1.Effectiveness of Resistance Exercise on Inflammatory Biomarkers in Patients with Type 2 Diabetes Mellitus: A Systematic Review with Meta-Analysis
Rubén FERNÁNDEZ-RODRÍGUEZ ; Sonia MONEDERO-CARRASCO ; Bruno BIZZOZERO-PERONI ; Miriam GARRIDO-MIGUEL ; Arthur Eumann MESAS ; Vicente MARTÍNEZ-VIZCAÍNO
Diabetes & Metabolism Journal 2023;47(1):118-134
Background:
Type 2 diabetes mellitus (T2DM) is related to increased inflammatory processes. The effects of resistance exercise on inflammatory biomarkers in T2DM are controversial. Our purpose was to determine the effectiveness of resistance exercise on inflammatory biomarkers in patients diagnosed with T2DM.
Methods:
We searched four databases until September 2021. We included randomized clinical trials (RCTs) of the effects of resistance exercise on inflammatory biomarkers (C-reactive protein [CRP], tumor necrosis factor alpha, interleukin-6, and interleukin-10) in patients with T2DM. A random effects meta-analysis was conducted to determine the standardized mean difference (SMD) and the raw mean difference (MD) for CRP.
Results:
Thirteen RCTs were included in the review, and 11 in the meta-analysis for CRP. Lower CRP levels were observed when resistance exercise was compared with the control groups (SMD=–0.20; 95% confidence interval [CI], –0.37 to –0.02). When conducting the MD meta-analysis, resistance exercise showed a significant decrease in CRP of –0.59 mg/dL (95% CI, –0.88 to –0.30); otherwise, in the control groups, the CRP values increased 0.19 mg/dL (95% CI, 0.17 to 0.21).
Conclusion
Evidence supports resistance exercise as an effective strategy to manage systemic inflammation by decreasing CRP levels in patients with T2DM. The evidence is still inconclusive for other inflammatory biomarkers.
2.Sex Differences in Effects of Exercise on Physical Function in Aging: A Systematic Review with Meta-Analysis
Rubén FERNÁNDEZ-RODRÍGUEZ ; Vicente MARTÍNEZ-VIZCAÍNO ; Sara REINA-GUTIÉRREZ ; Bruno BIZZOZERO-PERONI ; Ana TORRES-COSTOSO ; Eva RODRÍGUEZ-GUTIÉRREZ ; Valentina DÍAZ-GOÑI ; Cristina CADENAS-SÁNCHEZ
The World Journal of Men's Health 2024;42(4):694-711
Purpose:
Our objective was to synthesize and determine whether there are sex differences in physical function following exercise interventions in older adults.
Materials and Methods:
A systematic search was conducted in four databases from inception to July 8th, 2023 searching for prospective trials that conducted exercise interventions in older adults and results for physical function were reported by sex.Pooled standardized mean differences (SMDs) with their 95% confidence intervals (CIs) were estimated using a randomeffects method. The Sidik-Jonkman estimator was used to calculate the variance of heterogeneity (I2 ).
Results:
A total of 19 studies involving 20,133 older adults (mean age ≥60 years, 33.7% female) were included. After exercise interventions, males reported significantly greater pre-post changes compared to females for upper body strength (SMD=-0.40, 95% CI: -0.71 to -0.09; I2 =75.6%; n=8), lower body strength (SMD=-0.32, 95% CI: -0.55 to -0.10; I2 =52.0%; n=11), and cardiorespiratory fitness (SMD=-0.29, 95% CI: -0.48 to -0.10; I2 =89.1%; n=12). Conversely, the pooled SMDs showed a significant effect favoring females for motor fitness (SMD=0.21, 95% CI: 0.03 to 0.39; I2 =0%; n=7). Limited and inconsistent results were observed for flexibility.
Conclusions
Our study suggests the existence of sex-related differences on physical function after an exercise intervention in the older population.
