SynthesisSports medicine (Auckland, N.Z.)2018
The Role of Intra-Session Exercise Sequence in the Interference Effect: A Systematic Review with Meta-Analysis.
Synthesis in Sports medicine (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 11 of them syntheses that pooled 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.
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.
Who cites it
47 citing papers in PubMed, 11 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Maximizing Adaptations in Concurrent Training: An Umbrella Review of Meta-analyses.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Effects of concurrent training on fat mass and its distribution in individuals with overweight or obesity: a systematic review, meta-analysis, and exploratory regression analysis.BMC public health · 2026Pooled it
- Training modalities for elder sarcopenic obesity: a systematic review and network meta-analysis.Frontiers in nutrition · 2025Pooled it
- Compliance with the 24-hour movement behaviour guidelines among children and adolescents with disabilities: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Solving the High-Intensity Multimodal Training Prescription Puzzle: A Systematic Mapping Review.Sports medicine - open · 2024Pooled it
- Perspectives on Concurrent Strength and Endurance Training in Healthy Adult Females: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Effects of Concurrent Strength and Endurance Training on Measures of Physical Fitness in Healthy Middle-Aged and Older Adults: A Systematic Review with Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Effects of Concurrent Strength and HIIT-Based Endurance Training on Physical Fitness in Trained Team Sports Players: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Acute Effects of Aerobic Exercise on Muscle Strength and Power in Trained Male Individuals: A Systematic Review with Meta-analysis.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- The Effects of High-Intensity Multimodal Training in Apparently Healthy Populations: A Systematic Review.Sports medicine - open · 2022Pooled it
- Development of Maximal Dynamic Strength During Concurrent Resistance and Endurance Training in Untrained, Moderately Trained, and Trained Individuals: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Physical Adaptations to High-Intensity Multimodal Training in Recreationally Active Adults: A Randomised Control Trial.European journal of sport science · 2026Trial
- Acute arterial stiffness responses to on-ball kneeling and sitting: Effects of exercise fragmentation and exercise order.European journal of applied physiology · 2025Trial
- Trial
- Effect of performing high-intensity interval training and resistance training on the same day vs. different days in women with type 2 diabetes.European journal of applied physiology · 2022Trial
- Trial
- Combined effects of very short "all out" efforts during sprint and resistance training on physical and physiological adaptations after 2 weeks of training.European journal of applied physiology · 2019Trial
- Adaptations to Concurrent Training in Combination with High Protein Availability: A Comparative Trial in Healthy, Recreationally Active Men.Sports medicine (Auckland, N.Z.) · 2018Trial
- Physiological Profile, Mediterranean Diet Adherence and Supplement Use in Recreational Adults Engaged in Contemporary Gym-Based Exercise Modalities.Sports (Basel, Switzerland) · 2026Article
- Combined exercise for body composition and cardiometabolic health in obese young people meta analysis.iScience · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a necessity for numerous sports to develop strength and aerobic capacity simultaneously, placing a significant demand upon the practice of effective concurrent training methods. Concurrent training requires the athlete to perform both resistance and endurance exercise within a training plan. This training paradigm has been associated with an 'interference effect', with attenuated strength adaptation in comparison to that following isolated resistance training. The effectiveness of the training programme rests on the intricacies of manipulating acute training variables, such as exercise sequence. The research, in the most part, does not provide a clarity of message as to whether intra-session exercise sequence has the potential to exacerbate or mitigate the interference effect associated with concurrent training methods.
objectiveThe aim of the systematic review and meta-analysis was to assess whether intra-session concurrent exercise sequence modifies strength-based outcomes associated with the interference effect.
methodsTen studies were identified from a systematic review of the literature for the outcomes of lower-body dynamic and static strength, lower-body hypertrophy, maximal aerobic capacity and body fat percentage. Each study examined the effect of intra-session exercise sequence on the specified outcomes, across a prolonged (≥5 weeks) concurrent training programme in healthy adults.
resultsAnalysis of pooled data indicated that resistance-endurance exercise sequence had a positive effect for lower-body dynamic strength, in comparison to the alternate sequence (weighted mean difference, 6.91% change; 95% confidence interval 1.96, 11.87 change; p = 0.006), with no effect of exercise sequence for lower-body muscle hypertrophy (weighted mean difference, 1.15% change; 95% confidence interval -1.56, 3.87 change; p = 0.40), lower-body static strength (weighted mean difference, -0.04% change; 95% confidence interval -3.19, 3.11 change; p = 0.98), or the remaining outcomes of maximal aerobic capacity and body fat percentage (p > 0.05).
conclusionThese results indicate that the practice of concurrent training with a resistance followed by an endurance exercise order is beneficial for the outcome of lower-body dynamic strength, while alternating the order of stimuli offers no benefit for training outcomes associated with the interference effect.
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What OpenQuestion holds
Registered trials
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 OpenQuestion graph.