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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

2021Journal article Open access
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dc.contributor.authorBattista, Francesca
dc.contributor.authorErmolao, Andrea
dc.contributor.authorVan Baak, Marleen
dc.contributor.authorBeaulieu, Kristine
dc.contributor.authorBlundell, John
dc.contributor.authorBusetto, Luca
dc.contributor.authorCarraça, Eliana V.
dc.contributor.authorEncantado, Jorge
dc.contributor.authorDicker, Dror
dc.contributor.authorFarpour-Lambert, Nathalie
dc.contributor.authorPramono, Adriyan
dc.contributor.authorBellicha, Alice
dc.contributor.authorOppert, Jean-Michel
dc.date.accessioned2021-07-14T23:54:43Z
dc.date.available2021-07-14T23:54:43Z
dc.date.issued2021
dc.description.abstractThis 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, I2  = 63% and MD = -1.93 mmHg [95% CI -2.73, -1.13], p < 0.00001, I2  = 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, I2  = 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, I2  = 39%). Intrahepatic fat decreased significantly after exercise interventions (SMD = -0.59 [95% CI: -0.78, -0.41], p < 0.00001, I2  = 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/acceptedVersionpt_PT
dc.identifier.citationBattista Fpt_PT
dc.identifier.doi10.1111/obr.13269pt_PT
dc.identifier.issn14677881
dc.identifier.urihttp://hdl.handle.net/10400.12/8230
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley-Blackwell Publishing Ltdpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHypertensionpt_PT
dc.subjectInsulin resistancept_PT
dc.subjectMorbid obesitypt_PT
dc.subjectNAFLDpt_PT
dc.subjectPhysical activitypt_PT
dc.subjectMorbid obesity,pt_PT
dc.subjectType 2 diabetespt_PT
dc.titleEffect 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‐analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.endPage15pt_PT
oaire.citation.issueS4pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleObesity Reviewspt_PT
oaire.citation.volume22pt_PT
person.familyNameBattista
person.familyNameErmolao
person.familyNamevan Baak
person.familyNameBeaulieu
person.familyNameBlundell
person.familyNameBusetto
person.familyNameCarraça
person.familyNameConde Encantado Paulo
person.familyNameDicker
person.familyNameFarpour-Lambert
person.familyNamePramono
person.familyNameBellicha
person.familyNameOppert
person.givenNameFrancesca
person.givenNameAndrea
person.givenNameMarleen
person.givenNameKristine
person.givenNameJohn
person.givenNameLuca
person.givenNameEliana
person.givenNameJorge Eduardo
person.givenNameDror
person.givenNameNathalie
person.givenNameAdriyan
person.givenNameAlice
person.givenNameJean-Michel
person.identifier1159747
person.identifier378281
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person.identifier.scopus-author-id55270369800
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person.identifier.scopus-author-id7005513943
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person.identifier.scopus-author-id56825779200
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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