Effects of Moderate and High Intensity Exercise on Body Composition and Resting Energy Expenditure in Moroccan Adolescents: A 12-Week Controlled Study
Downloads
Objective: This study aimed to compare the effects of moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT) on body composition, cardiovascular parameters, and resting energy expenditure among overweight Moroccan adolescents.
Methods and Materials: A 12-week controlled intervention study was conducted among 90 Moroccan adolescents aged 12–17 years from middle and high schools in Khemisset, Morocco. Participants were randomly assigned to a control group, MICT group, or HIIT group, with 30 participants in each group. Anthropometric indices, waist-to-hip ratio, fat mass, fat-free mass, systolic and diastolic blood pressure, resting heart rate, and resting energy expenditure were assessed before and after the intervention. Body fat percentage was estimated using Slaughter skinfold equations, and resting energy expenditure was predicted using Müller equations. Data were analyzed using repeated-measures ANOVA and post hoc comparisons.
Findings: Significant BMI reductions were observed in the MICT group, 27.59 ± 1.73 to 26.32 ± 1.57, p= .004, and HIIT group, 27.73 ± 1.85 to 26.32 ± 1.80, p= .004, with a significant time × group interaction, p= .004, η²= .10. Waist-to-hip ratio decreased significantly only in the HIIT group, p= .009. Systolic and diastolic blood pressure decreased in MICT, p= .009 and p= .006, and HIIT, both p< .001. Resting heart rate decreased significantly in MICT and HIIT, both p< .001. Fat mass, fat-free mass, and resting energy expenditure did not change significantly within groups, p> .05.
Conclusion: MICT and HIIT improved BMI and cardiovascular parameters but did not significantly alter resting energy expenditure or detailed body composition.
Downloads
Acar-Tek, N., Ağagündüz, D., Şahin, T. Ö., Baygut, H., Uzunlar, E. A., Zakkour, H. K., & Karaçallı, A. (2023). Validation of predictive equations for resting energy expenditure in children and adolescents with different body mass indexes. Nutrition journal, 22(1), 39. https://doi.org/10.1186/s12937-023-00868-3
Baillot, A., Chenail, S., Barros Polita, N., Simoneau, M., Libourel, M., Nazon, E., Riesco, E., Bond, D. S., & Romain, A. J. (2021). Physical activity motives, barriers, and preferences in people with obesity: A systematic review. PloS one, 16(6), e0253114. https://doi.org/10.1371/journal.pone.0253114
Bandini, L., Flynn, A., & Scampini, R. (2010). Section I: Obesity. Nutrition and Metabolism, 2, 360. https://doi.org/10.1002/9781444327779.ch16
Barreira, J. C., Casal, S., Ferreira, I. C., Oliveira, M. B. P., & Pereira, J. A. (2009). Nutritional, fatty acid and triacylglycerol profiles of Castanea sativa Mill. cultivars: a compositional and chemometric approach. Journal of Agricultural and Food Chemistry, 57(7), 2836-2842. https://doi.org/10.1021/jf803754u
Bartke, A., Brannan, S., Hascup, E., Hascup, K., & Darcy, J. Energy metabolism and aging. World J Mens Health. 2021; 39 (2): 222–32. In. https://doi.org/10.5534/wjmh.200112
Bi, X., Forde, C. G., Goh, A. T., & Henry, C. J. (2019). Basal metabolic rate and body composition predict habitual food and macronutrient intakes: gender differences. Nutrients, 11(11), 2653. https://doi.org/10.3390/nu11112653
Bitar, A., Vernet, J., Coudert, J., & Vermorel, M. (2000). Longitudinal changes in body composition, physical capacities and energy expenditure in boys and girls during the onset of puberty. European Journal of Nutrition, 39(4), 157-163. https://doi.org/10.1007/s003940070019
