OBJECTIVE:This study was done to investigate the impact of Radial shock waves on abdominal adiposity and quality of life for obese children. DESIGN: Randomized controlled study. SUBJECTS:30children ranged from 8 to 12 years from both sexes, withbody math index (BMI)> 95 % to 99 % percentile were recruited. METHODS: Group (A): Fifteen obese children were treated with only circuit exercise. (Group (B): Fifteen obese children were treated with circuit exercise and Radial shock wave, for three successive months. Main outcomes: individuals in two groups were evaluated utilizing a reliable and valid weight-height scale, which measured both their height and weight, tape measurementto measure waist circumference, diagnostic medical sonography to assess subcutaneous abdominal fat and Pediatric Quality of Life Inventory (PedsQL) to assess quality of life. Allwere taken as outcome measures before and after the intervention. RESULTS: In both the experimental and control groups, waist circumference, subcutaneous fat, as well as BMI all decreased significantly after treatment compared to baseline. Improvements in PedsQL scores for both children and their parents, as well as reductions in waist size and subcutaneous fat, were statistically significant after treatment. No significant difference in BMI percentile was found between groups post-treatment. CONCLUSION: Adding shock wave to circuit trainingled to additional benefits in reducing central adiposity (waist circumference) and improving quality of life for both children and parents, compared to the control group.