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

Małgorzata Jamka, Aleksandra Makarewicz-Bukowska, Kamila Bokayeva, Angelika Śmidowicz, Jakub Geltz, Marta Kokot, Nina Kaczmarek, Agnieszka Żok, Victoria Kononets, Judyta Cielecka-Piontek, Edyta Mądry and Jarosław Walkowiak ()
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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

IJERPH, 2022, vol. 19, issue 22, 1-72

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.

Keywords: physical activity; exercises; overweight; obesity; glucose; insulin; cholesterol (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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