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. 2020 Sep 8;22(2):e13137. doi: 10.1111/obr.13137

TABLE 2.

Summary of studies included in network meta‐analysis indicating the exercise intervention used and the outcome measures reported for comparison within the analysis

Study Country Duration (weeks)

Sample

N/F/M

Mean age (SD) Exercise category

Summary description of exercise intervention

Frequency, intensity, time and type (F.I.T.T.)

Outcome measures reported
Alizadeh et al. 38 Iran 12

15/15/0

15/15/0

15/15/0

34.5 (6.2)

33.1 (7.7)

32.4 (9.5)

CON

AE‐M

AE‐M

No exercise

Continuous walking; 40 min; 65–75% HRmax; 5 days week−1

Intermittent walking; 3 bouts summing up to 40 min; 65–75% HRmax; 5 days week−1

Weight, BMI
Alves et al. 39 Brazil 26

78/78/0

78/78/0

37 (10.6)

39.4 (11.1)

CON

AE‐M

No exercise

Continuous walking; 40 min; 40–60% HRR; 3 days week−1

Weight, BMI
Arad et al. 40 USA 12

14/14/0

14/14/0

30.2 (7)

29.1 (4)

CON

AE‐V

No exercise

HITT: 6 min; 50% HRR, 4 intervals (60 s at 80–90% HRR) and 4 recovery minutes (210 s 50% HRR); 24 min; 3 days week−1

Weight, BMI, %fat, fitness
Arslan 41 Turkey 8

20/20/0

29/29/0

37 (9.1)

41.6 (6.7)

CON

AE‐V

No exercise

Weeks 1–4: 60–70% HRmax; 40 min; 3 days week−1 and then Weeks 5–8: 80% HRmax; 50 min; 3 days week−1 (step‐aerobics)

Weight, BMI, %fat
Bonfante et al. 42 Brazil 26

10/0/10

12/0/12

49.1 (6.2)

49.1 (5.5)

CON

COM‐LM

No exercise

60‐min session; resistance (3 sets of 8–10 max reps) and endurance (walking/running) 60–65% VO2 peak; 3 days week−1

Weight, BMI, WC, %fat, fitness, HDL, TG, FBG
Borg et al. 43 Finland 26

27/0/27

28/0/28

29/0/29

35–50 d

CON

AE‐M

R‐LM

No exercise

60–70% VO2max, 45 min; 3 days week−1

60–75% 1RM, 8 reps/3 sets/6 exercises, 45 min; 3 days week−1

Weight, WC
Chih‐Hui et al. 44 Taiwan 12

12/3/9

12/4/8

12/3/9

12/4/8

20.8 (0.7)

21.8 (0.7)

20.9 (0.4)

20.7 (0.6)

CON

AE‐M

AE‐M

AE‐V

No exercise

40–50% HRR; 60 min; 3 days week−1

60–70% HHR; 60 min; 3 days week−1

70–80% HHR; 60 min; 3 days week−1

Weight, BMI, WC
Church et al. 45 USA 26

96/96/0

145/145/0

90/90/0

96/96/0

57.2 (5.9)

57.9 (6.5)

56.7 (6.4)

56.4 (6.3)

CON

AE‐M

AE‐M

AE‐M

No exercise

73 min week−1; 50% VO2 peak treadmill/cycle ergometer

139 min week−1; 50% VO2 peak treadmill/cycle ergometer

192 min week−1; 50% VO2 peak treadmill/cycle ergometer

Weight, WC, %fat, fitness, HDL, TG, FBG
Croymans et al. 46 USA 12

8/8/0

28/28/0

22.0 (1.5)

21.5 (2.1)

CON

R‐HI

No exercise

3 days week−1; 60 min; 8 global exercises; 2 sets (15 reps); progressing from 100% 15 rep max to 100% 6 rep max

Weight, BMI, WC, %fat, BP
Dengel et al. 47 USA 52

9/0/9

10/0/10

62.8 (2.5)

60.3 (2.4)

