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Table 1 Overview of characteristics of trials

From: Impact of physical activity on caloric and macronutrient intake in children and adolescents: a systematic review and meta-analysis of randomized controlled trials

Study

Population

Exercise characteristics

Meal characteristics

Absolute Energy Intake in kcal (mean ± SD)

Statistically significant change in intake (↑, ↓, ↔)

Macronutrients

Statistically significant change in Intake

(↑, ↓, ↔)

Ajibewa et al. 2017 [58]

n: 26 (NR)

Age: 7 – 11 y

BMI: normal weight, not further specified.

Modality: Static stretching, standing and yoga poses 

Duration: 20 x 2 min 

Intensity: Resting heart rate + heart rate reserve * 25%

EE: NR

Pre-Intervention: Three standardized meals

Post-Intervention: One meal ad libitum

CON: 999 ± 62 (SE)

EX: 982 ± 50 (SE)

↔

NR

Modality: Push-ups, sit-ups, and age-appropriate calisthenics 

Duration: 20 x 2 min

Intensity: Resting heart rate + heart rate reserve * 50%

EE: NR

CON: 999 ± 62 (SE)

EX: 926 ± 63 (SE)

↔

Modality: Vigorous calisthenics (e.g., jumping jacks)

Duration: 20 x 2 min 

Intensity: Resting heart rate + heart rate reserve * 75%

EE: NR

CON: 999 ± 62 (SE)

EX: 1016 ± 76 (SE)

↔

n: 13 (NR)

Age: 7 – 11 y

BMI: obese, not further specified.

Modality: Static stretching, standing and yoga poses 

Duration: 20 x 2 min 

Intensity: Resting heart rate + heart rate reserve * 25%

EE: NR

CON: 1145 ± 88 (SE)

EX: 1204 ± 71 (SE)

↔

 

Modality: Push-ups, sit-ups, and age-appropriate calisthenics 

Duration: 20 x 2 min

Intensity: Resting heart rate + heart rate reserve * 50%

EE: NR

CON: 1145 ± 88 (SE)

EX: 1066 ± 89 (SE)

↔

Modality: Vigorous calisthenics (e.g., jumping jacks)

Duration: 20 x 2 min 

Intensity: Resting heart rate + heart rate reserve * 75%

EE: NR

CON: 1145 ± 88 (SE)

EX: 1261 ± 103 (SE)

↔

Bozinovski et al. 2009 [59]

n: 29 (14 m, 15 f)

Age: 12.1 ± 0.4 y

BMI: 54.3rd ± 5.3 percentile

Modality: Treadmill 

Duration: 15 min

Intensity: Ventilation Threshold 

EE: 63 ± 7 kcal

Pre-Intervention: Standardized breakfast

Post-intervention: 250mL water,

pizza meal ad libitum 30 min post-exercise

CON: 1078 ± 101 (SE)

EX: 1060 ± 103 (SE)

↔

NR

Modality: Treadmill 

Duration: 45 min

Intensity: Ventilation Threshold 

EE: 189 ± 14 kcal

CON: 1078 ± 101 (SE)

EX: 1101 ± 92 (SE)

↔

Fearnbach et al. 2016 [60]

n: 15 m

Age: 13.8 ± 1.5 y

BMI: 31.8 ± 4.2 kg/m²

Modality: Cycling

Duration: 45 min

Intensity: 65% VO2max

EE: 399 ± 75 kcal

Pre-Intervention:

Standardized breakfast

CON: 1116 ± 243

EX: 1037 ± 260

↓

Protein (%)

CON: 29.4 ± 7.2

EX: 30.5 ± 6.7

↔

Post-Intervention:

Buffet meal ad libitum

30 min post-exercise

Fat (%)

CON: 16.5 ± 4.2

EX: 16.6 ± 4.2

↔

CHO (%)

CON: 53.4 ± 11.0

EX: 52.3 ± 10.5

↔

Fearnbach, Masterson et al. 2016 [61]

n: 20 (12 m, 8 f)

Age: 10.3 ± 1.1 y

BMI: 41.6 ± 21.7 percentile

Modality: Cycling

Duration: 30 min

Intensity: 70% VO2max

EE: 534 ± 263 kcal

Pre-Intervention:

Standardized breakfast

CON: 2088 ± 497

EX: 2171 ± 566

↔

Protein (kcal)

CON: 196 ± 67

EX: 207 ± 68

↑

Post-Intervention:

Standardized snack;

lunch and dinner meal

ad libitum, timing not

reported

Fat (kcal)

CON: 655 ± 155

EX: 694 ± 181

↑

CHO (kcal)

CON: 1235 ± 295

EX: 1269 ± 337

↔

Fearnbach, Silvert et al. 2017 [62]

n: 14 m

Age: 13.9 ± 1.1 y

BMI: 31.6 ± 4.5 kg/m²

Modality: Cycling

Duration: 45 min

Intensity: 65% VO2max

EE: 373 ± 57 kcal

Pre-Intervention:

Standardized breakfast

CON: 1091 ± 252

EX: 965 ± 214

↓

Protein (%)

CON: 31.1 ± 5.5

EX: 31.8 ± 4.8

↔

Post-Intervention:

Buffet meal ad libitum

30 min post-exercise

Fat (%)

CON: 17.5 ± 3.2

EX: 17.1 ± 3.3

↔

CHO (%)

CON: 50.8 ± 8.3

EX: 50.4 ± 7.7

↔

n: 14 m

Age: 13.7 ± 1.1 y

BMI: 19.2 ± 3.2 kg/m²

Modality: Cycling

Duration: 45 min

Intensity: 65% VO2max

EE: 241 ± 93 kcal

 

CON: 854 ± 362

EX: 744 ± 246

↔

Protein (%)

CON:28.0 ± 7.2

EX: 28.1 ± 5.3

↔

Fat (%)

CON: 16.4 ± 4.9

EX: 16.1 ± 4

↔

CHO (%)

CON: 55.1 ± 11.1

EX: 52.2 ± 8.6

↔

Fillon et al. 2020 [63]

n: 18 (12 m, 6 f)

Age: 12.7 ± 1.3 y

BMI: 33.3 ± 6.5 kg/m²

Modality: Cycling

Duration: 30 min

Intensity: 65% VO2max

EE: 169 ± 44 kcal

Pre-Intervention:

Standardized breakfast

CON: 2175 ± 330

EX: 2277 ± 476

↔

Protein (%)

CON: 21.3 ± 2.5

EX: 21.0 ± 2.0

↔

Post-Intervention:

Buffet lunch meal ad

libitum 30 min post-

exercise;

dinner buffet meal ad

libitum

Fat (%)

CON: 30.7 ± 5.8

EX: 31.2 ± 4.8

↔

CHO (%)

CON: 47.8 ± 7.4

EX: 47.4 ± 6.1

↔

Pre-Intervention:

Standardized breakfast

CON: 2175 ± 330

EX: 1925 ± 360

↓

Protein (%)

CON: 21.3 ± 2.5

EX: 20.6 ± 2.3

↔

Fat (%)

CON: 30.7 ± 5.8

EX: 30.5 ± 5.7

↔

Post-Intervention:

Buffet lunch meal ad libitum 90 min post- exercise;

dinner buffet meal ad libitum

CHO (%)

CON: 47.8 ± 7.4

EX: 48.7 ± 7.3

↔

Fillon, Beaulieu et al. 2020 [64]

n: 17 (9 m, 8 f)

Age: 12.8 ± 1.4 y

BMI: 33.4 ± 5.7 kg/m²

Modality: Cycling 

Duration: 30 min

Intensity: 65% VO2max 

EE: 135 kcal ± NR

Pre-Intervention: Not clearly reported

Post-Intervention: Lunch ad libitum immediately post- exercise;

dinner buffet ad libitum

CON: 1997 ± 514

EX: 1939 ± 501

↔

Protein (%)

CON: NR 

EX: NR

↔

Fat (%) 

CON: NR

EX: NR

↔

CHO (%) 

CON: NR 

EX: NR

↔

Fillon, Mathieu et al. 2020 [65]

n: 15 (6 m, 9 f)

Age: 13.1 ± 1.4 y

BMI: 34.7 ± 6.0 kg/m²

Modality: Cycling

Duration: 30 min

Intensity: 65% VO2max

EE: 186 ± 52 kcal

Pre-Intervention:

Standardized breakfast

CON: 2004 ± 430

EX: 1948 ± 416

↔

Protein (%)

CON: 22.0 ± 2.5

EX: 24.1 ± 3.7

↔

Post-Intervention:Lunch meal ad libitum180 min post-exercise;dinner buffet meal adlibitum

Fat (%)

CON: 30.8 ± 4.8

EX: 27.1 ± 7.0

↔

CHO (%)

CON: 46.9 ± 6.4

EX: 48.7 ± 8.9

↔

Pre-Intervention:

Standardized breakfast

CON: 2004 ± 430

EX: 1820 ± 459↔

Protein (%)

CON: 22.0 ± 2.5

EX: 23.5 ± 3.7

↑

Post-Intervention:

Lunch meal ad libitum

60 min post-exercise;

dinner buffet meal ad

libitum

Fat (%)

CON: 30.8 ± 4.8

EX: 26.7 ± 8.1

↔

CHO (%)

CON: 46.9 ± 6.4

EX: 49.0 ± 10.5

↔

Masurier et al.

2018 [66]

n: 20 f

Age: 13.3 ± 1.0 y

BMI: 31.6 ± 3.9 kg/m²

Modality: cycling

Duration: 20 min

Intensity: Ventilation Threshold

(54.1 ± 5.4% of VO2max)

EE: 117 ± 22 kcal

Pre-Intervention:

Standardized breakfast

CON: 738 ± 320

EX: 854 ± 450

↔

Protein (%)

CON: 16.3 ± 4.2

EX: 18.2 ± 4.5

↔

Post-Intervention:

Buffet meal ad libitum

30 min post-exercise

Fat (%)

CON: 9.7 ± 2.6

EX: 11.5 ± 11.5

↔

CHO (%)

CON: 71.1 ± 13.1

EX: 69.9 ± 7.4

↔

Modality: Cycling

Duration: 40 min

Intensity: Ventilation Threshold

(54.1 ± 5.4% of VO2max)

EE: 235 ± 44 kcal

CON: 738 ± 320

EX: 806 ± 375

↔

Protein (%)

CON: 16.3 ± 4.2

EX: 17.5 ± 3.2

↔

Fat (%)

CON: 9.7 ± 2.6

EX: 11.1 ± 2.7

↔

CHO (%)

CON: 71.1 ± 13.1

EX: 71.0 ± 5.4

↔

Miguet et al. 2018 [67]

n: 33 (12 m, 21 f)

Age: 13.0 ± 0.9 y

BMI: 35 ± 4.3 kg/m²

Modality: Cycling

Duration: 15 min (5x 2 min high,

30 sec. Low intensity)

Intensity: High intensity

intervals

EE: 102 ± 21 kcal

Pre-Intervention:

Standardized breakfast

CON: 2177 ± 471

EX: 2062 ± 460

↓

Protein (%)

CON: 22.6 ± 3.4

EX: 22.7 ± 3.3

↔

Post-Intervention:

Lunch buffet ad libitum

30 min post-exercise;

dinner buffet ad libitum

Fat (%)

CON: 32.7 ± 6.1

EX: 31.9 ± 5.9

↔

CHO (%)

CON: 45.3 ± 7.1

EX: 46.1 ± 7.03

↔

Morris et al. 2018 [68]

n: 10 (5 m, 5 f)

Age: 9.8 ± 0.6 y

BMI: 18.3 ± 2.6 kg/m²

Modality: Sprints

Duration: 22 min (8 x 30 sec)

Intensity: high intensity

intervals

EE: NR

Pre-Intervention:

Same breakfast on both

experimental days

CON: 500 ± 69

EX: 492 ± 84

↔

Protein (g)

CON: 12.7 ± 1.2

EX: 12.5 ± 1.5

↔

Post-Intervention:

Lunch meal ad libitum

5-10 min post-exercise

 

Fat (g)

CON: 23.4 ± 3.2

EX: 22.9 ± 3.7

↔

CHO (g)

CON: 60.2 ± 9.5

EX: 58.4 ± 11.6

↔

Nemet et al. 2010 [69]

n: 22 (7 m, 15 f)

