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Can School Jump Rope Programs Help Improve Health in Overweight Teens?

Clinical Bottom Line

An RCT finds a 12-week school interval jump rope programme improves body composition, fitness, and glucose and lipid markers in overweight adolescents. PICO summary and commentary.

Summary: In a randomised trial in overweight and obese adolescents, a 12-week interval jump rope programme added to school PE classes improved body composition, fitness, and glucose and lipid markers compared with no training, with the longer-interval format producing slightly greater weight reduction.

PICO Summary

ElementDetail
Population120 adolescents aged 10–13 with overweight/obesity (mean BMI 24.7); randomised controlled trial, China.
InterventionInterval jump rope in PE class, 3×/week for 12 weeks, in short-work (JRE-1, n=40) or long-work (JRE-2, n=40) formats.
ComparisonNo-training control (n=40).
OutcomeBoth jump rope groups improved body mass, BMI, body-fat percentage, cardiorespiratory fitness, fasting glucose, fasting insulin, and triglycerides (p<0.05). LDL-C fell only in JRE-2. Body mass and BMI fell more in JRE-2 than JRE-1, but fitness and glycolipid measures did not differ significantly between the two exercise formats.
RCT BMC Pediatr · 2025

School interval jump rope in overweight teens

RCT · overweight/obese adolescents · 12 weeks

Trial design
120 teens, BMI 24.7, age 10-13 Enrolled & assessed RANDOMISED 1:1:1 Jump rope (JRE-2) Long-work intervals, 3x/wk n = 40 Control No training n = 40 Change in body mass and BMI from baseline
Change from baseline — both arms
body mass Baseline Week 12 -1.92 kg vs JRE-1 Jump rope (JRE-2) Control
Body mass (JRE-2 vs JRE-1)
-1.92 kg
greater reduction
LDL-C (JRE-2)
-2.20 mmol/L
fell only in JRE-2
Glucose, insulin, TG
Improved
both jump rope arms
Fitness (CRF)
Improved
both jump rope arms
⬡ Bottom Line

A 12-week school jump rope programme cut body mass, BMI and body fat and improved fasting glucose, insulin and triglycerides versus no training. The longer-work format gave slightly greater weight loss but no broad superiority.

Expert Commentary

This is a pragmatic and appealing trial because it tackles paediatric obesity, a major driver of future type 2 diabetes and cardiovascular disease, using an intervention that is almost free, needs little space, and fits inside existing school time. The results are coherent and the most clinically reassuring finding is metabolic rather than cosmetic: improvements in fasting glucose, insulin, and triglycerides accompanied the body-composition changes, reinforcing that exercise benefits metabolism through better insulin signalling and not merely weight loss. The comparison of interval formats is a practical bonus, showing flexibility in design, with the longer-work format giving somewhat greater weight reduction but no broad superiority. I would keep the limits in view, a twelve-week single-school study with uncontrolled diet and no long-term follow-up, so sustainability and the independent contribution of any dietary change are unknown, and the population is adolescents rather than established diabetes. Can I use this with my patients? Yes, as everyday counselling. For overweight youth, jump rope is a cheap, accessible, weather-independent option I can recommend to families and schools, framed as part of comprehensive lifestyle change with attention to footwear, surface, and gradual progression to avoid injury.

References

Shao S, Cao M. Integrating interval jump rope exercise into a school setting improve body composition, cardiorespiratory fitness and glycolipid metabolism parameters in adolescents with overweight and obesity: a randomized controlled trial. BMC Pediatr. 2025;25(1):945. doi:10.1186/s12887-025-06320-1

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