{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T02:44:05Z","timestamp":1788921845231,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Reviews"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to compare 12 exercise interventions on body mass index (BMI) and body fat percentage (BF%) in youth with overweight or obesity using a network meta\u2010analysis to inform intervention and weight management strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a search of Scopus, Embase, Cochrane Library, PubMed, and Web of Science databases for randomized controlled trials examining exercise interventions on body composition in children and adolescents with overweight or obesity, covering all studies available up to October 24, 2025. Two researchers independently screened the literature, extracted data, and assessed the risk of bias in the included studies. Statistical analysis was performed using R.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010three randomized controlled trials involving 2724 children and adolescents with overweight or obesity were included in the analysis. Pairwise meta\u2010analysis revealed that 40% of exercise types showed no significant impact on BMI, and 30% showed no significant impact on BF%. The results from the network meta\u2010analysis were largely consistent with those from pairwise meta\u2010analysis when compared to control groups. The top five interventions for reducing BMI were moderate\u2010intensity continuous training (MICT), high\u2010intensity interval training (HIIT), combined aerobic\u2013resistance training (CT), moderate\u2010to\u2010vigorous aerobic exercise (MVAE), and multicomponent exercise (MCE). For BF%, the top five interventions were CT, resistance training (RT), MICT, HIIT, and MVAE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MICT, CT, and HIIT performed favorably, with outcome\u2010specific advantages. MICT ranked highest for BMI, CT was highest for BF% (SUCRA), and HIIT offered time\u2010efficient benefits across outcomes versus control; results support tailoring modality choice to goals and feasibility to improve adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/obr.70113","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:27:18Z","timestamp":1773005238000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative Effects of 12 Exercise Modalities on Body Mass Index and Body Fat Percentage in Youth With Overweight or Obesity: A Systematic Review and Network Meta\u2010Analysis"],"prefix":"10.1111","volume":"27","author":[{"given":"Jiarong","family":"Wu","sequence":"first","affiliation":[{"name":"School of Physical Education Soochow University  Suzhou 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