CON

AE‐V

No exercise

60% HRR; 30 min; 3 days week−1 progress to 85% HRR; 40 min

Weight, %fat, fitness, FBG
Donges et al. 48 Australia 12

11/0/11

12/0/12

12/0/12

12/0/12

49.5 (2.6)

45.4 (1.7)

51.7 (2.1)

46.2 (1.4)

CON

AE‐V

R‐HI

COM‐HI

No exercise

75–80% HRmax; 40–60 min; 3 days week−1; cycle ergometer

75–80% 1RM; 10 exercises; 3–4 sets; 10 reps; 3 days week−1

50% aerobic as above and 50% resistance as above; 3 days week−1

Weight, %fat, fitness
Donnelly et al. 49 , a USA 42

15/15/0

31/31/0

32/32/0

21.8 (2.6)

22.6 (2.9)

22.6 (3.2)

CON

AE‐V

AE‐V

No exercise

70–80% HRmax; 48 min; 5 days week−1; treadmill

70–80% HRmax; 63 min; 5 days week−1; treadmill

Weight, BMI, %fat, fitness
Donnelly et al. 49 , a USA 42

11/0/11

22/0/22

30/0/30

23.3 (3.4)

23.5 (3.2)

23.3 (3.7)

CON

AE‐V

AE‐V

No exercise

70–80% HRmax; 31 min; 5 days week−1; treadmill

70–80% HRmax; 42 min; 5 days week−1; treadmill

Weight, BMI, %fat, fitness
Foster‐Schubert et al. 50 USA 52

87/87/0

117/117/0

57.4 (4.4)

58.1 (5)

CON

AE‐V

No exercise

70–85% HRmax; 45 min; 5 days week−1; treadmill or bike

Weight, BMI, WC, %fat, fitness
Frank et al. 51 USA 52

86/86/0

87/87/0

60.6 (6.6)

60.7 (6.7)

CON

AE‐M

No exercise

60–75% HRR; 45 min; 5 days week−1

BMI, %fat, TG, FBG
Gram et al. 52 Denmark 26

18/9/9

35/19/16

39/21/18

38/20/18

35

35

33

36

CON

AE‐M

AE‐M

AE‐V

No exercise

320 kcal (f)/425 kcal (m); 5 days week−1, no intensity prescribed

320 kcal (f)/425 kcal (m); 5 days week−1; 50% VO2 peak

320 kcal (f)/425 kcal (m); 5 days week−1; 70% VO2 peak

BMI, fitness, HDL, TG
Herring et al. 53 UK 12

10/−/−

11/−/−

12/−/−

24–68 d

CON

R‐LM

AE‐M

No exercise

60% 1RM; global exercises; 45–60 min; 3 days week−1

50–70% HRmax: 45–60 min; 3 days week−1

BMI, WC, fitness
Hintze et al. 54 Canada 52

34/24/0

36/36/0

29

25

CON

R‐HI

No exercise

70–80% 1RM; global; 45 min; 3 days week−1

Weight, BMI
Ho et al. 15 , b Australia 12

21/−/−

25/−/−

26/−/−

25/−/−

52 (1.8)

55 (1.2)

52 (1.1)

53 (1.3)

CON

AE‐M

R‐ML

COM‐ML

No exercise

60% HRR; 30 min; 5 days week−1; walking

75% 1RM; 5 global exercises × 4 sets, 12 reps

60% HRR; 15 min; 5 days week−1 and 75% 1RM; 5 global exercises × 2 sets, 12 reps

Weight, BMI, WC, %fat, HDL, TG, FBG
Ho et al. 14 , b Australia 12

21/−/−

25/−/−

26/−/−

25/−/−

52 (1.8)

55 (1.2)

52 (1.1)

53 (1.3)

CON

AE‐M

R‐ML

COM‐ML

No exercise

60% HRR; 30 min; 5 days week−1; walking

75% 1RM; 5 global exercises × 4 sets, 12 reps

60% HRR; 15 min; 5 days week−1 and 75% 1RM; 5 global exercises × 2 sets, 12 reps

BP
Irving et al. 55 USA 16

9/9/0

15/15/0

12/12/0

51 (9)

