Exercise training, dietary intervention, or combined interventions and their effects on lipid profiles in adults with overweight and obesity: A systematic review and meta-analysis of randomized clinical trials

被引:13
|
作者
Khalafi, Mousa [1 ]
Sakhaei, Mohammad Hossein [2 ]
Kazeminasab, Fatemeh [1 ]
Rosenkranz, Sara K. [3 ]
Symonds, Michael E. [4 ]
机构
[1] Univ Kashan, Fac Humanities, Dept Phys Educ & Sport Sci, Kashan, Iran
[2] Univ Guilan, Fac Sport Sci, Dept Exercise Physiol, Guilan, Iran
[3] Univ Nevada Las Vegas, Dept Kinesiol & Nutr Sci, Las Vegas, NV USA
[4] Univ Nottingham, Ctr Perinatal Res, Sch Med, Acad Unit Populat & Lifespan Sci, Nottingham NG7 2UH, England
关键词
Exercise training; Dietary intervention; Lipid profiles; Obesity; CARDIOMETABOLIC RISK-FACTORS; HIGH-DENSITY-LIPOPROTEIN; LIFE-STYLE INTERVENTION; ENERGY-RESTRICTED DIET; WEIGHT-LOSS PROGRAM; HIGH-PROTEIN DIET; FAT-FREE MASS; CALORIC RESTRICTION; BODY-COMPOSITION; POSTMENOPAUSAL WOMEN;
D O I
10.1016/j.numecd.2023.05.024
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
AimsWe performed a systematic review and meta-analysis to compare the effects of Ex (exercise training) vs. DI (dietary intervention) vs. combined Ex and DI on total cholesterol (TC), low-density lipoprotein cholesterol (LDL), triglycerides (TG), and high-density lipoprotein cholesterol (HDL) in adults with overweight and obesity.Data synthesisPubMed, Web of Science, and Scopus were searched to identify original articles published until March 2022, using keywords for the categories "exercise training," "dietary intervention," "overweight and obesity," and "randomized." Studies that included lipid profiles as outcomes and performed in adults with body mass indexes (BMIs) & GE; 25 kg/m(2) were included. A total of 80 studies involving 4804 adult participants were included in the meta-analysis. Ex was not as effective as DI for reducing TC and TG and was less effective for reducing LDL. In addition, Ex increased HDL to a greater extent than DI. Combined interventions decreased TC, TG, and LDL but did not increase HDL more than Ex alone. Combined interventions failed to reduce TC or LDL but decreased TG and increased HDL more than DI alone.ConclusionsOur results suggest that the combination of Ex and DI can be more effective than either Ex or DI alone in improving lipid profiles in adults with overweight and obesity.
引用
收藏
页码:1662 / 1683
页数:22
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