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. 2022 Feb 21;23(5):e13428. doi: 10.1111/obr.13428

TABLE 4.

Overall and subgroup analyses of resistance‐based exercise effects on body weight and body mass index in participants who are overweight or obese

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.

a

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).

b

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).

c

Adjustment after omitting studies in which the confidence intervals did not overlap the estimated pooled effect.