51 (9)

51 (9)

CON

AE‐M

AE‐V

No exercise

RPE 10–12; expenditure 400 kcal; 5 days week−1

RPE 15–17; expenditure 400 kcal; 5 days week−1

Weight, BMI, WC, %fat, fitness, BP, HDL, TG, FBG
Irwin et al. 56 USA 52

86/86/0

85/85/0

60.5 (6.7)

60.6 (6.6)

CON

AE‐M

No exercise

60–75% HRR; 45 min; 5 days week−1

Weight, BMI, %fat
Jabbour 57 , c Canada 8

12/7/5

12/7/5

23.1 (3.3)

22.5 (2.3)

CON

AE‐V

No exercise

~350% of VO2max × 6 s, followed by 2‐min recovery × 6 times; total duration = 15 min; 3 days week−1; cycle ergometer

Weight, BMI, fitness
Jabbour et al. 58 , c Canada 8

12/7/5

12/7/5

23.1 (3.3)

23.3 (3.3)

CON

AE‐V

No exercise

~350% of VO2max × 6 s, followed by 2‐min recovery × 6 times; total duration = 15 min; 3 days week−1; cycle ergometer

Weight, BMI
Keating et al. 59 Australia 8

12/9/3

12/6/6

12/7/5

12/9/3

39.1 (2.9)

44.2 (2.8)

45.5 (2.3)

45.6 (3.6)

CON

AE‐V

AE‐M

AE‐M

No exercise

70% VO2 peak; 45 min; 3 days week−1

50% VO2 peak; 60 min; 4 days week−1

50% VO2 peak; 45 min; 3 days week−1

Weight, BMI, WC, fitness, BP, HDL, TG, FBG
Keating et al. 60 Australia 8

14/12/2

15/13/2

44.2 (2.8)

45.4 (1.9)

CON

R‐HI

No exercise

80–85% 1RM; global exercises; 45–60 min; 3 days week−1

Weight, BMI, WC, fitness, BP, HDL, TG, FBG
Kline et al. 61 USA 12

16/8/9

27/12/15

45.9 (2.2)

47.6 (1.3)

CON

COM‐LM

No exercise

60% HHR × 40 min; 4 days week−1 and 8 global exercises; 2 sets × 12 reps; 2 days week−1

Weight, WC, %fat
Mengistie et al. 62 Ethiopia 12

35/6/29

35/5/30

45.3 (5.4)

46.2 (5.5)

CON

COM‐LM

No exercise

60–80% HRmax; 20 min; 4 days week−1; treadmill or bike and 70% 1RM; 7 exercise (2–3 sets, 12 reps); 20 min

Weight, BMI, WC, %fat, fitness, BP, FBG
Moghasdasi et al. 63 Iran 12

8/0/8

8/0/8

41.2 (6.1)

41.2 (6.1)

CON

AE‐V

No exercise

Treadmill; 75–80% VO2 peak; 45 min; 4 days week−1

Weight, BMI, %fat, fitness, FBG
Mohanka et al. 64 USA 52

86/86/0

85/85/0

60.5 (6.7)

60.6 (6.6)

CON

AE‐M

No exercise

60–75% HRR; 45 min; 5 days week−1

Weight, HDL, TG, fitness
Mora‐Rodriguez et al. 65 Spain 26

20/−/−

20/−/−

54 (9)

54 (9)

CON

AE‐V

No exercise

HITT (90% HRmax × 4 min, 70% HRmax × 3 min) × 45 min; 3 days week−1

Weight, BMI, WC, %fat, fitness, HDL, TG
Nunes et al. 66 Brazil 16

13/13/0

13/13/0

12/12/0

54–65.5 d

CON

R‐ML

R‐ML

No exercise

70% 1RM; global; 3 sets/8–12 reps; 3 days week−1 × 16 weeks

70% 1RM; global; 6 sets/8–12 reps; 3 days week−1 × 16 weeks

BMI, WC, %fat, HDL, TG
Quist et al. 67 Denmark 26

18/9/9

35/19/16

39/20/19

38/20/18

35 (7)

