Obesity

Effects of various exercise types on inflammatory response in individuals with overweight and obesity: a systematic review and network meta-analysis of randomized controlled trials

Int J Obes (Lond)Published Systematic review and network meta-analysis of randomised controlled trials

Authors' conclusion

This study highlights the potential of exercise in alleviating the inflammatory status in IOO, with different exercise types showing various effects on specific inflammatory biomarkers. The intensity and duration of exercise had a dose-response relationship with intervention effectiveness. Changes in body composition correlated with the effectiveness of the intervention. COM, AE, and HIIT are recommended exercise approaches.

Study context

Population
Individuals with overweight and obesity (IOO)123 RCTs
Comparison
Exercise types on inflammatory biomarkers
Outcome
Inflammatory biomarkers (leptin, CRP, adiponectin, IL-6, TNF-α, IL-10)
Methodological detailsRCTs in English, January 2000–August 2023, meta-regression, subgroup analyses
  • RCTs in English, January 2000–August 2023
  • Meta-regression
  • Subgroup analyses

Pooled result

As reported in the abstract

Inflammatory biomarkers
  • Different exercise types yielded distinct effects on various inflammatory biomarkers
  • COM and aerobic exercise (AE) most effective for improving leptin
  • AE most effective in reducing CRP and increasing adiponectin
  • High-intensity interval training (HIIT) most effective for ameliorating IL-6, TNF-α and IL-10
  • Resistance training (RT) had the least effect vs other exercise types

Further pooled results

Meta-regression and subgroup analyses

High-intensity AE had a greater effect size than moderate-intensity AE
AE effect on IL-10 positively associated with training period and participant age
Body fat reductions positively correlated with effect sizes of CRP, TNF-α and IL-10
Gender influenced AE effects on IL-6 and TNF-α; females responded better

Original publication

Effects of various exercise types on inflammatory response in individuals with overweight and obesity: a systematic review and network meta-analysis of randomized controlled trials. Int J Obes (Lond). Published 17 October 2024. doi:10.1038/s41366-024-01649-6

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