Overweight Kids Think Better After Exercise

Regular exercise improves the ability of overweight, previously inactive children to think, plan and even do math, Georgia Health Sciences University researchers report.  They hope the findings in 171 overweight 7- to 11-year-olds -- all sedentary when the study started -- gives educators the evidence they need to ensure that regular, vigorous physical activity is a part of every school day, said Dr. Catherine Davis, clinical health psychologist at GHSU's Georgia Prevention Institute and corresponding author on the study in Health Psychology.

"I hope these findings will help reestablish physical activity's important place in the schools in helping kids stay physically well and mentally sharp," Davis said. "For children to reach their potential, they need to be active."

To measure cognition, researchers used the Cognitive Assessment System and Woodcock-Johnson Tests of Achievement III that measure abilities such as planning and academic skills such as math and reading. A subset of the children received functional magnetic resonance imaging highlighting increased or decreased areas of brain activity.

MRIs showed those who exercised experienced increased brain activity in the prefrontal cortex -- an area associated with complex thinking, decision making and correct social behavior -- and decreased activity in an area of the brain that sits behind it. The shift forward appears consistent with more rapidly developing cognitive skills, Davis said.

And the more they exercised, the better the result. Intelligence scores increased an average 3.8 points in those exercising 40 minutes per day after school for three months with a smaller benefit in those exercising 20 minutes daily.

Activity in the part of their brain responsible for so-called executive function also increased in children who exercised. "In kids you just don't know what impact you are going to have when you improve their ability to control their attention, to behave better in school, to make better choices," Davis notes. "Maybe they will be more likely to stay in school and out of trouble."

Similar improvements were seen in math skills; interestingly, no improvements were found in reading skill. Researchers note that improved math achievement was "remarkable" since no math lessons were given and suggests longer intervention could produce even better results.

Children in the exercise program played hard, with running games, hula hoops and jump ropes, raising their heart rates to 79 percent of maximum, which is considered vigorous.

Cognitive improvements likely resulted from the brain stimulation that came from movement rather than resulting cardiovascular improvements, such as increased blood and oxygen supplies, Davis said. "You cannot move your body without your brain."

The researchers hypothesize that such vigorous physical activity promotes development of brain systems that underlie cognition and behavior. Animal studies have shown that aerobic activity increases growth factors so the brain gets more blood vessels, more neurons and more connections between neurons. Studies in older adults have shown exercise benefits the brain and Davis's study extends the science to children and their ability to learn in school.

About one-third of U.S. children are overweight. Davis suspects exercise would have a similar impact on their leaner counterparts.

Source: Medical College of Georgia and By Davis, Catherine L.; Tomporowski, Phillip D.; McDowell, Jennifer E.; Austin, Benjamin P.; Miller, Patricia H.; Yanasak, Nathan E.; Allison, Jerry D.; Naglieri, Jack A. Exercise improves executive function and achievement and alters brain activation in overweight children: A randomized, controlled trial.. Health Psychology, Vol 30(1), Jan 2011, 91-98

See also: Surprising Study Says Inactivity Not The Cause Of Childhood Obesity and Fit Kids Get Better Grades

Surprising Study Says Inactivity Not The Cause Of Childhood Obesity

A new report from the EarlyBird Diabetes Study suggests that physical activity has little if any role to play in the obesity epidemic among children. Obesity is the key factor behind diabetes, heart disease and some cancers.  EarlyBird is based at the Peninsula Medical School in Plymouth, UK, and has been observing in detail a cohort of city school children for the past 11 years.

A review published in 2009 of all trials using physical activity to reduce childhood obesity showed weight loss amounting to just 90g (3oz) over three years, and the EarlyBird study wanted to know why the trials were so ineffective. So they challenged some popular paradigms.

It is well known that less active children are fatter, but that does not mean -- as most people assume it does -- that inactivity leads to fatness. It could equally well be the other way round: that obesity leads to inactivity.

And this is the question EarlyBird was uniquely placed to answer. With data collected annually over several years from a large cohort of children, it could ask the question -- which comes first? Does the physical activity of the child precede changes in fatness over time, or does the fatness of the child precede changes in physical activity over time?

And the answer, published recently in Archives of Disease in Childhood, was clear. Physical activity had no impact on weight change, but weight clearly led to less activity.

The implications are profound for public health policy, because the physical activity of children (crucial to their fitness and well-being) may never improve unless the burgeoning levels of childhood obesity are first checked. If this cannot be achieved through physical activity, the focus has to be on what -- and how much -- children consume.

EarlyBird has already shown how the trajectory leading to obesity is established very early in life, long before children go to school, and how most childhood obesity is associated with obesity in the same-sex parent.

While portion size, calorie-dense snacks and sugary drinks are all important contributors, early feeding errors seem crucial -- and physical activity is not the answer.

Source: Peninsula College of Medicine and Dentistry and Fatness leads to inactivity, but inactivity does not lead to fatness: a longitudinal study in children (EarlyBird 45). Archives of Disease in Childhood, 2010

See also: Fit Kids Get Better Grades and For Kids' Health, Just Let Them Play