TABLE 4.
Random effect meta‐analysis | Heterogeneity | ||||||
---|---|---|---|---|---|---|---|
k | ES | 95% CI | p‐value | Q | I 2 | p‐value | |
Body weight, kg | |||||||
Overall effect | 103 | −1.8 | −2.6 to −1.0 | <0.001 | 815.8 | 88% | <0.001 |
Without outlier c | 93 | −1.6 | −1.9 to −1.3 | <0.001 | 60.5 | 0% | 0.996 |
Age | |||||||
Children/adolescent | 21 | −1.1 | −2.2 to −0.0 | 0.043 | 33.4 | 40% | 0.031 |
Young adults c | 23 | −1.4 | −2.1 to −0.8 | <0.001 | 10.5 | 0% | 0.981 |
Middle‐aged adults c | 33 | −0.6 | −1.0 to −0.1 | 0.021 | 30.4 | 0% | 0.549 |
Older adults c | 20 | −1.7 | −2.2 to −1.2 | <0.001 | 14.6 | 0% | 0.748 |
Sex | |||||||
Female c | 48 | −1.4 | −1.9 to −0.9 | <0.001 | 31.7 | 0% | 0.958 |
Male | 26 | −1.1 | −2.1 to −0.1 | 0.032 | 32.9 | 24% | 0.133 |
Mixed c | 23 | −1.2 | −1.8 to −0.6 | <0.001 | 29.6 | 26% | 0.128 |
Exercise modality a | |||||||
RET c | 50 | −0.1 | −0.5 to 0.3 | 0.511 | 30.1 | 0% | 0.985 |
RET + Caloric restriction | 6 | −5.3 | −7.6 to −3.0 | <0.001 | 17.0 | 71% | 0.005 |
RET + Low‐sugar diet | 2 | 2.7 | 1.1 to 4.3 | 0.001 | 0.2 | 0% | 0.676 |
COMB c | 44 | −1.9 | −2.5 to −1.3 | <0.001 | 65.1 | 34% | 0.017 |
COMB + Caloric restriction | 8 | −5.6 | −7.8 to −3.4 | <0.001 | 36.7 | 81% | <0.001 |
COMB + Healthy diet | 2 | −3.1 | −7.1 to 0.9 | 0.127 | 3.1 | 68% | 0.078 |
Body mass index, kg·m 2 | |||||||
Overall effect | 83 | −0.6 | −0.9 to −0.3 | <0.001 | 396.2 | 79% | <0.001 |
Without outlier c | 74 | −0.6 | −0.7 to −0.5 | <0.001 | 33.7 | 0% | 0.999 |
Age | |||||||
Children/adolescent | 18 | −0.3 | −0.8 to 0.1 | 0.163 | 30.7 | 45% | 0.022 |
Young adults c | 22 | −0.5 | −0.8 to −0.2 | 0.003 | 19.3 | 0% | 0.563 |
Middle‐aged adults c | 27 | −0.5 | −0.8 to −0.2 | 0.001 | 37.8 | 31% | 0.064 |
Older adults | 14 | −0.6 | −0.8 to −0.4 | <0.001 | 3.2 | 0% | 0.997 |
Sex | |||||||
Female c | 37 | −0.4 | −0.6 to −0.2 | <0.001 | 24.5 | 0% | 0.928 |
Male c | 19 | −0.5 | −0.8 to −0.2 | <0.001 | 15.5 | 0% | 0.630 |
Mixed c | 21 | −0.5 | −0.7 to −0.2 | <0.001 | 21.8 | 8% | 0.351 |
Exercise modality b | |||||||
RET | 43 | −0.1 | −0.3 to 0.1 | 0.209 | 25.6 | 0% | 0.978 |
RET + Caloric restriction | 2 | −2.1 | −3.8 to −0.4 | 0.017 | 0.2 | 0% | 0.622 |
RET + Low‐sugar diet | 2 | 1.6 | 1.0 to 2.1 | <0.001 | 0.5 | 0% | 0.497 |
RET + Protein supplementation | 2 | −0.0 | −1.3 to 1.3 | 0.980 | 0.0 | 0% | 0.879 |
COMB c | 36 | −0.7 | −0.9 to −0.6 | <0.001 | 31.6 | 0% | 0.632 |
COMB + Caloric restriction | 3 | −1.2 | −1.8 to −0.6 | <0.001 | 1.1 | 0% | 0.588 |
Abbreviations: COMB, combined resistance and aerobic exercise; ES, effect size; I 2, percentage of variation across studies that is due to heterogeneity; k, number of studies; Q, Cochran's Q test of heterogeneity; RET, resistance training.
Exercise modalities excluded due to insufficient evidence for body weight: RET + Green tea, ES = 1.7 kg (95% CI: −3.0 to 6.4); RET + Protein supplementation, ES = 0.1 kg (95% CI: −8.3 to 8.5); COMB + + Caloric restriction + Protein supplementation, ES = −4.1 kg (95% CI: −11.7 to 3.4); COMB + Fatty acids, ES = −1.5 kg (95% CI: −8.7 to 5.7); COMB + Isoflavones supplementation, ES = −0.2 kg (95% CI: −8.0 to 7.6); COMB + Low‐sugar diet, ES = −0.5 kg (95% CI: −2.0 to 1.0); COMB + Protein supplementation, ES = −1.5 kg (95% CI: −3.7 to 0.7).
Exercise modalities excluded due to insufficient evidence for body mass index: RET + Ginger supplementation, ES = −0.4 kg·m2 (95% CI: −7.3 to 6.5); RET + Green tea, ES = 1.6 kg·m2 (95% CI: 0.2 to 3.3); COMB + Fatty acids, ES = −0.6 kg·m2 (95% CI: −3.1 to 1.9); COMB + Isoflavones supplementation, ES = −0.1 kg·m2 (95% CI: −2.2 to 2.0).
Adjustment after omitting studies in which the confidence intervals did not overlap the estimated pooled effect.