35 (7)

33 (7)

27 (7)

CON

AE‐M

AE‐M

AE‐V

No exercise

Commuting to and from work; 45 min; 5 days

50% VO2max; 55 min; 5 days week−1; treadmill/cycle ergometer

70% VO2max; 37 min; 5 days week−1; treadmill/cycle ergometer

Weight, BMI, fitness
Ross et al. 68 Canada 26

70/49/26

73/49/24

76/49/27

76/49/27

52.2 (8.2)

52.1 (7.4)

50.9 (8.6)

50.3 (8.1)

CON

AE‐M

AE‐M

AE‐V

No exercise

50% VO2 peak; 31 min; 5 days week−1; treadmill

50% VO2 peak; 58 min; 5 days week−1; treadmill

75% VO2 peak; 40 min; 5 days week−1; treadmill

Weight, BMI, WC, %fat, fitness, BP, HDL, TG, FBG
Rustaden et al. 69 Norway 12

36/36/0

37/37/0

35/35/0

35/35/0

40 (10)

30 (10)

38 (9)

42 (11)

CON

R‐HI

R‐HI

R‐HI

No exercise

Body pump; 800 reps between 10 exercises; 60 min; 3 days week−1

80–90% 1RM; 8 global exercises; 45 min; 3 days week−1

80–90% 1RM; 8 global exercises; 45 min; 3 days week−1

Weight, BMI, %fat
Sarsan et al. 21 Turkey 12

24/24/0

26/26/0

26/26/0

43.6 (6.46)

41.7 (7.62)

42.5 (10.7)

CON

AE‐M

R‐ML

No exercise

50–80% HRR; 30–45 min; 5 days week−1; treadmill or bike

40–80% 1RM; 6 global exercises; 30–45 min; 3 days week−1

Weight, BMI, WC, fitness, BP
Schroeder et al. 17 USA 8

17/11/6

17/10/7

17/10/7

18/11/7

58 (6)

58 (7)

57 (9)

58 (7)

CON

AE‐V

R‐HI

COM‐HI

No exercise

85% HRmax; 60 min; 3 days week−1; treadmill or bike

12 global exercises; 3 sets 10–14 maximal repetitions

30 min of aerobic and 30‐min resistance programme

Weight, BMI, WC, %fat, fitness, BP, HDL, TG, FBG
Sheikholeslami‐Vatani et al. 70 Iran 8

10/0/10

10/0/10

10/0/10

23.2 (1.4)

23.2 (1.4)

23.2 (1.4)

CON

COM‐HI

COM‐HI

No exercise

80% HRmax; 10 min and 80% 1RM; 6 global exercises; 3 days week−1

80% HRmax; 10 min and 80% 1RM; 6 global exercises; 3 days week−1

Weight, BMI, %fat
Soori et al. 71 Iran 8

8/8/0

8/8/0

8/8/0

8/8/0

45–60 d

CON

AE‐M

R‐ML

COM‐ML

No exercise

40–75% HRmax; 45 min; 3 days week−1; swimming/water walking

40–60% 1RM; 6 global exercises × 3 sets (12 reps); 3 days week−1

22‐min aerobic (AE‐M); 22‐min resistance (R‐ML) programmes

Weight, BMI, %fat, HDL, TG
Stensvold et al. 13 Norway 12

11/−/−

11/−/−

11/−/−

10/−/−

47.3 (10.2)

49.9 (10.1)

52.9 (10.4)

50.9 (7.6)

CON

AE‐V

R‐HI

COM‐HI

No exercise

90–95% HRR; 4 min; 3‐min recovery; 4 times (45 min); 3 days week−1; treadmill

80% 1RM; 3 sets, 8–12 reps; 5 global exercises; 45 min; 3 days week−1

90–95% HRR; 4 min; 3‐min recovery; 4 times (45 min); 1 day week−1; treadmill and 80% 1RM; 3 sets, 8–12 reps; 5 global exercises; 45 min; 2 days week−1

