Evidence map›Paper›PMID 40746688›Full record

SynthesisFrontiers in public health2025

Effects of exercise on body fat percentage and cardiorespiratory fitness in sedentary adults: a systematic review and network meta-analysis.

Tian Huang, Huan Feng, Zhengwei Xie, Yubo Wang, Qingchuan Wang, Zhihua Wang

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tian Huang *College of Physical Education, Sichuan University, Chengdu, China.
Huan Feng *College of Physical Education, Sichuan University, Chengdu, China.
Zhengwei XieCollege of Physical Education, Sichuan University, Chengdu, China.
Yubo WangCollege of Physical Education, Sichuan University, Chengdu, China.
Qingchuan WangCollege of Sports, Chengdu Sport University, Chengdu, China.
Zhihua WangCollege of Physical Education, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 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).

Indexed as

Adipose TissueCardiorespiratory FitnessExerciseSedentary BehaviorAdultHumansOxygen ConsumptionRandomized Controlled Trials as Topicbody fat percentageexercise interventionmaximum oxygen uptakenetwork meta-analysispeak oxygen uptakesedentary behavior

Identifiers

PMID40746688
PMCPMC12310449

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.