Evidence-Based Aerobic Exercise Training in Metabolic-Associated Fatty Liver Disease: Systematic Review with Meta-Analysis

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dc.citation.issue8
dc.citation.volume10
dc.contributor.authorSłomko J
dc.contributor.authorZalewska M
dc.contributor.authorNiemiro W
dc.contributor.authorKujawski S
dc.contributor.authorSłupski M
dc.contributor.authorJanuszko-Giergielewicz B
dc.contributor.authorZawadka-Kunikowska M
dc.contributor.authorNewton J
dc.contributor.authorHodges L
dc.contributor.authorKubica J
dc.contributor.authorZalewski P
dc.coverage.spatialSwitzerland
dc.date.accessioned2023-08-30T01:29:00Z
dc.date.accessioned2023-09-04T01:41:33Z
dc.date.available2021-04-13
dc.date.available2023-08-30T01:29:00Z
dc.date.available2023-09-04T01:41:33Z
dc.date.issued2021
dc.date.updated2023-08-20T21:48:55Z
dc.descriptionCopyright: © 2021 by the authorsen_US
dc.description.abstractBackground: This meta-analysis evaluates the overall effect of the non-pharmacological intervention, aerobic exercise, upon serum liver enzymes levels, glucose metabolism and anthropometric measures amongst patients with metabolic associated fatty liver disease (MAFLD). It also examines whether the effects on these outcomes are moderated by the aerobic training protocol when considered according to the American College of Sports Medicine (ACSM) recommended FITT (frequency, intensity, time, type) principles. Approach and Results: Fifteen randomized control trials were included in the meta-analysis. Compared with usual care, continuous and interval training showed significant efficacy in alanine aminotransferase (ALT) level improvement (MD = −2.4, 95% CI: −4.34 to −0.46 p = 0.015, I2 = 9.1%). Interventions based on all types of aerobic exercise protocols showed significant improvement of intrahepatic triglycerides (MD = −4.0557, 95% CI: −5.3711 to −2.7403, p < 0.0001, I2 = 0%) and BMI (MD = −0.9774, 95% CI: −1.4086 to −0.5462, p < 0.0001, I2 = 0). Meta-regression analysis demonstrated a significant correlation between total intervention time and ALT level (for all aerobic protocols: 6.0056, se = 2.6896, z = 2.2329, p = 0.02; as well as for continuous and interval aerobic protocols: 5.5069, se = 2.7315, z = 2.016, p = 0.04). Conclusions: All types of aerobic exercise protocols are effective at improving intrahepatic triglycerides and lead to a reduction in body mass index. In addition, continuous and interval aerobic exercise may be more effective at improving ALT ≤12 weeks intervention time benefits the management of MAFLD.
dc.format.extent1659-
dc.identifierARTN 1659
dc.identifierjcm10081659
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/33924482
dc.identifier.citationSłomko J, Zalewska M, Niemiro W, Kujawski S, Słupski M, Januszko-Giergielewicz B, Zawadka-Kunikowska M, Newton J, Hodges L, Kubica J, Zalewski P. (2021). Evidence-Based Aerobic Exercise Training in Metabolic-Associated Fatty Liver Disease: Systematic Review with Meta-Analysis.. J Clin Med. 10. 8. (pp. 1659-).
dc.identifier.doi10.3390/jcm10081659
dc.identifier.eissn2077-0383
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10179/19984
dc.languageeng
dc.publisherMDPI (Basel, Switzerland)
dc.relation.isPartOfJ Clin Med
dc.rightsCC BYen_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectaerobic activity
dc.subjectexercise
dc.subjectfatty liver
dc.subjectmetabolic fatty liver
dc.subjecttreatment
dc.titleEvidence-Based Aerobic Exercise Training in Metabolic-Associated Fatty Liver Disease: Systematic Review with Meta-Analysis
dc.typeJournal article
pubs.elements-id444816
pubs.organisational-groupOther
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