Impact of Different Training Modalities on Anthropometric and Metabolic Characteristics in Overweight/Obese Subjects: A Systematic Review and Network Meta-Analysis

Lukas Schwingshackl*, Sofia Dias, Barbara Strasser, Georg Hoffmann

*Corresponding author for this work

Research output: Contribution to journalReview article (Academic Journal)peer-review

81 Citations (Scopus)
445 Downloads (Pure)

Abstract

Background: The aim of this systematic review of randomized controlled trials was to compare the effects of aerobic training (AET), resistance training (RT), and combined aerobic and resistance training (CT) on anthropometric parameters, blood lipids, and cardiorespiratory fitness in overweight and obese subjects.

Methods: Electronic searches for randomized controlled trials were performed in MEDLINE, EMBASE and the Cochrane Trial Register. Inclusion criteria were: Body Mass Index: >= 25 kg/m 2, 19+ years of age, supervised exercise training, and a minimum intervention period of 8 weeks. Anthropometric outcomes, blood lipids, and cardiorespiratory fitness parameters were included. Pooled effects were calculated by inverse-variance random effect pairwise meta-analyses and Bayesian random effects network meta-analyses.

Findings: 15 trials enrolling 741 participants were included in the meta-analysis. Compared to RT, AET resulted in a significantly more pronounced reduction of body weight [mean differences (MD): -1.15 kg, p = 0.04], waist circumference [MD: -1.10 cm, p = 0.004], and fat mass [MD: -1.15 kg, p = 0.001] respectively. RT was more effective than AET in improving lean body mass [MD: 1.26 kg, p

Conclusion: Evidence from both pairwise and network meta-analyses suggests that CT is the most efficacious means to reduce anthropometric outcomes and should be recommended in the prevention and treatment of overweight, and obesity whenever possible.

Original languageEnglish
Article number82853
Number of pages10
JournalPLoS ONE
Volume8
Issue number12
DOIs
Publication statusPublished - 17 Dec 2013

Keywords

  • RANDOMIZED CONTROLLED-TRIALS
  • C-REACTIVE PROTEIN
  • ALL-CAUSE MORTALITY
  • RESISTANCE EXERCISE
  • AEROBIC EXERCISE
  • RISK-FACTORS
  • INSULIN-RESISTANCE
  • BODY-COMPOSITION
  • ADIPOSE-TISSUE
  • WEIGHT-LOSS

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