SynthesisAsia Pacific journal of clinical nutrition2026
Persevering or quitting? A systematic review of adherence and dropout in nutrition and exercise interventions for sarcopenic obesity.
Synthesis in Asia Pacific journal of clinical nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- The Indian Obesity Paradox- Low in Muscle, High in Fat.Indian journal of endocrinology and metabolismArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
objectivesThe global rise in sarcopenic obesity necessitates identifying key adherence determinants in nutritional and exercise interventions to optimize outcomes. This systematic review identifies characteristics affecting adherence and dropout in these interventions. METHODS AND STUDY
designWe searched Web of Science, PubMed, Scopus, and Cochrane Library through January 2025, including reference lists. Using the Cochrane Risk of Bias Tool, we assessed RCTs on nutritional/exercise interventions for sarcopenic obesity. High heterogeneity and insufficient adherence reporting precluded meta-analysis for adherence; outcomes were narratively synthesized. For dropout rates, meta-analysis was conducted, including subgroup analyses (exercise, nutrition, multi-component) and meta-regression to explore moderators.
resultsFrom 1,205 records, 57 studies (4,166 participants) were included. The overall dropout rate was 9%, increasing with intervention duration. Only 45.6% of studies reported adherence data. Among exercise interventions, elastic resistance had the highest adherence (91.5%), resistance training the lowest (85%). In nutritional interventions, low-calorie diets with nutraceuticals outperformed diet-only (92.1% vs. 77%). Professionally supervised interventions showed superior adherence to self-monitored programs.
conclusionsCurrent trials often inadequately report adherence data, with longer durations correlating to higher dropout rates. Evidence suggests elastic resistance exercise, low-calorie diets with nutraceuticals, and professional supervision may improve adherence. Future research should refine intervention methods and prioritize adherence reporting to enhance sarcopenic obesity care quality.
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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.