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Cited by 132

The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.

Effect of exercise on cardiometabolic health of adults with overweight or obesity: focus on blood pressure, insulin resistance, and intrahepatic fat—a systematic review and meta-analysis

Battista, Francesca, Ermolao, Andrea, van Baak, Marleen A., Beaulieu, Kristine, Blundell, John E., Busetto, Luca, Carraça, Eliana V., Encantado, Jorge, Dicker, Dror, Farpour‐Lambert, Nathalie, Pramono, Adriyan, Bellicha, Alice, Oppert, Jean‐Michel·2021·Obesity Reviews
DOI 10.1111/obr.13269
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Abstract

Summary: This systematic review examined the impact of exercise intervention programs on selected cardiometabolic health indicators in adults with overweight or obesity. Three electronic databases were explored for randomized controlled trials (RCTs) that included adults with overweight or obesity and provided exercise‐training interventions. Effects on blood pressure, insulin resistance (homeostasis model of insulin resistance, HOMA‐IR), and magnetic resonance measures of intrahepatic fat in exercise versus control groups were analyzed using random effects meta‐analyses. Fifty‐four articles matched inclusion criteria. Exercise training reduced systolic and diastolic blood pressure (mean difference, MD = −2.95 mmHg [95% CI −4.22, −1.68], p < 0.00001, I 2 = 63% and MD = −1.93 mmHg [95% CI −2.73, −1.13], p < 0.00001, I 2 = 54%, 60 and 58 study arms, respectively). Systolic and diastolic blood pressure decreased also when considering only subjects with hypertension. Exercise training significantly decreased HOMA‐IR (standardized mean difference, SMD = −0.34 [−0.49, −0.18], p < 0.0001, I 2 = 48%, 37 study arms), with higher effect size in subgroup of patients with type 2 diabetes (SMD = −0.50 [95% CI: −0.83, −0.17], p = 0.003, I 2 = 39%). Intrahepatic fat decreased significantly after exercise interventions (SMD = −0.59 [95% CI: −0.78, −0.41], p < 0.00001, I 2 = 0%), with a larger effect size after high‐intensity interval training. In conclusion, exercise training is effective in improving cardiometabolic health in adults with overweight or obesity also when living with comorbitidies.

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Metadata

Authors
Battista, F., Ermolao, A., van Baak, M. A., Beaulieu, K., Blundell, J. E., Busetto, L., Carraça, E. V., Encantado, J., Dicker, D., Farpour‐Lambert, N., Pramono, A., Bellicha, A., & Oppert, J.
Affiliations
  • Sport and Exercise Medicine Division, Department of Medicine University of Padova Padua Italy
  • NUTRIM School of Nutrition and Translational Research in Metabolism, Department of Human Biology Maastricht University Maastricht The Netherlands
  • Appetite Control and Energy Balance Research Group (ACEB), School of Psychology, Faculty of Medicine and Health University of Leeds Leeds UK
  • Obesity Management Task Force (OMTF) European Association for the Study of obesity (EASO)
  • Faculdade de Educação Física e Desporto, CIDEFES Universidade Lusófona de Humanidades e Tecnologias Lisbon Portugal
  • APPsyCI – Applied Psychology Research Center Capabilities &amp; Inclusion ISPA ‐ University Institute Lisbon Portugal
  • INSERM, Nutrition and Obesities: Systemic Approaches (NutriOmics) Sorbonne University Paris France
  • Assistance Publique‐Hôpitaux de Paris (AP‐HP), Pitié‐Salpêtrière hospital, Department of Nutrition, Institute of Cardiometabolism and Nutrition Sorbonne University Paris France
ORCID
Venue
Obesity Reviews
Publisher
Wiley
Published
2021-05-06
Volume
22
Issue
S4
ISSN
  • 1467-7881
  • 1467-789X
DOI
10.1111/obr.13269
Cited by
132
References
41
Language
en
Licence
creativecommons.org/licenses/by/4.0/ (vor)

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