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Background: Sedentary behavior is increasingly prevalent worldwide and associated with numerous health concerns including obesity and cardiovascular diseases. This study aimed to evaluate the comparative effectiveness of various exercise interventions on body fat percentage and cardiorespiratory fitness in sedentary adults.
Methods: A systematic review and network meta-analysis of randomized controlled trials was conducted. Comprehensive searches were performed in PubMed, Embase, Web of Science, and Cochrane Library databases through December 10, 2024. All retrieved literature was imported into EndNote 21 for duplicate removal, and two reviewers independently screened articles and extracted data. Study quality was assessed using the ROB2 tool. Primary outcomes included body fat percentage (BF%), maximal oxygen uptake (VO₂max), and peak oxygen uptake (VO₂peak). Network meta-analysis used random-effects models with SUCRA ranking and low to moderate heterogeneity (I = 28-41%). Publication bias was assessed using funnel plots.
Results: Fifty-one randomized controlled trials involving 2,201 participants were included. Risk of bias assessment showed 27 studies (52.9%) with low risk, 21 studies (41.2%) with some concerns, and 3 studies (5.9%) with high risk. Funnel plots indicated minimal publication bias. For BF% reduction, aerobic training ranked highest (SUCRA 97.5%), followed by resistance training combined with endurance training (SUCRA:78.2%) and aerobic training combined with strength training (SUCRA:77.4%). For VO₂max, strength training showed superior effectiveness (SUCRA:95.9%). For VO₂peak, aerobic training ranked highest (SUCRA:70.0%).
Conclusion: This network meta-analysis demonstrates that aerobic training is most effective for reducing BF%, while strength training shows superior effectiveness for improving VO₂max in sedentary adults. Aerobic training also shows promise for enhancing VO₂peak. These findings provide evidence-based guidance for exercise prescription in sedentary populations, suggesting that different exercise modalities should be selected based on specific health improvement goals.
Systematic Review Registration: PROSPERO (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=637089), identifier (CRD42025637089).
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http://dx.doi.org/10.3389/fpubh.2025.1624562 | DOI Listing |
Mil Med
September 2025
School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.
Introduction: Submarine environments pose unique challenges to maintaining physical activity and exercise routines due to confined spaces, demanding schedules, and limited resources. This study investigated submariners' physical activity patterns, sleep quality, and perceived exercise barriers in both land- and sea-based settings, with the goal of informing targeted health interventions.
Materials And Methods: Ethics approval was granted by the Defence Science and Technology Group and Edith Cowan University review panels.
Am J Ind Med
September 2025
Department of Kinesiology, Indiana University School of Public Health, Bloomington, Indiana, USA.
Background: Occupational heat stress recommendations aim to achieve thermal equilibrium and keep core temperature (T) below 38.0°C. We assessed the recommended alert limit curves when: (1) work-rest ratios are adjusted based on wet-bulb globe temperature (WBGT) at a fixed rate of metabolic heat production (H) and (2) H is adjusted based on WBGT at a fixed work-rest ratio.
View Article and Find Full Text PDFPain Manag Nurs
September 2025
Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Purpose: To compare the effects of cervical stabilization exercise training via telerehabilitation (CSET-T) in addition to standard treatment on pain, forward head posture, cervical mobility, muscle performance, functional status, sleep quality, and quality of life in individuals with migraine in comparison to the standard treatment alone.
Methods: The control group (n = 20) received standard treatment alone (medication+recommendations). The stabilization group (n = 20) was given CSET-T in addition to standard treatment 3 days a week for 8 weeks.
Int J Cardiol
September 2025
Institute of Sports Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 1, 00197 Rome, Italy.
Introduction: Endurance athletes are expected to present a cardiac remodeling characterized by eccentric hypertrophy. Differentiation from underlying cardiomyopathy mimicking a similar cardiac remodeling may be challenging. Myocardial work indexes (MWI) have been shown to be useful in distinguishing between physiological adaption and pathological changes in the athletes' heart.
View Article and Find Full Text PDFAdv Nutr
September 2025
Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, 715 Sumter Street, CLS 513C, SC 29208, USA.
Human activities contribute to large shifts in the global climate, with far-reaching impacts on ecosystems, societies, and human health. Modern food systems-designed to produce convenience foods that tend to have high inflammatory potential-exacerbate environmental degradation and shape the interwoven challenges of climate, nutrition, and health. Over the past three decades, extreme weather has worsened and poor diets have led to more inflammation-related health problems-two parallel trends that are exposing system-wide weaknesses and harming global health.
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