Weight, BMI, WC, fitness, BP, HDL, TG, FBG
Tjonne et al. 72 Norway 16

10/5/5

10/5/5

12/5/7

49.6 (9)

52 (10.6)

55.3 (13.2)

CON

AE‐M

AE‐V

No exercise

70% HRmax; 45 min; 3 days week−1; walking/running; treadmill

90% HRmax; 4 × 4‐min interval with 3 × 4‐min recovery

Weight, BMI, WC, fitness, BP, HDL
Tong et al. 73 China 12

18/18/0

18/18/0

18/18/0

21.3 (1)

21.3 (1)

20.7 (1.5)

CON

AE‐V

AE‐V

No exercise

80 × 6 s all‐out cycle sprint with 9 s passive recovery; 4 days week−1

90% VO2max × 4 min; 3‐min recovery (until 400 kJ achieved); 4 days week−1

Weight, BMI, %fat, fitness
Tseng et al. 74 Taiwan 12

10/0/10

10/0/10

10/0/10

10/0/10

22 (0.7)

22.2 (1.1)

21.3 (0.6)

22.3 (1)

CON

AE‐M

R‐ML

COM‐ML

No exercise

50–70% HRmax; 60 min; 5 days week−1

50–80% 1RM; 8 global exercises 3 sets × 12 reps; 5 days week−1

Aerobic (AE‐M) × 3 days and resistance (R‐ML) × 2 days

Weight, BMI, WC, BP, TG, FBG
Tumiati et al. 75 Italy 38

25/21/4

27/14/13

51 (11)

48 (12)

CON

COM‐LM

No exercise

10% below maximal intensity reached in the 2kmWT; 50 min; 1 day week−1 and global resistance exercises; 2 days week−1

Weight, BMI, WC, fitness
van Aggel‐Leijssen et al. 76 Netherlands 12

8/8/0

7/7/0

6/6/0

42.5 (6.4)

32.8 (9.6)

37.7 (6.4)

CON

AE‐M

AE‐M

No exercise

40% VO2max; 57 (6) min (250 kcal); 3 days week−1; cycle ergometer

40% VO2max; 57 (6) min (250 kcal); 3 days week−1; cycle ergometer

Weight, BMI, %fat, fitness
van Aggel‐Leijssen et al. 77 Netherlands 12

8/0/8

8/0/8

8/0/8

43.3 (5.4)

43.4 (6.3)

40 (6.3)

CON

AE‐M

AE‐V

No exercise

40% VO2max; 57 (8) min (350 kcal); 3 days week−1; cycle ergometer

70% VO2max; 33 (2) min (350 kcal); 3 days week−1; cycle ergometer

Weight, BMI, %fat, fitness

Note: –/–, gender not reported for specific groups.

Abbreviations: %fat, percentage body fat; 1RM, one repetition maximum; 2kmWT, 2‐km walk test; AE‐M, aerobic moderate intensity; AE‐V, aerobic vigorous intensity; BMI, body mass index; BP, blood pressure; COM‐HI, combination of high‐intensity aerobic and high‐load resistance exercise; COM‐LM, combination of low‐moderate intensity aerobic and low‐moderate load resistance exercise; CON, control group, no exercise; FBG, fasting blood glucose; FIT, fitness; HDL, high‐density lipoprotein; HITT, high‐intensity interval training; HRmax, heart rate maximum; HRR, heart rate reserve; R‐HI, resistance high load; R‐LM, resistance low‐moderate load; RPE, rate of perceived exertion; TG, triglycerides; VO2, oxygen uptake; WC, waist circumference.

a

Donnelly—same study but results for men and women reported separately.

b

Ho—same study but outcomes measures reported in two separate papers.

c

Jabbour—same study but outcome measures reported in two separate papers.

d

Age range for entire study sample not mean (SD).