{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T20:03:38Z","timestamp":1790453018270,"version":"4.1.0"},"reference-count":102,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Physiol."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      This meta-analysis aimed to synthesize current evidence and address inconsistencies in the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on children and adolescents with overweight or obesity. We sought to: (1) assess the effects of HIIT and MICT\n                      <jats:italic>versus<\/jats:italic>\n                      non-exercise controls; (2) compare HIIT and MICT directly; and (3) identify potential moderators through subgroup analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Systematic searches were conducted in PubMed, Web of Science, China National Knowledge Infrastructure, and CSTJ. Standardized mean differences (SMD) were calculated using a random-effects model. Subgroup and sensitivity analyses explored potential moderators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 26 moderate-to-high-quality studies (Randomized controlled trials and non-RCT) involving 1,078 participants (765 males, 313 females; aged 9\u201319) were included. Compared with controls, HIIT significantly reduced fat mass (SMD = \u22120.69), waistline (SMD = \u22120.67), body weight (SMD = \u22120.81), diastolic blood pressure (diastolic blood pressure, SMD = \u22120.68), and improved VO\n                      <jats:sub>2<\/jats:sub>\n                      max (SMD = 2.06). moderate-intensity continuous training showed significant effects on BMI (SMD = \u22121.58), body weight (SMD = \u22120.59), DBP (SMD = \u22120.60), and VO\n                      <jats:sub>2<\/jats:sub>\n                      max (SMD = 1.26). HIIT outperformed MICT in improving VO\n                      <jats:sub>2<\/jats:sub>\n                      max (SMD = 0.81) and reducing systolic blood pressure (systolic blood pressure, SMD = \u22120.51). Subgroup analyses showed that HIIT yielded greater benefits than MICT in improving VO\n                      <jats:sub>2<\/jats:sub>\n                      max among overweight children, reducing SBP in obese male adolescents, and in programs involving more than three sessions per week.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      HIIT was more effective than MICT in improving VO\n                      <jats:sub>2<\/jats:sub>\n                      max and reducing SBP, especially in specific subgroups. Running-based HIIT three times per week is recommended, while cycling may offer a safer alternative. Results should be interpreted cautiously due to limited subgroup data and potential bias.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Prospero Registration<\/jats:title>\n                    <jats:p>CRD42024612098.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fphys.2025.1625516","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T05:28:28Z","timestamp":1753853308000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Effects and moderator of high-intensity interval training and moderate-intensity continuous training among children and adolescents with overweight or obese: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"16","author":[{"given":"Weihua","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingyue","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ao","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuming","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansen","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunzhe","family":"Piao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"3809","DOI":"10.26355\/eurrev_202305_32286","article-title":"Effects of moderate-vs. high-intensity interval training on physical fitness, enjoyment, and affective valence in overweight\/obese female adolescents: a pre-\/post-test study","volume":"27","author":"Abassi","year":"2023","journal-title":"Eur. 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