Evidence map›Paper›PMID 33924482›Full record

ReviewJournal of clinical medicine2021

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

Joanna Słomko, Marta Zalewska, Wojciech Niemiro, Sławomir Kujawski, Maciej Słupski, Beata Januszko-Giergielewicz, Monika Zawadka-Kunikowska, Julia Newton, Lynette Hodges, Jacek Kubica and 1 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Physical exercise in liver diseases.Hepatology (Baltimore, Md.) · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Non-pharmacological management options for MAFLD: a practical guide.Therapeutic advances in endocrinology and metabolism · 2023
    Review
  15. Supplementation ofNutrients · 2022
    Article
  16. Article
  17. Exercise Prescription Intervention Rehabilitation Suggestions for Fatty Liver Patients.Evidence-based complementary and alternative medicine : eCAM · 2022
    Review
  18. Exercise Training: The Holistic Approach in Cardiovascular Prevention.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Joanna SłomkoDepartment of Hygiene, Epidemiology, Ergonomy and Postgraduate Education, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University, 85-094 Bydgoszcz, Poland.ORCID 0000-0002-8503-3172
Marta ZalewskaDepartment of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, 02-091 Warsaw, Poland.
Wojciech NiemiroFaculty of Mathematics, Informatics and Mechanics University of Warsaw, 02-097 Warsaw, Poland.
Sławomir KujawskiDepartment of Hygiene, Epidemiology, Ergonomy and Postgraduate Education, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University, 85-094 Bydgoszcz, Poland.ORCID 0000-0001-5186-5037
Maciej SłupskiDepartment of Hepatobiliary and General Surgery, Faculty of Medicine Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 85-094 Bydgoszcz, Poland.
Beata Januszko-GiergielewiczDepartment of Hepatobiliary and General Surgery, Faculty of Medicine Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 85-094 Bydgoszcz, Poland.
Monika Zawadka-KunikowskaDepartment of Hygiene, Epidemiology, Ergonomy and Postgraduate Education, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University, 85-094 Bydgoszcz, Poland.
Julia NewtonPopulation Health Sciences Institute, The Medical School, Newcastle University, Newcastle-upon-Tyne NE2 4AX, UK.
Lynette HodgesSchool of Sport, Exercise and Nutrition, Massey University, Palmerston North 4442, New Zealand.ORCID 0000-0001-7482-0499
Jacek KubicaDepartment of Cardiology and Internal Medicine, Nicolaus Copernicus University Collegium Medicum, 85-094 Bydgoszcz, Poland.
Paweł ZalewskiDepartment of Hygiene, Epidemiology, Ergonomy and Postgraduate Education, Ludwik Rydygier Collegium Medicum in Bydgoszcz Nicolaus Copernicus University, 85-094 Bydgoszcz, Poland.ORCID 0000-0001-8453-7785

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis 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

conclusionsAll 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.

Indexed as

aerobic activityexercisefatty livermetabolic fatty livertreatment

Identifiers

PMID33924482
PMCPMC8069623

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.