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TaggedAPTARAEndTaggedAPTARAFigure   Available online at www.sciencedirect.com

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                                             Journal of Sport and Health Science 13 (2024) 145159

                                                           Review

            TaggedAPTARAH1Effect of resistance training volume on body adiposity, metabolic risk, and

            inflammation in postmenopausal and older females: Systematic review and

                                meta-analysis of randomized controlled trialsTaggedAPTARAEnd
                                                                               f
                                                                                                             b
               TaggedAPTARAPPaulo Ricardo Prado Nunes  a,b,c,d,e, *, P^ amela Castro-e-Souza , Anselmo Alves de Oliveira ,
              Bruno de Freitas Camilo   a,c,d,e , Gislaine Cristina-Souza  a,d,e , Lucio Marques Vieira-Souza  a,e,g ,
                                                                                 f
                                            Marcelo Augusto da Silva Carneiro TaggedAPTARAEnd
                         a
                         TaggedAPTARAP Department of Body and Human Movement, Minas Gerais State University (UEMG), 37902-092 Passos, MG, Brazil
                                    b
                                    University Center of Planalto de Arax a (UNIARAXA), 38180-129 Arax a, MG, Brazil
                   c
                    Physical Activity, Health and Ageing Research Group (GPASE), Minas Gerais State University (UEMG), 37902-092 Passos, MG, Brazil
                        d
                         Exercise and Nutrition Research Group (GPEN), Minas Gerais State University (UEMG), 37902-092 Passos, MG, Brazil
              e
              Sport Sciences and Physical Exercise Study and Research Group  (GEPCEEX), Minas Gerais State University (UEMG), 37902-092 Passos, MG, Brazil
              f Metabolism, Nutrition and Exercise Laboratory, Physical Education and Sport Center, Londrina State University (UEL), 86050-070 Londrina, PR, Brazil
                        g
                         Postgraduate Program in Physical Education, Federal University of Sergipe (UFS), 49107-230 S~ ao Crist ov~ ao, SE, Brazil
           TaggedAPTARAEnd              Received 4 April 2023; revised 25 July 2023; accepted 14 August 2023
                                                     Available online 1 October 2023
              2095-2546/Ó 2024 Published by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license.
                                              (http://creativecommons.org/licenses/by-nc-nd/4.0/)

           TaggedAPTARAPAbstract
           Purpose: This meta-analytical study aimed to explore the effects of resistance training (RT) volume on body adiposity, metabolic risk, and
           inflammation in postmenopausal and older females.
           Methods: A systematic search was performed for randomized controlled trials in PubMed, Scopus, Web of Science, and SciELO. Randomized
           controlled trials with postmenopausal and older females that compared RT effects on body adiposity, metabolic risk, and inflammation with a
           control group (CG) were included. Independent reviewers selected the studies, extracted the data, and performed the risk of bias and certainty of
           the evidence (Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)) evaluations. Total body and abdominal
           adiposity, blood lipids, glucose, and C-reactive protein were included for meta-analysis. A random-effects model, standardized mean difference
           (Hedges’ g), and 95% confidence interval (95%CI) were used for meta-analysis.
           Results: Twenty randomized controlled trials (overall risk of bias: some concerns; GRADE: low to very low) with overweight/obese post-
           menopausal and older females were included. RT groups were divided into low-volume RT (LVRT, »44 sets/week) and high-volume RT (HVRT,
           »77 sets/week). Both RT groups presented improved body adiposity, metabolic risk, and inflammation when compared to CG. However, HVRT
           demonstrated higher effect sizes than LVRT for glucose (HVRT = 1.19; 95%CI: 1.63 to 0.74; LVRT = 0.78; 95%CI:1.15 to 0.41) and
           C-reactive protein (HVRT = 1.00; 95%CI: 1.32 to 0.67; LVRT = 0.34; 95%CI, 0.63 to 0.04)) when compared to CG.
           Conclusion: Compared to CG, HVRT protocols elicit greater improvements in metabolic risk and inflammation outcomes than LVRT in over-
           weight/obese postmenopausal and older females.

           TaggedAPTARAPKeywords: C-reactive protein; Fat mass; Lipid profile; Menopause; Strength trainingTaggedAPTARAEnd



                                                                 levels of body adiposity (particularly abdominal adiposity), 1,2
           TaggedAPTARAH11. IntroductionTaggedAPTARAEnd
                                                                 and an impaired inflammatory and metabolic profile. 3,4  Inter-
             TaggedAPTARAPPost menopause is characterized by loss of ovarian function
                                                                 estingly, during pathological expansion of the adipose tissue
           (i.e., low estrogen levels), which is associated with increased
                                                                 (i.e., obesity), abdominal adiposity has been associated with
                                                                                                          5,6
                                                                 inflammatory and metabolic profile impairments  and an
                                                                 increased risk of non-communicable diseases (e.g., type 2
            TaggedAPTARAEndTaggedAPTARAEnd Peer review under responsibility of Shanghai University of Sport.
            TaggedAPTARAEnd* Corresponding author.               diabetes  mellitus,  breast  cancer,  and  cardiovascular
             E-mail address: paulo.nunes@uemg.br (P.R.P. Nunes).  disease). 714  Moreover, abdominal adiposity 15,16  has been
           https://doi.org/10.1016/j.jshs.2023.09.012
           Cite this article: Nunes PRP, Castro-e-Souza P, de Oliveira AA, et al. Effect of resistance training volume on body adiposity, metabolic risk, and inflammation in
           postmenopausal and older females: Systematic review and meta-analysis of randomized controlled trials. J Sport Health Sci 2024;13:14559.
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