dc.creator | Batrakoulis A., Jamurtas A.Z., Metsios G.S., Perivoliotis K., Liguori G., Feito Y., Riebe D., Thompson W.R., Angelopoulos T.J., Krustrup P., Mohr M., Draganidis D., Poulios A., Fatouros I.G. | en |
dc.date.accessioned | 2023-01-31T07:36:35Z | |
dc.date.available | 2023-01-31T07:36:35Z | |
dc.date.issued | 2022 | |
dc.identifier | 10.1161/CIRCOUTCOMES.121.008243 | |
dc.identifier.issn | 19417713 | |
dc.identifier.uri | http://hdl.handle.net/11615/71176 | |
dc.description.abstract | Background: Although regular exercise is recommended for preventing and treating overweight/obesity, the most effective exercise type for improving cardiometabolic health in individuals with overweight/obesity remains largely undecided. This network meta-analysis aimed to evaluate and rank the comparative efficacy of 5 exercise modalities on cardiometabolic health measures in individuals with overweight/obesity. Methods: A database search was conducted in MEDLINE, Embase, Scopus, and Web of Science from inception up to September 2020. The review focused on randomized controlled trials involving exercise interventions consisting of continuous endurance training, interval training, resistance training, combined aerobic and resistance training (combined training), and hybrid-type training. Exercise interventions aimed to improve somatometric variables, body composition, lipid metabolism, glucose control, blood pressure, cardiorespiratory fitness, and muscular strength. The Cochrane risk of bias tool was used to evaluate eligible studies. A random-effects network meta-analysis was performed within a frequentist framework. The intervention ranking was carried out using a Bayesian model where mean and SD were equal to the respective frequentist estimates. Results: A total of 4331 participants (59% female; mean age: 38.7±12.3 years) from 81 studies were included. Combined training was the most effective modality and hybrid-type training the second most effective in improving cardiometabolic health-related outcomes in these populations suggesting a higher efficacy for multicomponent exercise interventions compared to single-component modalities, that is, continuous endurance training, interval training, and resistance training. A subgroup analysis revealed that the effects from different exercise types were mediated by gender. Conclusions: These findings corroborate the latest guidelines on exercise for individuals with overweight/obesity highlighting the importance of a multicomponent exercise approach to improve cardiometabolic health. Physicians and healthcare professionals should consider prescribing multicomponent exercise interventions to adults with overweight/obesity to maximize clinical outcomes. Registration: URL: https://www.crd.york.ac.uk/PROSPERO/; Unique identifier: CRD42020202647. © 2022 Lippincott Williams and Wilkins. All rights reserved. | en |
dc.language.iso | en | en |
dc.source | Circulation: Cardiovascular Quality and Outcomes | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85132454528&doi=10.1161%2fCIRCOUTCOMES.121.008243&partnerID=40&md5=9d551a329e3d2c198a3d25de36c845e3 | |
dc.subject | cholesterol | en |
dc.subject | glucose | en |
dc.subject | hemoglobin A1c | en |
dc.subject | high density lipoprotein | en |
dc.subject | insulin | en |
dc.subject | low density lipoprotein | en |
dc.subject | triacylglycerol | en |
dc.subject | adult | en |
dc.subject | aerobic exercise | en |
dc.subject | anthropometry | en |
dc.subject | Article | en |
dc.subject | blood pressure regulation | en |
dc.subject | body composition | en |
dc.subject | body fat percentage | en |
dc.subject | body mass | en |
dc.subject | cardiorespiratory fitness | en |
dc.subject | cardiovascular function | en |
dc.subject | cholesterol blood level | en |
dc.subject | clinical outcome | en |
dc.subject | comparative effectiveness | en |
dc.subject | diastolic blood pressure | en |
dc.subject | eligibility criteria | en |
dc.subject | Embase | en |
dc.subject | endurance training | en |
dc.subject | exercise | en |
dc.subject | exercise intensity | en |
dc.subject | fat free mass | en |
dc.subject | female | en |
dc.subject | fitness | en |
dc.subject | glucose metabolism | en |
dc.subject | glycemic control | en |
dc.subject | HOMA index | en |
dc.subject | human | en |
dc.subject | hybrid type training | en |
dc.subject | information retrieval | en |
dc.subject | insulin blood level | en |
dc.subject | interval training | en |
dc.subject | lipid metabolism | en |
dc.subject | male | en |
dc.subject | mean arterial pressure | en |
dc.subject | Medline | en |
dc.subject | meta analysis | en |
dc.subject | metabolism | en |
dc.subject | muscle strength | en |
dc.subject | network meta-analysis | en |
dc.subject | obesity | en |
dc.subject | outcome assessment | en |
dc.subject | practice guideline | en |
dc.subject | randomized controlled trial (topic) | en |
dc.subject | resistance training | en |
dc.subject | resting heart rate | en |
dc.subject | Scopus | en |
dc.subject | systematic review | en |
dc.subject | systolic blood pressure | en |
dc.subject | waist circumference | en |
dc.subject | waist hip ratio | en |
dc.subject | Web of Science | en |
dc.subject | Bayes theorem | en |
dc.subject | cardiovascular disease | en |
dc.subject | exercise | en |
dc.subject | middle aged | en |
dc.subject | obesity | en |
dc.subject | Adult | en |
dc.subject | Bayes Theorem | en |
dc.subject | Cardiovascular Diseases | en |
dc.subject | Exercise | en |
dc.subject | Female | en |
dc.subject | Humans | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Network Meta-Analysis | en |
dc.subject | Obesity | en |
dc.subject | Overweight | en |
dc.subject | Randomized Controlled Trials as Topic | en |
dc.subject | Lippincott Williams and Wilkins | en |
dc.title | Comparative Efficacy of 5 Exercise Types on Cardiometabolic Health in Overweight and Obese Adults: A Systematic Review and Network Meta-Analysis of 81 Randomized Controlled Trials | en |
dc.type | journalArticle | en |