The Effect of Exercise on Visceral Adipose Tissue in Overweight Adults: A Systematic Review and Meta-Analysis
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{"title"=>"The Effect of Exercise on Visceral Adipose Tissue in Overweight Adults: A Systematic Review and Meta-Analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Dirk", "last_name"=>"Vissers"}, {"first_name"=>"Wendy", "last_name"=>"Hens"}, {"first_name"=>"Jan", "last_name"=>"Taeymans"}, {"first_name"=>"Jean-Pierre", "last_name"=>"Baeyens"}, {"first_name"=>"Jacques", "last_name"=>"Poortmans"}, {"first_name"=>"Luc", "last_name"=>"Van Gaal"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"doi"=>"10.1371/journal.pone.0056415", "isbn"=>"1662-4025", "pmid"=>"23409182", "issn"=>"1932-6203"}, "id"=>"27e30fa6-d399-3e11-8b35-82a4fe1d37ee", "abstract"=>"Excessive visceral adipose tissue appears to trigger a cascade of metabolic disturbances that seem to coexist with ectopic fat storage in muscle, liver, heart and the ß-cell. Therefore, the reduction of visceral adipose tissue potentially plays a pivotal role in the treatment of the metabolic syndrome. The purpose of this systematic review and meta-analysis is to describe the overall effect of exercise on visceral adipose tissue and to provide an overview of the effect of different exercise regimes, without caloric restriction, on visceral adipose tissue in obese persons. A systematic literature search was performed according to the PRISMA statement for reporting systematic reviews and meta-analyses. The initial search resulted in 87 articles after removing duplicates. After screening on title, abstract and full-text 15 articles (totalling 852 subjects) fulfilled the a priori inclusion criteria. The quality of each eligible study was assessed in duplicate with \"The Critical Review Form for Quantitative Studies\". Using random-effects weights, the standardized mean difference (Hedge's g) of the change in visceral adipose tissue was -0.497 with a 95% confidence interval of -0.655 to -0.340. The Z-value was -6.183 and the p-value (two tailed) was <0.001. A subgroup analysis was performed based on gender, type of training and intensity. Aerobic training of moderate or high intensity has the highest potential to reduce visceral adipose tissue in overweight males and females. These results suggest that an aerobic exercise program, without hypocaloric diet, can show beneficial effects to reduce visceral adipose tissue with more than 30 cm(2) (on CT analysis) in women and more than 40 cm(2) in men, even after 12 weeks.", "link"=>"http://www.mendeley.com/research/effect-exercise-visceral-adipose-tissue-overweight-adults-systematic-review-metaanalysis-6", "reader_count"=>170, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>3, "Librarian"=>1, "Student > Doctoral Student"=>13, "Researcher"=>18, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>14, "Student > Master"=>49, "Other"=>8, "Student > Bachelor"=>31, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>5}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>3, "Librarian"=>1, "Student > Doctoral Student"=>13, "Researcher"=>18, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>14, "Student > Master"=>49, "Other"=>8, "Student > Bachelor"=>31, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>5}, "reader_count_by_subject_area"=>{"Unspecified"=>10, "Agricultural and Biological Sciences"=>27, "Arts and Humanities"=>2, "Business, Management and Accounting"=>2, "Veterinary Science and Veterinary Medicine"=>1, "Engineering"=>1, "Environmental Science"=>3, "Nursing and Health Professions"=>10, "Biochemistry, Genetics and Molecular Biology"=>11, "Materials Science"=>1, "Medicine and Dentistry"=>59, "Neuroscience"=>1, "Sports and Recreations"=>37, "Physics and Astronomy"=>1, "Psychology"=>2, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>59}, "Social Sciences"=>{"Social Sciences"=>2}, "Sports and Recreations"=>{"Sports and Recreations"=>37}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>2}, "Unspecified"=>{"Unspecified"=>10}, "Environmental Science"=>{"Environmental Science"=>3}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Engineering"=>{"Engineering"=>1}, "Neuroscience"=>{"Neuroscience"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>27}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>10}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>11}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Iran"=>1, "United States"=>2, "Norway"=>1, "Brazil"=>2, "United Kingdom"=>2, "Portugal"=>1, "Spain"=>2, "India"=>1, "Indonesia"=>1}, "group_count"=>10}

