Evidence map›Paper›PMID 41287857›Full record

SynthesisPeerJ2025

Effectiveness of multi-component exercise in individuals with type 2 diabetes: a systematic review and meta-analysis.

Zhiyuan Sun, Haiqing Zeng, Hualei Liu, Mengqi Hu, Xuewen Tian, Dewei Mao, Rui Zhang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Article
  5. Review
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  8. Review
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

7 authors.

Zhiyuan Sun *Research Institute of Sports Science, Shandong Sport University, Jinan, China.
Haiqing Zeng *Research Institute of Sports Science, Shandong Sport University, Jinan, China.
Hualei LiuResearch Institute of Sports Science, Shandong Sport University, Jinan, China.
Mengqi HuResearch Institute of Sports Science, Shandong Sport University, Jinan, China.
Xuewen TianResearch Institute of Sports Science, Shandong Sport University, Jinan, China.
Dewei MaoCollege of Sport Science, Qufu Normal University, Qufu, China.
Rui ZhangResearch Institute of Sports Science, Shandong Sport University, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This meta-analysis aimed to explore the effects of multi-component exercise interventions on glycemic and lipid metabolism, physical fitness, and cognitive function in individuals with type 2 diabetes mellitus (T2DM). Methods: From inception to December 28, 2024, PubMed, Web of Science, Cochrane, and Elsevier databases were systematically searched for randomized controlled trials (RCTs) investigating multi-component exercise interventions for T2DM. A total of 37 articles, comprising 3,201 participants, were included. Primary and secondary outcome measures were categorized, summarized, and analyzed using RevMan 5.4 software. Results: Compared to control groups, multi-component exercise interventions produced statistically significant improvements across all measured outcomes in individuals with T2DM: (1) Glycemic control: HbA1c (standard mean difference (SMD) = -0.52, 95% confidence interval (CI) [-0.76 to -0.28]); fasting blood glucose (SMD = -0.53, 95% CI [-0.93 to -0.12]). (2) Lipid metabolism: high density lipoprotein (HDL) (SMD = 0.32, 95% CI [0.21-0.44]); low density lipoprotein (LDL) (SMD = -0.21, 95% CI [-0.33 to -0.09]); triglycerides (SMD = -0.18, 95% CI [-0.30 to -0.06]). (3) Physical fitness: upper limb strength (SMD = 0.67, 95% CI [0.51-0.83]); lower limb strength (SMD = 0.56, 95% CI [0.10-1.02]); peak oxygen consumption (SMD = 0.62, 95% CI [0.31-0.93]); body mass index (BMI) (SMD = -0.38, 95% CI [-0.67 to -0.09]). (4) Cognitive function: overall cognitive performance (SMD = 0.34, 95% CI [0.18-0.50]). (5) Quality of life: vitality (SMD = 0.37, 95% CI [0.09-0.64]); physical functioning (SMD = 0.48, 95% CI [0.20-0.75]); mental health (SMD = 0.35, 95% CI [0.07-0.63]); general health (SMD = 0.34, 95% CI [0.06-0.61]). Quality assessment indicated that the included studies were of high overall quality. Egger's regression analysis did not reveal significant publication bias. Conclusions: Multi-component exercise interventions significantly improved glycemic and lipid metabolism, physical fitness, and cognitive function in individuals with T2DM. These findings support the clinical value of incorporating multi-component exercise programs-particularly those performed at least three times per week and lasting 6 months or longer-into diabetes management strategies.

Indexed as

Diabetes Mellitus, Type 2ExerciseExercise TherapyBlood GlucoseCognitionGlycated HemoglobinHumansLipid MetabolismPhysical FitnessRandomized Controlled Trials as TopicBlood GlucoseGlycated HemoglobinMulti-componentType 2 diabetes

Identifiers

PMID41287857
PMCPMC12640639

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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.