Effect of Prior Exercise on Postprandial Lipemia: An Updated Meta-Analysis and Systematic Review

餐后 医学 荟萃分析 曲线下面积 内科学 运动生理学 甘油三酯 物理疗法 内分泌学 胆固醇 胰岛素
作者
Regis C. Pearson,Betsy Cogan,Sara A. Garcia,Nathan T. Jenkins
出处
期刊:International Journal of Sport Nutrition and Exercise Metabolism [Human Kinetics]
卷期号:32 (6): 501-518 被引量:5
标识
DOI:10.1123/ijsnem.2022-0043
摘要

The purpose of this systematic review was to synthesize the results from current literature examining the effects of prior exercise on the postprandial triglyceride (TG) response to evaluate current literature and provide future direction. A quantitative review was performed using meta-analytic methods to quantify individual effect sizes. A moderator analysis was performed to investigate potential variables that could influence the effect of prior exercise on postprandial TG response. Two hundred and seventy-nine effects were retrieved from 165 studies for the total TG response and 142 effects from 87 studies for the incremental area under the curve TG response. There was a moderate effect of exercise on the total TG response (Cohen’s d = −0.47; p < .0001). Moderator analysis revealed exercise energy expenditure significantly moderated the effect of prior exercise on the total TG response ( p < .0001). Exercise modality (e.g., cardiovascular, resistance, combination of both cardiovascular and resistance, or standing), cardiovascular exercise type (e.g., continuous, interval, concurrent, or combined), and timing of exercise prior to meal administration significantly affected the total TG response ( p < .001). Additionally, exercise had a moderate effect on the incremental area under the curve TG response (Cohen’s d = −0.40; p < .0001). The current analysis reveals a more homogeneous data set than previously reported. The attenuation of postprandial TG appears largely dependent on exercise energy expenditure (∼2 MJ) and the timing of exercise. The effect of prior exercise on the postprandial TG response appears to be transient; therefore, exercise should be frequent to elicit an adaptation.
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