Evidence map›Paper›PMID 41250924›Full record

SynthesisDiabetes, obesity & metabolism2026

Effects of hypoxic training interventions on cardiometabolic health of adults with overweight and obesity: A systematic review and meta-analysis.

Alessandro Gatti, Caterina Cavallo, Matteo Giuriato, Agnese Pirazzi, Vittoria Carnevale Pellino, Nicola Lovecchio, Stefano Lazzer, Virginia Rossi, Valeria Calcaterra, Gianvincenzo Zuccotti and 3 more

Erratum issuedAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Alessandro GattiLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, Pavia, Italy.
Caterina CavalloLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, Pavia, Italy.ORCID 0000-0002-3896-0459
Matteo GiuriatoLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, Pavia, Italy.ORCID 0000-0002-4829-1447
Agnese PirazziLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, Pavia, Italy.
Vittoria Carnevale PellinoLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, Pavia, Italy.
Nicola LovecchioDepartment of Human and Social Science, University of Bergamo, Bergamo, Italy.
Stefano LazzerSchool of Sport Sciences, University of Udine, Udine, Italy.
Virginia RossiPediatric Department, "Vittore Buzzi" Children's Hospital, Milan, Italy.
Valeria CalcaterraPediatric Department, "Vittore Buzzi" Children's Hospital, Milan, Italy.
Gianvincenzo ZuccottiPediatric Department, "Vittore Buzzi" Children's Hospital, Milan, Italy.
Anna OdoneDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Alba Camacho-CardenosaDepartment of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.
Matteo VandoniLaboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity rates have surpassed underweight globally, increasing the burden of cardiometabolic complications on healthcare systems. Hypoxic training has emerged as a potential intervention to improve cardiometabolic health in adults with obesity, but evidence remains inconclusive. This systematic review and meta-analysis evaluated whether hypoxic training is more effective than normoxic training in this context. A systematic search of PubMed, Web of Science, and Cochrane Library (up to June 2025) identified randomised controlled trials comparing hypoxic and normoxic training in adults with overweight or obesity. Outcomes included glucose homeostasis, lipid profile, and blood pressure. Subgroup, moderation, and sensitivity analyses were also conducted to explore sources of heterogeneity and assess the robustness of findings. Of 1815 studies screened, 9 (278 participants) met the criteria. Meta-analysis results demonstrated no significant differences between hypoxic and normoxic training for fasting glucose (p = 0.118) or fasting insulin (p = 0.415), with substantial heterogeneity observed across studies (I

Indexed as

Exercise TherapyHypoxiaObesityOverweightAdultBlood GlucoseBlood PressureHumansRandomized Controlled Trials as TopicBlood Glucosecardiovascular diseasemeta‐analysissystematic reviewweight management

Identifiers

PMID41250924
PMCPMC12803568

What OpenQuestion holds

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Registered trials

None linked

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.