Page 30 - 《运动与健康科学》(英文)2024年第2期
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TaggedAPTARAEnd152                                                                          P.R.P. Nunes et al.
         Table 3
         TaggedAPTARACaptionMeta-analysis performed on the effects of LVRT on body adiposity, metabolic risk, and inflammation in postmenopausal and older females.  TaggedAPTARAEnd
                                                                                  2
                                      LVRT (n)TaggedAPTARAEnd  CG (n)TaggedAPTARAEnd  SMD (95%CI)TaggedAPTARAEnd  kTaggedAPTARAEnd  I TaggedAPTARAEnd  Overall effect (p)TaggedAPTARAEnd  GRADETaggedAPTARAEndTaggedAPTARAEndTaggedAPTARAEndTaggedAPTARATbody
         Body adiposityTaggedAPTARAEnd                                                                      TaggedAPTARAEnd
                        a                                                                                      c,d
           Total body adiposity TaggedAPTARAEnd  198TaggedAPTARAEnd  186TaggedAPTARAEnd  0.29 (0.50 to 0.09)*TaggedAPTARAEnd  9TaggedAPTARAEnd  0%, p = 0.82TaggedAPTARAEnd  <0.01TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                        b                                               ,y                                     c,d
           Abdominal adiposity TaggedAPTARAEnd  118TaggedAPTARAEnd  114TaggedAPTARAEnd  0.35 (0.61 to 0.09)* TaggedAPTARAEnd  4TaggedAPTARAEnd  0%, p = 0.66TaggedAPTARAEnd  <0.01TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
         Serum metabolic risk and inflammationTaggedAPTARAEnd                                                TaggedAPTARAEnd
                                                                                                               c,d
           TCTaggedAPTARAEnd          92TaggedAPTARAEnd  86TaggedAPTARAEnd  0.47 (0.83 to 0.11)*TaggedAPTARAEnd  4TaggedAPTARAEnd  28%, p = 0.23TaggedAPTARAEnd  0.01TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                               c,d
           LDL-cTaggedAPTARAEnd       92TaggedAPTARAEnd  86TaggedAPTARAEnd  0.76 (1.15 to 0.36)*TaggedAPTARAEnd  4TaggedAPTARAEnd  37%, p = 0.17TaggedAPTARAEnd  <0.01TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                               c,d
           HDL-cTaggedAPTARAEnd       92TaggedAPTARAEnd  86TaggedAPTARAEnd  0.27 (0.09 to 0.62)TaggedAPTARAEnd  4TaggedAPTARAEnd  28%, p = 0.24TaggedAPTARAEnd  0.14TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                               c,d
           TGTaggedAPTARAEnd          92TaggedAPTARAEnd  86TaggedAPTARAEnd  0.29 (0.59 to 0.00)TaggedAPTARAEnd  4TaggedAPTARAEnd  0%, p = 0.75TaggedAPTARAEnd  0.05TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                               c,d
           GlucoseTaggedAPTARAEnd     95TaggedAPTARAEnd  88TaggedAPTARAEnd  0.78 (1.15 to 0.41)*TaggedAPTARAEnd  4TaggedAPTARAEnd  32%, p = 0.21TaggedAPTARAEnd  <0.01TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                               c,d
           CRPTaggedAPTARAEnd         95TaggedAPTARAEnd  88TaggedAPTARAEnd  0.34 (0.63 to 0.04)*TaggedAPTARAEnd  4TaggedAPTARAEnd  0%, p = 0.99TaggedAPTARAEnd  0.02TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEndTaggedAPTARAEnd
         Note: Total volume = number of exercises £ number of sets per exercise £ number of reps per exercise £ number of exercise sessions per week £ weeks of inter-
         vention (LVRT median value was 5760 arbitrary units).TaggedAPTARAEnd
         a
           Outcome analyzed with anthropometric, dual energy X-ray absorptiometry and bioelectrical impedance analysis (kg and %). When the study had kg and % data,
         preference was given to data in kg.
         b
           Outcome analyzed with dual energy X-ray absorptiometry (kg), and bioelectrical impedance (%) analysis. To avoid redundancy outcomes, only trunk fat (kg)
                                   62
         was extracted from the Cavalcante et al.
         c
           Downgraded by 1 level due to indirectness of evidence (only 3 studies directly compared LVRT with HVRT and/or surrogate outcomes).
         d
           Downgraded by 1 level due to imprecision of results (small sample size and large 95%CI).
         * p < 0.05 favors RT compared to CG.
         y
           Without outlier studies.
         Abbreviations: 95%CI = 95% confidence interval; CG = control group; CRP = C-reactive protein; GRADE = certainty of the evidence (Grading of Recommenda-
                                                                         2
         tions, Assessment, Development, and Evaluation); HDL-c = high-density lipoprotein cholesterol; I = heterogeneity; k = number of studies; LDL-c = low-density
         lipoprotein cholesterol; LVRT = low-volume resistance training group; SMD = standardized mean difference; TC = total cholesterol; TG = triglycerides.
         for TC, »135 mg/dL for LDL-c, »58 mg/dL for HDL-c,    TaggedAPTARAH23.3. Characteristics of the interventions and comparatorsTaggedAPTARAEnd
         »130 mg/dL for TG, »100 mg/dL for fasting glucose, and
                                                                  TaggedAPTARAPThe characteristics of the interventions and comparators
         »3 mg/L for CRP. One study was conducted with female nursing  included in the systematic review with meta-analysis are
         home residents 78  (n = 20) (Table 1). According to the studies, a  presented in Table 2. The LVRT (n = 223 females) presented the
         total of 309 females were characterized as older adults 6567,7477
                                                               following variables in mean § SD: 7.7 § 1.6 exercises performed
         (age  60 years) and the remainder as postmenopausal  with 10.3 § 1.6 repetitions/exercise, 2.3 § 1.0 sets/exercise, 1.7
         females 48,52,6164,6873,78  (age  45 years and spontaneous
                                                               § 0.4 min recovery, 2.6 § 0.5 times/week, for 10.1 § 2.0 weeks.