3.Sex Differences in Effects of Exercise on Physical Function in Aging: A Systematic Review with Meta-Analysis
Rubén FERNÁNDEZ-RODRÍGUEZ ; Vicente MARTÍNEZ-VIZCAÍNO ; Sara REINA-GUTIÉRREZ ; Bruno BIZZOZERO-PERONI ; Ana TORRES-COSTOSO ; Eva RODRÍGUEZ-GUTIÉRREZ ; Valentina DÍAZ-GOÑI ; Cristina CADENAS-SÁNCHEZ
The World Journal of Men's Health 2024;42(4):694-711
Purpose:
Our objective was to synthesize and determine whether there are sex differences in physical function following exercise interventions in older adults.
Materials and Methods:
A systematic search was conducted in four databases from inception to July 8th, 2023 searching for prospective trials that conducted exercise interventions in older adults and results for physical function were reported by sex.Pooled standardized mean differences (SMDs) with their 95% confidence intervals (CIs) were estimated using a randomeffects method. The Sidik-Jonkman estimator was used to calculate the variance of heterogeneity (I2 ).
Results:
A total of 19 studies involving 20,133 older adults (mean age ≥60 years, 33.7% female) were included. After exercise interventions, males reported significantly greater pre-post changes compared to females for upper body strength (SMD=-0.40, 95% CI: -0.71 to -0.09; I2 =75.6%; n=8), lower body strength (SMD=-0.32, 95% CI: -0.55 to -0.10; I2 =52.0%; n=11), and cardiorespiratory fitness (SMD=-0.29, 95% CI: -0.48 to -0.10; I2 =89.1%; n=12). Conversely, the pooled SMDs showed a significant effect favoring females for motor fitness (SMD=0.21, 95% CI: 0.03 to 0.39; I2 =0%; n=7). Limited and inconsistent results were observed for flexibility.
Conclusions
Our study suggests the existence of sex-related differences on physical function after an exercise intervention in the older population.
4.Sex Differences in Effects of Exercise on Physical Function in Aging: A Systematic Review with Meta-Analysis
Rubén FERNÁNDEZ-RODRÍGUEZ ; Vicente MARTÍNEZ-VIZCAÍNO ; Sara REINA-GUTIÉRREZ ; Bruno BIZZOZERO-PERONI ; Ana TORRES-COSTOSO ; Eva RODRÍGUEZ-GUTIÉRREZ ; Valentina DÍAZ-GOÑI ; Cristina CADENAS-SÁNCHEZ
The World Journal of Men's Health 2024;42(4):694-711
Purpose:
Our objective was to synthesize and determine whether there are sex differences in physical function following exercise interventions in older adults.
Materials and Methods:
A systematic search was conducted in four databases from inception to July 8th, 2023 searching for prospective trials that conducted exercise interventions in older adults and results for physical function were reported by sex.Pooled standardized mean differences (SMDs) with their 95% confidence intervals (CIs) were estimated using a randomeffects method. The Sidik-Jonkman estimator was used to calculate the variance of heterogeneity (I2 ).
Results:
A total of 19 studies involving 20,133 older adults (mean age ≥60 years, 33.7% female) were included. After exercise interventions, males reported significantly greater pre-post changes compared to females for upper body strength (SMD=-0.40, 95% CI: -0.71 to -0.09; I2 =75.6%; n=8), lower body strength (SMD=-0.32, 95% CI: -0.55 to -0.10; I2 =52.0%; n=11), and cardiorespiratory fitness (SMD=-0.29, 95% CI: -0.48 to -0.10; I2 =89.1%; n=12). Conversely, the pooled SMDs showed a significant effect favoring females for motor fitness (SMD=0.21, 95% CI: 0.03 to 0.39; I2 =0%; n=7). Limited and inconsistent results were observed for flexibility.
Conclusions
Our study suggests the existence of sex-related differences on physical function after an exercise intervention in the older population.