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  • {"files"=>["https://ndownloader.figshare.com/files/491599"], "description"=>"<p>Funnel plot of the standard error by Hedge's g.</p>", "links"=>[], "tags"=>["diabetes and endocrinology", "public health and epidemiology", "physiology"], "article_id"=>162116, "categories"=>["Chemistry", "Physiology", "Biotechnology"], "users"=>["Dirk Vissers", "Wendy Hens", "Jan Taeymans", "Jean-Pierre Baeyens", "Jacques Poortmans", "Luc Van Gaal"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0056415.g003", "stats"=>{"downloads"=>3, "page_views"=>104, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Funnel_plot_of_the_standard_error_by_Hedge_s_g_/162116", "title"=>"Funnel plot of the standard error by Hedge's g.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-08 00:35:16"}
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  • {"files"=>["https://ndownloader.figshare.com/files/491719"], "description"=>"<p>Forest plot of the subgroup analysis: controlled and uncontrolled studies.</p>", "links"=>[], "tags"=>["subgroup", "controlled", "uncontrolled"], "article_id"=>162233, "categories"=>["Chemistry", "Physiology", "Biotechnology"], "users"=>["Dirk Vissers", "Wendy Hens", "Jan Taeymans", "Jean-Pierre Baeyens", "Jacques Poortmans", "Luc Van Gaal"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0056415.g004", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_of_the_subgroup_analysis_controlled_and_uncontrolled_studies_/162233", "title"=>"Forest plot of the subgroup analysis: controlled and uncontrolled studies.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-08 00:37:13"}
  • {"files"=>["https://ndownloader.figshare.com/files/484248", "https://ndownloader.figshare.com/files/484251"], "description"=>"<div><p>Excessive visceral adipose tissue appears to trigger a cascade of metabolic disturbances that seem to coexist with ectopic fat storage in muscle, liver, heart and the ß-cell. Therefore, the reduction of visceral adipose tissue potentially plays a pivotal role in the treatment of the metabolic syndrome. The purpose of this systematic review and meta-analysis is to describe the overall effect of exercise on visceral adipose tissue and to provide an overview of the effect of different exercise regimes, without caloric restriction, on visceral adipose tissue in obese persons. A systematic literature search was performed according to the PRISMA statement for reporting systematic reviews and meta-analyses. The initial search resulted in 87 articles after removing duplicates. After screening on title, abstract and full-text 15 articles (totalling 852 subjects) fulfilled the a priori inclusion criteria. The quality of each eligible study was assessed in duplicate with “The Critical Review Form for Quantitative Studies”. Using random-effects weights, the standardized mean difference (Hedge's g) of the change in visceral adipose tissue was −0.497 with a 95% confidence interval of −0.655 to −0.340. The Z-value was −6.183 and the p-value (two tailed) was <0.001. A subgroup analysis was performed based on gender, type of training and intensity. Aerobic training of moderate or high intensity has the highest potential to reduce visceral adipose tissue in overweight males and females. These results suggest that an aerobic exercise program, without hypocaloric diet, can show beneficial effects to reduce visceral adipose tissue with more than 30 cm<sup>2</sup> (on CT analysis) in women and more than 40 cm<sup>2</sup> in men, even after 12 weeks.</p> </div>", "links"=>[], "tags"=>["visceral", "adipose", "overweight", "systematic", "meta-analysis"], "article_id"=>156340, "categories"=>["Chemistry", "Physiology", "Biotechnology"], "users"=>["Dirk Vissers", "Wendy Hens", "Jan Taeymans", "Jean-Pierre Baeyens", "Jacques Poortmans", "Luc Van Gaal"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0056415.s001", "https://dx.doi.org/10.1371/journal.pone.0056415.s002"], "stats"=>{"downloads"=>8, "page_views"=>59, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/The_Effect_of_Exercise_on_Visceral_Adipose_Tissue_in_Overweight_Adults_A_Systematic_Review_and_Meta_Analysis__/156340", "title"=>"The Effect of Exercise on Visceral Adipose Tissue in Overweight Adults: A Systematic Review and Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-02-08 01:45:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/491521"], "description"=>"<p>Forest plot of the effects found in the individual studies and the overall effect.</p>", "links"=>[], "tags"=>["studies"], "article_id"=>162042, "categories"=>["Chemistry", "Physiology", "Biotechnology"], "users"=>["Dirk Vissers", "Wendy Hens", "Jan Taeymans", "Jean-Pierre Baeyens", "Jacques Poortmans", "Luc Van Gaal"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0056415.g002", "stats"=>{"downloads"=>3, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_of_the_effects_found_in_the_individual_studies_and_the_overall_effect_/162042", "title"=>"Forest plot of the effects found in the individual studies and the overall effect.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-08 00:34:02"}
  • {"files"=>["https://ndownloader.figshare.com/files/491879"], "description"=>"*<p>Sample sizes represent exercise-only groups with results on VAT. ** Statistical significant results (p<0.05) are marked in bold.</p>", "links"=>[], "tags"=>["studies", "included"], "article_id"=>162396, "categories"=>["Chemistry", "Physiology", "Biotechnology"], "users"=>["Dirk Vissers", "Wendy Hens", "Jan Taeymans", "Jean-Pierre Baeyens", "Jacques Poortmans", "Luc Van Gaal"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0056415.t001", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Overview_of_the_studies_included_in_the_meta_analysis_/162396", "title"=>"Overview of the studies included in the meta-analysis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-08 00:39:56"}

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Relative Metric

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