Bouchard, C., Blair, S. N., Church, T. S., Earnest, C. P., Hagberg, J. M., Häkkinen, K., Jenkins, N. T., Karavirta, L., Kraus, W. E., & Leon, A. S. (2012). Adverse metabolic response to regular exercise: is it a rare or common occurrence? PloS one, 7(5), e37887. https://doi.org/10.1371/journal.pone.0037887
Bratteby, L., Sandhagen, B., Lötborn, M., & Samuelson, G. (1997). Daily energy expenditure and physical activity assessed by an activity diary in 374 randomly selected 15-year-old adolescents. European journal of clinical nutrition, 51(9), 592-600. https://doi.org/10.1038/sj.ejcn.1600450
Butte, N. F., Ekelund, U., & Westerterp, K. R. (2012). Assessing physical activity using wearable monitors: measures of physical activity. Medicine and science in sports and exercise, 44(1 Suppl 1), S5-S12. https://doi.org/10.1249/MSS.0b013e3182399c0e
Colley, R. C., Clarke, J., Doyon, C. Y., Janssen, I., Lang, J. J., Timmons, B. W., & Tremblay, M. S. (2019). Trends in physical fitness among Canadian children and youth. Health reports, 30(10), 3-14. 10.25318/82-003-x201901000001-eng
Corder, K., Ekelund, U., Steele, R. M., Wareham, N. J., & Brage, S. (2008). Assessment of physical activity in youth. Journal of applied physiology, 105(3), 977-987. https://doi.org/10.1152/japplphysiol.00094.2008
de Graauw, S. M., de Groot, J. F., van Brussel, M., Streur, M. F., & Takken, T. (2010). Review of Prediction Models to Estimate Activity‐Related Energy Expenditure in Children and Adolescents. International journal of pediatrics, 2010(1), 489304. https://doi.org/10.1155/2010/489304
Dhuli, K., Naureen, Z., Medori, M. C., Fioretti, F., Caruso, P., Perrone, M. A., Nodari, S., Manganotti, P., Xhufi, S., & Bushati, M. (2022). Physical activity for health. Journal of preventive medicine and hygiene, 63(2 Suppl 3), E150. 10.15167/2421-4248/jpmh2022.63.2S3.2756
Goran, M. I. (1997). Energy expenditure, body composition, and disease risk in children and adolescents. Proceedings of the Nutrition Society, 56(1B), 195-209. https://doi.org/10.1079/PNS19970025
Guo, J.-r., Chen, L.-y., Zhang, X.-l., & Wang, G.-y. (2025). The impact mechanism of physical activity levels on active aging among middle-aged and older adults: an age-period-cohort analysis from 2011 to 2018. BMC Public Health, 25(1), 2803. https://doi.org/10.1186/s12889-025-23829-3
Hao, H., Yuan, Y., Li, J., Zhao, D., Li, P., Sun, J., & Zhou, C. (2024). Association between physical activity and health-related quality of life among adults in China: the moderating role of age. Frontiers in public health, 12, 1334081. https://doi.org/10.3389/fpubh.2024.1334081
Harrell, J. S., McMurray, R. G., Baggett, C. D., Pennell, M. L., Pearce, P. F., & Bangdiwala, S. I. (2005). Energy costs of physical activities in children and adolescents. Medicine & Science in Sports & Exercise, 37(2), 329-336. https://doi.org/10.1249/01.MSS.0000153115.33762.3F
Hoffman, D. J., Sawaya, A. L., Coward, W. A., Wright, A., Martins, P. A., de Nascimento, C., Tucker, K. L., & Roberts, S. B. (2000). Energy expenditure of stunted and nonstunted boys and girls living in the shantytowns of Sao Paulo, Brazil. The American journal of clinical nutrition, 72(4), 1025-1031. https://doi.org/10.1093/ajcn/72.4.1025
Hoos, M. B., Gerver, W.-J. M., Kester, A. D., & Westerterp, K. R. (2003). Physical activity levels in children and adolescents. International journal of obesity, 27(5), 605-609. https://doi.org/10.1038/sj.ijo.0802246