Age: 9.1 ± 0.6 y

BMI: 23.9 ± 0.6 kg/m2

Modality: Aerobic games

Duration: 45 min

Intensity: high

EE: 9.6 kcal / kg Bodyweight

(BW)

Pre-Intervention:

Controlled diet 24h

prior to experimental

days

CON: 806 ± 51 (SE)

EX: 935 ± 81 (SE)

↑

NR

Modality: Swimming

Duration: 45 min

Intensity: moderate

EE: 7.6 kcal / kg BW

Post-Intervention:

Lunch buffet ad libitum

30–45 min post-exercise

CON: 806 ± 51 (SE)

EX: 990 ± 106 (SE)

↑

Modality: Resistance

Duration: 45 min

Intensity: moderate

EE: 6.3 kcal / kg BW

CON: 806 ± 51 (SE)

EX: 779 ± 84 (SE)

↔

n: 22 (5 m, 17 f)

Age: 9.4 ± 0.3 y

BMI: 17.0 ± 0.4 kg/m²

Modality: Aerobic games

Duration: 45 min

Intensity: high

EE: 10.2 kcal / kg BW

 

CON: 604.7 ± 64.5 (SE)

EX: 579.3 ± 34.1 (SE)

↔

Modality: Swimming 

Duration: 45 min 

Intensity: moderate

EE: 8.1 kcal / kg BW

CON: 604.7 ± 64.5 (SE)

EX: 484.9 ± 44.4 (SE)

↔

Modality: Resistance 

Duration: 45 min 

Intensity: moderate

EE: 6.9 kcal / kg BW

CON: 604.7 ± 64.5 (SE)

EX: 435.9 ± 41.8 (SE)

↓

Saunders et al.

2013 [70]

n: 20 (8 m, 12 f)

Age: 12.2 ± 0.9 y

BMI: 18.6 ± 4.3 kg/m²

Modality: Walking

Duration: 2 min every 20 min

(42 min total)

Intensity: low

EE: 744 ± 141 kcal (in 9h)

Pre-Intervention:

Standardized breakfast

CON: 1176 ± 459

EX: 1218 ± 467

↔

Protein (%)

CON: 10.68 ± 2.51

EX: 11.46 ± 3.32

↔

Post-Intervention:

Standardized lunch;

dinner buffet ad libitum

3h post-exercise

Fat (%)

CON: 34.51 ± 7.3

EX: 33.3 ± 8,1

↔

CHO (%)

CON: 54.81 ± 7.6

EX: 55.24 ± 9

↔

Modality: Walking + Treadmill

Duration: 2 min every 20 min

(42 min total) + 40 min treadmill

Intensity: 20 min at 60%

VO2max + 20 min at 30%

VO2max

EE: 970 ± 219 kcal (in 9h)

 

CON: 1176 ± 459

EX: 1265 ± 503

↔

Protein (%)

CON: 10.68 ± 2.51

EX: 10.71 ± 3.13

↔

Fat (%)

CON: 34.51 ± 7.3

EX: 35.61 ± 9.38

↔

CHO (%)

CON: 54.81 ± 7.6

EX: 53.7 ± 9.1

↔

Thivel, Isacco,

Rousset et al. 2011 [71]

n: 12 (5 m, 7 f)

Age: 14.4 ± 1.5 y

BMI: 35.1 ± 7.6 kg/m²

Modality: Cycling

Duration: 30 min

Intensity: 70% VO2max

EE: 298 ± 28 kcal

Pre-Intervention:

Standardized breakfast

CON: 2214 ± 222

EX: 1935 ± 220

↓

Protein (kcal)

CON: 192 ± 33

EX: 206 ± 42

NR

Post-Intervention:

Lunch buffet ad libitum

30 min post-exercise;

dinner buffet ad libitum

Fat (kcal)

CON: 327 ± 66

EX: 373 ± 64

NR

CHO (kcal)

CON: 453 ± 120

EX: 367 ± 76

NR

Thivel, Isacco, Taillardat et al. 2011 [72]

n: 14 (7 m, 7 f)

Age: 14.1 ± 1.8 y

BMI: 33.9 ± 7.5 kg/m²

Modality: Cycling

Duration: 3 x 10 min (2 min rest in between)