         amenorrhea).TaggedAPTARAEnd
         Table 4
         TaggedAPTARACaptionMeta-analysis performed on the effects of HVRT on body adiposity, metabolic risk, and inflammation in postmenopausal and older females.  TaggedAPTARAEnd
                                                                               2
                                      HVRT (n)TaggedAPTARAEnd  CG (n)TaggedAPTARAEnd  SMD (95%CI)TaggedAPTARAEnd  kTaggedAPTARAEnd  I TaggedAPTARAEnd  Overall effect (p)TaggedAPTARAEnd  GRADETaggedAPTARAEndTaggedAPTARAEndTaggedAPTARAEndTaggedAPTARATbody
         Body adiposityTaggedAPTARAEnd                                                                   TaggedAPTARAEnd
                        a                                                                                   d,e
           Total body adiposity TaggedAPTARAEnd  201TaggedAPTARAEnd  210TaggedAPTARAEnd  0.23 (0.43 to 0.04)*TaggedAPTARAEnd  11TaggedAPTARAEnd  0%, p = 0.95TaggedAPTARAEnd  0.02TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                        b                                                                                   d,e
           Abdominal adiposity TaggedAPTARAEnd  179TaggedAPTARAEnd  187TaggedAPTARAEnd  0.22 (0.42 to 0.01)*TaggedAPTARAEnd  8TaggedAPTARAEnd  0%, p = 0.99TaggedAPTARAEnd  0.04TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
         Serum metabolic risk and inflammationTaggedAPTARAEnd                                             TaggedAPTARAEnd
                                                                     y                                      d,e
           TCTaggedAPTARAEnd          40TaggedAPTARAEnd  41TaggedAPTARAEnd  0.38 (0.82 to 0.06) TaggedAPTARAEnd  2TaggedAPTARAEnd  0%, p = 0.90TaggedAPTARAEnd  0.09TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                     y                                         c,d,e,
           LDL-cTaggedAPTARAEnd       39TaggedAPTARAEnd  40TaggedAPTARAEnd  0.73 (1.84 to 0.38) TaggedAPTARAEnd  2TaggedAPTARAEnd  81%, p < 0.01TaggedAPTARAEnd  0.20TaggedAPTARAEnd  Very low  TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                            d,e
           HDL-cTaggedAPTARAEnd       90TaggedAPTARAEnd  92TaggedAPTARAEnd  0.34 (0.04 to 0.63)*TaggedAPTARAEnd  5TaggedAPTARAEnd  2%, p = 0.41TaggedAPTARAEnd  0.03TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                            d,e
           TGTaggedAPTARAEnd          90TaggedAPTARAEnd  92TaggedAPTARAEnd  0.28 (0.63 to 0.08)TaggedAPTARAEnd  5TaggedAPTARAEnd  29%, p = 0.22TaggedAPTARAEnd  0.12TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                       ,y                                   d,e
           GlucoseTaggedAPTARAEnd     47TaggedAPTARAEnd  47TaggedAPTARAEnd  1.19 (1.63 to 0.74)* TaggedAPTARAEnd  3TaggedAPTARAEnd  0%, p = 0.48TaggedAPTARAEnd  <0.01TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEnd
                                                                                                            d,e
           CRPTaggedAPTARAEnd         83TaggedAPTARAEnd  82TaggedAPTARAEnd  1.00 (1.32 to 0.67)*TaggedAPTARAEnd  4TaggedAPTARAEnd  0%, p = 0.79TaggedAPTARAEnd  <0.01TaggedAPTARAEnd  Low TaggedAPTARAEndTaggedAPTARAEndTaggedAPTARAEnd
         Note: Total volume = number of exercises £ number of sets per exercise £ number of reps per exercise £ number of exercise sessions per week £ weeks of inter-
         vention (LVRT median value was 5760 arbitrary units).TaggedAPTARAEnd
         a
           Outcome analyzed with anthropometric, dual energy X-ray absorptiometry and bioelectrical impedance analysis (kg and %). When the study had kg and % data,
         preference was given to data in kg.
         b
           Outcome analyzed with anthropometric (cm), dual energy X-ray absorptiometry (kg and %), and bioelectrical impedance (%) analysis.
         c
           Downgraded by 1 level due to unexplained heterogeneity (large heterogeneity).Total volume = number of exercises £ number of sets per exercise £ number of
         reps per exercise £ number of exercise sessions per week £ weeks of intervention (HVRT median value was 7200 arbitrary units).
         d
           Downgraded by 1 level due to indirectness of evidence (only 3 studies directly compared LVRT with HVRT and/or surrogate outcomes).
         e
           Downgraded by 1 level due to imprecision of results (small sample size and large 95%CI).
         * p < 0.05 favors RT compared to CG.
         y
           Without outlier studies.
         Abbreviations: 95%CI = 95% confidence interval; CG = control group; CRP = C-reactive protein; GRADE = certainty of the evidence (Grading of Recommenda-
                                                                                                         2
         tions, Assessment, Development, and Evaluation); HDL-c = high-density lipoprotein cholesterol; HVRT = high-volume resistance training group; I = heteroge-
         neity; k = number of studies; LDL-c = low-density lipoprotein cholesterol; SMD = standardized mean difference; TC = total cholesterol; TG = triglycerides.
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