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Comparison of the Effect of Endurance, Strength and Endurance-Strength Training on Glucose and Insulin Homeostasis and the Lipid Profile of Overweight and Obese Subjects: A Systematic Review and Meta-Analysis

Author

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  • Małgorzata Jamka

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

  • Aleksandra Makarewicz-Bukowska

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

  • Kamila Bokayeva

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

  • Angelika Śmidowicz

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

  • Jakub Geltz

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

  • Marta Kokot

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

  • Nina Kaczmarek

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

  • Agnieszka Żok

    (Division of Philosophy of Medicine and Bioethics, Poznan University of Medical Sciences, Rokietnicka Str. 7, 60-806 Poznan, Poland)

  • Victoria Kononets

    (Department of Natural Sciences Disciplines, West Kazakhstan Marat Ospanov Medical University, Maresyev Str. 68, Aktobe 030019, Kazakhstan)

  • Judyta Cielecka-Piontek

    (Department of Pharmacognosy, Poznan University of Medical Sciences, Rokietnicka Str. 3, 60-806 Poznan, Poland)

  • Edyta Mądry

    (Department of Physiology, Poznan University of Medical Sciences, Święcickiego Str. 6, 60-781 Poznan, Poland)

  • Jarosław Walkowiak

    (Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna Str. 27/33, 60-572 Poznan, Poland)

Abstract

The most effective type of training to improve cardiometabolic parameters in overweight subjects is unknown. This meta-analysis compared the effect of endurance, strength and combined training on glucose, insulin metabolism and the lipid profile of overweight and obese adults. The Cochrane, PubMed, Scopus and Web of Science databases were searched to identify randomised trials assessing the effect of training intervention on fasting and 2 h glucose and insulin levels, glycated haemoglobin (HbA1c), homeostatic model assessment of insulin resistance (HOMA), C-peptide, total cholesterol (TC), low- (LDL-C) and high-density lipoprotein cholesterol and triglycerides (TG). Forty-six studies were included showing that endurance training more favourably reduced HbA1c ( p = 0.044), and LDL-C ( p = 0.021) than strength training. Endurance-strength training more effectively decreased glucose ( p = 0.002), HbA1c ( p = 0.032), HOMA ( p = 0.002), TC ( p = 0.039), LDL-C ( p = 0.046), HDL ( p = 0.036) and TG levels ( p = 0.025) than strength training. Combined training significantly reduced the HOMA index ( p = 0.009) and TG levels ( p = 0.039) compared with endurance training. Endurance and endurance-strength training have a more favourable effect on glucose and insulin homeostasis and lipid profile than strength training in overweight and obese adults. However, the results from this meta-analysis should be interpreted cautiously due to significant heterogeneity among included studies.

Suggested Citation

  • Małgorzata Jamka & Aleksandra Makarewicz-Bukowska & Kamila Bokayeva & Angelika Śmidowicz & Jakub Geltz & Marta Kokot & Nina Kaczmarek & Agnieszka Żok & Victoria Kononets & Judyta Cielecka-Piontek & Ed, 2022. "Comparison of the Effect of Endurance, Strength and Endurance-Strength Training on Glucose and Insulin Homeostasis and the Lipid Profile of Overweight and Obese Subjects: A Systematic Review and Meta-," IJERPH, MDPI, vol. 19(22), pages 1-72, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14928-:d:971524
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    References listed on IDEAS

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    1. Carmen Galani & Heinz Schneider, 2007. "Prevention and treatment of obesity with lifestyle interventions: review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(6), pages 348-359, December.
    2. Marzena Ratajczak & Damian Skrypnik & Paweł Bogdański & Edyta Mądry & Jarosław Walkowiak & Monika Szulińska & Janusz Maciaszek & Matylda Kręgielska-Narożna & Joanna Karolkiewicz, 2019. "Effects of Endurance and Endurance–Strength Training on Endothelial Function in Women with Obesity: A Randomized Trial," IJERPH, MDPI, vol. 16(21), pages 1-13, November.
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