Intensity: 70% VO2max

EE: 299 ± 29 kcal

Pre-Intervention: Standardized breakfast

Post-Intervention: Lunch buffet ad libitum 30 min post-exercise;

dinner buffet ad libitum

CON: 1808 ± 301

EX: 1576 ± 394

↓

NR

Thivel et al. 2012 [73]

n: 15 m

Age: 13.5 ± 0.9 y

BMI: 30.7 ± 4.1 kg/m²

Modality: Cycling

Duration: 59 ± 6 min

Intensity: 40% VO2max

EE: 336 ± 50 kcal

Pre-Intervention:

Calibrated breakfast

CON: 3620 ± 694

EX: 3820 ± 584

↔

Protein (%)

CON: 20.72 ± 4.69

EX: 19.5 ± 3.21

↔

Post-Intervention:

Lunch buffet ad libitum

30 min post-exercise;

dinner buffet ad libitum;

breakfast buffet ad

libitum the next

morning

 

Fat (%)

CON: 20.72 ± 4.69

EX: 43.44 ± 9.58

↔

CHO (%)

CON: 34.22 ± 8.73

EX: 37.04 ± 10.36

↔

Modality: CyclingDuration: 30 ± 3 minIntensity: 75% VO2maxEE: 332 ± 47 kcal

 

CON: 3620 ± 694

EX: 3398 ± 694↓

Protein (%)

CON: 20.72 ± 4.69

EX: NR

↔

Fat (%)

CON: 20.72 ± 4.69

EX: NR

↔

CHO (%)

CON: 34.22 ± 8.73

EX: NR

↔

Thivel et al. 2013 [74]

n: 10 (4 m, 6 f)

Age: 13.2 ± 0.9 y

BMI: 33.28 ± 3.65 kg/m²

Modality: Cycling

Duration: 3 x 10 min (1.5 min

break in between)

Intensity: 75% VO2max

EE: 243 ± 21 kcal

Pre-Intervention:

Standardized breakfast

CON: 1787 ± 404

Bedrest: 1869 ± 294

EX: 1307 ± 304

↓

Protein (%)

CON: 25.45 ± 3.93

EX: 29.75 ± 4.11

↑

Post-Intervention:

Lunch buffet ad libitum

30 min post-exercise;

dinner buffet ad libitum

Fat (%)

CON: 14.22 ± 2.24

EX: 16.9 ± 2.34

↑

CHO (%)

CON: 60.32 ± 6.14

EX: 53.28 ± 6.44

↓

Thivel et al. 2014 [75]

n: 10 (4 m, 6 f)

Age: 13.2 ± 0.9 y

BMI: 33.28 ± 3.65 kg/m²

Modality: Cycling

Duration: 3 x 10 min (1.5 min

break in between)

Intensity: 75% VO2max

EE: 243 ± 21 kcal

Pre-Intervention: Standardized breakfast

CON: 1787 ± 404

EX: 1306 ± 304 *

↓

Protein (g)

CON: 111.21 ± 26.25

EX: 96.18 ± 28.8

↔

Post-Intervention:

Lunch buffet ad libitum;

dinner buffet ad libitum,

timing not reported

Fat (g)

CON: 24.84 ± 6.29

EX: 21.48 ± 7.31

↔

* study arm from Thivel et al. 2013

CHO (g)

CON: 276.8 ± 64.48

EX: 180.69 ± 37.19

↓

n: 9 (3 m, 6 f)

Age: 13.3 ± 0.9 y

BMI: 19.11 ± 2.13 kg/m²

Modality: Cycling

Duration: 3 x 10 min (1.5 min

break in between)

Intensity: 75% VO2max

EE: NR

CON: 1226 ± 322

EX: 1238 ± 320

↔

Protein (g)

CON: 86.05 ± 25.24

EX: 83.5 ± 25.33

↔

Fat (g)

CON: 20.06 ± 4.9

EX: 20.05 ± 5.84

↔

CHO (g)

CON: 174.43 ± 49.04

EX: 180 ± 48.4

↔

Thivel et al. 2015 [76]

n: 14 m

Age: 16.1 ± 0.3 y

BMI: 25.8 ± 2.1 kg/m²

Modality: Cycling

Duration: 18 ± 3 min

Intensity: 75% VO2max

EE: 549 ± 3 kcal

Pre-Intervention:

