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运动训练对超重和肥胖个体血清趋化素浓度的影响:43 项临床试验的系统评价、荟萃分析和荟萃回归。

The effects of exercise training on serum concentrations of chemerin in individuals with overweight and obesity: a systematic review, meta-analysis, and meta-regression of 43 clinical trials.

机构信息

Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.

出版信息

Arch Physiol Biochem. 2023 Oct;129(5):1012-1027. doi: 10.1080/13813455.2021.1892148. Epub 2021 Mar 12.

Abstract

CONTEXT

Elevated serum concentrations of chemerin is a significant factor in the development of metabolic disorders in individuals with overweight and obesity.

OBJECTIVE

This systematic review, meta-analysis, and meta-regression evaluated the effects of exercise training on serum concentrations of chemerin in individuals with overweight and/or obesity.

METHODS

Studies published up to January 2021 were identified through four databases. Forty-three studies including 1271 participants were included and analysed using a random-effects model to calculate weighted mean differences with 95% confidence intervals.

RESULTS

Results indicated that exercise training significantly decreased serum concentrations of chemerin in individuals with overweight and/or obesity. Subgroup analysis showed that all types of exercise (aerobic, resistance, and combined training) interventions but not high-intensity interval training decreased serum concentrations of chemerin. Subgroup analysis based on baseline body mass index (BMI), gender, and intervention duration showed significant declines in serum concentrations of chemerin. Meta-regression analysis indicated a linear relationship between changes in body fat percentage (BFP) with serum concentrations of chemerin.

CONCLUSION

Exercise training may decrease serum concentrations of chemerin in individuals with overweight and/or obesity. The chemerin-lowering effects of exercise might be related to declines in BFP. Further studies are needed to confirm these findings.

摘要

背景

血清趋化素浓度升高是超重和肥胖个体代谢紊乱发展的重要因素。

目的

本系统评价、荟萃分析和荟萃回归评估了运动训练对超重和/或肥胖个体血清趋化素浓度的影响。

方法

通过四个数据库确定了截至 2021 年 1 月发表的研究。纳入了 43 项研究,共 1271 名参与者,采用随机效应模型计算加权均数差值及其 95%置信区间。

结果

结果表明,运动训练可显著降低超重和/或肥胖个体的血清趋化素浓度。亚组分析显示,所有类型的运动(有氧运动、抗阻运动和混合训练)干预措施而非高强度间歇训练均可降低血清趋化素浓度。基于基线体重指数(BMI)、性别和干预持续时间的亚组分析显示,血清趋化素浓度显著下降。荟萃回归分析表明,体脂百分比(BFP)的变化与血清趋化素浓度呈线性关系。

结论

运动训练可能降低超重和/或肥胖个体的血清趋化素浓度。运动的趋化素降低作用可能与 BFP 的下降有关。需要进一步的研究来证实这些发现。

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