Evidence map›Paper›PMID 42422183›Full record

SynthesisFrontiers in cardiovascular medicine2026

Can resistance training alone or resistance training combined with aerobic training improve arterial stiffness, endothelial function, and other vascular function indicators in adults with hypertension or overweight/obesity-related vascular risk? A systematic review and meta-analysis of randomized controlled trials.

Yanhao Wang, Zhengnian Lin, Ji Zhu, Wei Gao, Zhiheng Li, Xiaoyan Li, Ming Li

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Yanhao WangSchool of Physical Education and Sports Science, Fujian Normal University, Fuzhou, Fujian, China.
Zhengnian LinSchool of Physical Education and Sports Science, Fujian Normal University, Fuzhou, Fujian, China.
Ji ZhuSchool of Physical Education and Sports Science, Fujian Normal University, Fuzhou, Fujian, China.
Wei GaoSchool of Physical Education and Sports Science, Fujian Normal University, Fuzhou, Fujian, China.
Zhiheng LiSchool of Physical Education and Sports Science, Fujian Normal University, Fuzhou, Fujian, China.
Xiaoyan LiSchool of Physical Education and Sports Science, Fujian Normal University, Fuzhou, Fujian, China.
Ming LiSchool of Physical Education and Sports Science, Fujian Normal University, Fuzhou, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This systematic review and meta-analysis synthesized evidence from randomized controlled trials to examine the overall effects of resistance training alone or in combination with aerobic training on arterial stiffness, endothelial function, and other vascular function indices in adults with hypertension or overweight/obesity-related vascular risk. Methods: Following PRISMA guidelines, PubMed, Embase, Web of Science, the Cochrane Library, Ovid, CNKI, Wanfang Data, VIP, and CBM were searched from inception to January 2026 for randomized controlled trials examining resistance training alone or combined with aerobic training on vascular function in adults with hypertension or overweight/obesity-related vascular risk. Random-effects meta-analyses were performed using Results: Twenty randomized controlled trials were included. Resistance training-based interventions performed alone or combined with aerobic training significantly reduced arterial stiffness ( Conclusions: Resistance training-based interventions may improve selected vascular function outcomes in adults with hypertension or overweight/obesity-related vascular risk, particularly FMD. However, the FMD finding should be interpreted cautiously because of potential publication bias or small-study effects and the limited evidence base. Evidence for arterial stiffness was less robust after sensitivity analyses, no consistent benefit was observed for wave reflection indices, and evidence for peripheral haemodynamics remained insufficient. Current evidence does not support the superiority of resistance training-based interventions performed alone over combined aerobic-resistance training, and exploratory subgroup findings should not be used to infer optimal training prescriptions. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420261335684.

Indexed as

adultsaerobic traininghypertensionmeta-analysisobeseoverweightresistance trainingsystematic review

Identifiers

PMID42422183
PMCPMC13341816

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.