Standardized breakfast

CON: 2702 ± 344

EX: 3097 ± 405

↔

Protein (%)

CON: 33.2 ± 3.7

EX: 29.3 ± 6.3

↔

Post-Intervention:

Lunch buffet ad libitum

30 min post-exercise;

snack buffet ad libitum;

dinner buffet ad libitum

Fat (%)

CON: 13.5 ± 3.8

EX: 19.1 ± 7

↑

CHO (%)

CON: 52.6 ± 5.6

EX: 51.3 ± 10.5

↔

Modality: Rugby session

Duration: 60 min

Intensity: moderate-to-high

EE: 549 ± 3 kcal

 

CON: 2702 ± 344

EX: 2942 ± 294

↔

Protein (%)

CON: 33.2 ± 3.7

EX: 30.4 ± 4.6

↔

Fat (%)

CON: 13.5 ± 3.8

EX: 16.6 ± 4.2

↔

CHO (%)

CON: 52.6 ± 5.6

EX: 51 ± 8.3

↔

Thivel et al. 2017 [77]

n: 14 (7 m, 7 f)

Age: 14.2 ± 1 y

BMI: 36.6 ± 5.0 kg/m²

Modality: Cycling

Duration: until 25% energy

expenditure of energy

consumed during lunch on CON

day

Intensity: 65% VO2max

EE: 254 ± 92 kcal

Pre-Intervention:

Standardized breakfast

CON: 742 ± 297

EX: 971 ± 225

↑

Protein (%)

CON: 17.3 ± 4.5

EX: 14.9 ± 3.2

↔

Post-Intervention:

Lunch buffet ad libitum

90 min post-exercise;

dinner buffet ad libitum

Fat (%)

CON: 21.6 ± 7.8

EX: 36.6 ± 10.9

↔

CHO (%)

CON: 61.1 ± 10.1

EX: 48.3 ± 9.0

↔

Thivel et al. 2020 [78]

n: 14 (6 m, 8 f)

Age: 12.8 ± 0.9 y

BMI: 34.8 ± 5.7 kg/m²

Modality: Cycling Duration: 30 min

Intensity: 65% VO2max

EE: 177 ± 39 kcal

Pre-Intervention: Standardized breakfast

CON: 1769 ± 532

EX: 1678 ± 501

↔

Protein (%) 

CON: NR 

EX: NR

↔

Post-Intervention: Lunch buffet ad libitum 105 min post-exercise; dinner buffet ad libitum

Fat (%) 

CON: NR 

EX: NR

↔

CHO (%) 

CON: NR 

EX: NR

↔

Pre-Intervention: Standardized breakfast

CON: 1769 ± 532

EX: 1849 ± 486

↔

Protein (%) 

CON: NR 

EX: NR

↔

Post-Intervention: Snack to replace exercise induced energy deficit as after-load.

Fat (%) 

CON: NR 

EX: NR

↔

Lunch buffet ad libitum 105 min post-exercise; dinner buffet ad libitum

CHO (%) 

CON: NR 

EX: NR

↔

Varley-Campbell et

al. 2017 [79]

n: 38 (20 m, 18 f)

Age: 13.0 ± 0.3 y

BMI: 16.8 ± 2.2 kg/m²

Modality: Cycling

Duration: until 1 MJ expended.

31 to 56 min (44 ± 7 min)

Intensity: moderate

EE: 239 kcal

Pre-Intervention:

Same breakfast on all

experimental days,  standardized snack in SK groups

CON: 1441 ± 113 (SE)

CON + SK: 1367 ± 94 (SE)

↔

NR

 

Post-Intervention: Lunch pizza meal ad libitum 65 min post- exercise

EX: 1496 ± 111 (SE)

EX + SK: 1450 ± 103 (SE)

↔

SK = Snack (containing 239 kcal)

 
  1. CON Control group, EX Exercise group, VO2max maximal oxygen uptake, VT Ventilation threshold, EE Energy expenditure, NR Not reported, SD standard deviation, SE standard error
  2. ↑ intake significantly higher
  3. ↓ intake significantly lower
  4. ↔ no significant change