meta-analysis reported that structured intervention did not influence bone markers despite having beneficial effects on general health in youth with obesity.


Pediatric obesity Bone mineral density Growth Structured intervention 



Authors would like to acknowledge Kathryn Duncan from the Australian Catholic University for her expert guidance with the literature search strategy.

Compliance with ethical standards

Conflict of interest

None of the authors has any conflicts of interest to declare.


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Copyright information

© The Japanese Society for Bone and Mineral Research and Springer Japan KK 2017

Authors and Affiliations

  1. 1.Laboratory of the Metabolic Adaptations to Exercise Under Physiological and Pathological Conditions (AME2P), EA 3533Blaise Pascal UniversityClermont-FerrandFrance
  2. 2.School of Exercise ScienceAustralian Catholic UniversityStrathfieldAustralia
  3. 3.CRNH-AuvergneClermont-FerrandFrance
  4. 4.Occupational MedicineUniversity Hospital CHU G. MontpiedClermont-FerrandFrance
  5. 5.Biostatistics Unit (DRCI)University Hospital CHU G. MontpiedClermont-FerrandFrance
  6. 6.School of Exercise ScienceAustralian Catholic UniversityFitzroyAustralia
  7. 7.Clermont UniversityClermont-FerrandFrance

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