Kapoor, G., Chauhan, P., Singh, G., Malhotra, N., & Chahal, A. (2022). Physical activity for health and fitness: past, present and future. Journal of lifestyle medicine, 12(1), 9. https://doi.org/10.15280/jlm.2022.12.1.9
Kua, P. S., Albakri, M., Tay, S. M., Thong, P. S.-E., Xia, O. J., Chua, W. H. P., Chong, K., Tan, N. W. K., Loh, X. H., & Tan, J. H. (2025). Novel resting energy expenditure prediction equations for multi-ethnic Asian older adults with multimorbidity. Nutrients, 17(13), 2144. https://doi.org/10.3390/nu17132144
Lazzer, S., Lafortuna, C., Busti, C., Galli, R., Agosti, F., & Sartorio, A. (2011). Effects of low-and high-intensity exercise training on body composition and substrate metabolism in obese adolescents. Journal of endocrinological investigation, 34(1), 45-52. https://doi.org/10.1007/BF03346694
Malm, C., Jakobsson, J., & Isaksson, A. (2019). Physical activity and sports—real health benefits: a review with insight into the public health of Sweden. Sports, 7(5), 127. https://doi.org/10.3390/sports7050127
Manini, T. M. (2010). Energy expenditure and aging. Ageing research reviews, 9(1), 1-11. https://doi.org/10.1016/j.arr.2009.08.002
Piggin, J. (2020). What is physical activity? A holistic definition for teachers, researchers and policy makers. Frontiers in sports and active living, 2, 72. https://doi.org/10.3389/fspor.2020.00072
Porter, J., Ward, L. C., Nguo, K., Ward, A., Davidson, Z., Gibson, S., Prentice, R., Neuhouser, M. L., & Truby, H. (2024). Development and validation of age-specific predictive equations for total energy expenditure and physical activity levels for older adults. The American journal of clinical nutrition, 119(5), 1111-1121. https://doi.org/10.1016/j.ajcnut.2024.02.005
Prado-Nóvoa, O., Howard, K. R., Laskaridou, E., Zorrilla-Revilla, G., Reid, G. R., Marinik, E. L., Davy, B. M., Stamatiou, M., Hambly, C., & Speakman, J. R. (2024). Validity of predictive equations for total energy expenditure against doubly labeled water. Scientific Reports, 14(1), 15754. https://doi.org/10.1038/s41598-024-66767-7
Pulido, L. H. P., Díaz, C. H. M., Manrrique, A. C., Mejía, J. A. C., Restrepo, A. V., Garzón, K. A., Aristizabal, A. A., Cardona, W. A., & Ríos, Á. J. R. (2021). Asociación entre la composición corporal y la condición física en estudiantes de grado sexto, pertenecientes a la institución educativa moderna de Tuluá, Colombia año 2019 (Association between body composition and the physical condition in sixth grade st. Retos, 39, 539-546. https://doi.org/10.47197/retos.v0i39.77988
Roemmich, J. N., Clark, P. A., Walter, K., Patrie, J., Weltman, A., & Rogol, A. (2000). Pubertal alterations in growth and body composition. V. Energy expenditure, adiposity, and fat distribution. American Journal of Physiology-Endocrinology and Metabolism, 279(6), E1426-E1436. https://doi.org/10.1152/ajpendo.2000.279.6.E1426
Yamauchi, T., Nio, Y., Maki, T., Kobayashi, M., Takazawa, T., Iwabu, M., Okada-Iwabu, M., Kawamoto, S., Kubota, N., & Kubota, T. (2007). Targeted disruption of AdipoR1 and AdipoR2 causes abrogation of adiponectin binding and metabolic actions. Nature medicine, 13(3), 332-339. https://doi.org/10.1038/nm1557
Zakeri, I., Puyau, M. R., Adolph, A. L., Vohra, F. A., & Butte, N. F. (2006). Normalization of energy expenditure data for differences in body mass or composition in children and adolescents. The Journal of nutrition, 136(5), 1371-1376. https://doi.org/10.1093/jn/136.5.1371
Copyright (c) 2026 International Journal of Body, Mind and Culture

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.