5.Sex Differences in Effects of Exercise on Physical Function in Aging: A Systematic Review with Meta-Analysis
Rubén FERNÁNDEZ-RODRÍGUEZ ; Vicente MARTÍNEZ-VIZCAÍNO ; Sara REINA-GUTIÉRREZ ; Bruno BIZZOZERO-PERONI ; Ana TORRES-COSTOSO ; Eva RODRÍGUEZ-GUTIÉRREZ ; Valentina DÍAZ-GOÑI ; Cristina CADENAS-SÁNCHEZ
The World Journal of Men's Health 2024;42(4):694-711
Purpose:
Our objective was to synthesize and determine whether there are sex differences in physical function following exercise interventions in older adults.
Materials and Methods:
A systematic search was conducted in four databases from inception to July 8th, 2023 searching for prospective trials that conducted exercise interventions in older adults and results for physical function were reported by sex.Pooled standardized mean differences (SMDs) with their 95% confidence intervals (CIs) were estimated using a randomeffects method. The Sidik-Jonkman estimator was used to calculate the variance of heterogeneity (I2 ).
Results:
A total of 19 studies involving 20,133 older adults (mean age ≥60 years, 33.7% female) were included. After exercise interventions, males reported significantly greater pre-post changes compared to females for upper body strength (SMD=-0.40, 95% CI: -0.71 to -0.09; I2 =75.6%; n=8), lower body strength (SMD=-0.32, 95% CI: -0.55 to -0.10; I2 =52.0%; n=11), and cardiorespiratory fitness (SMD=-0.29, 95% CI: -0.48 to -0.10; I2 =89.1%; n=12). Conversely, the pooled SMDs showed a significant effect favoring females for motor fitness (SMD=0.21, 95% CI: 0.03 to 0.39; I2 =0%; n=7). Limited and inconsistent results were observed for flexibility.
Conclusions
Our study suggests the existence of sex-related differences on physical function after an exercise intervention in the older population.
6.Sex Differences in Effects of Exercise on Physical Function in Aging: A Systematic Review with Meta-Analysis
Rubén FERNÁNDEZ-RODRÍGUEZ ; Vicente MARTÍNEZ-VIZCAÍNO ; Sara REINA-GUTIÉRREZ ; Bruno BIZZOZERO-PERONI ; Ana TORRES-COSTOSO ; Eva RODRÍGUEZ-GUTIÉRREZ ; Valentina DÍAZ-GOÑI ; Cristina CADENAS-SÁNCHEZ
The World Journal of Men's Health 2024;42(4):694-711
Purpose:
Our objective was to synthesize and determine whether there are sex differences in physical function following exercise interventions in older adults.
Materials and Methods:
A systematic search was conducted in four databases from inception to July 8th, 2023 searching for prospective trials that conducted exercise interventions in older adults and results for physical function were reported by sex.Pooled standardized mean differences (SMDs) with their 95% confidence intervals (CIs) were estimated using a randomeffects method. The Sidik-Jonkman estimator was used to calculate the variance of heterogeneity (I2 ).
Results:
A total of 19 studies involving 20,133 older adults (mean age ≥60 years, 33.7% female) were included. After exercise interventions, males reported significantly greater pre-post changes compared to females for upper body strength (SMD=-0.40, 95% CI: -0.71 to -0.09; I2 =75.6%; n=8), lower body strength (SMD=-0.32, 95% CI: -0.55 to -0.10; I2 =52.0%; n=11), and cardiorespiratory fitness (SMD=-0.29, 95% CI: -0.48 to -0.10; I2 =89.1%; n=12). Conversely, the pooled SMDs showed a significant effect favoring females for motor fitness (SMD=0.21, 95% CI: 0.03 to 0.39; I2 =0%; n=7). Limited and inconsistent results were observed for flexibility.
Conclusions
Our study suggests the existence of sex-related differences on physical function after an exercise intervention in the older population.