Evidence map›Paper›PMID 42848119›Full record

SynthesisSports medicine - open2026

Impact of Aerobic Exercise on Endothelial Function and Other Cardiovascular Disease Markers in Health and Disease: A Systematic Review and Meta-analysis with Meta-regression of Randomized Controlled Trials.

Simon Iskra, Gašper Turnšek, Kristina Drole, Armin Paravlić

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Simon IskraFaculty of Sport, University of Ljubljana, Gortanova 22, 1000, Ljubljana, Slovenia. simon.iskra@fsp.uni-lj.si.ORCID http://orcid.org/0009-0008-9768-9153
Gašper TurnšekFaculty of Sport, University of Ljubljana, Gortanova 22, 1000, Ljubljana, Slovenia.ORCID http://orcid.org/0009-0003-9293-4328
Kristina DroleFaculty of Sport, University of Ljubljana, Gortanova 22, 1000, Ljubljana, Slovenia.ORCID http://orcid.org/0000-0002-8403-3154
Armin ParavlićFaculty of Sport, University of Ljubljana, Gortanova 22, 1000, Ljubljana, Slovenia.ORCID http://orcid.org/0000-0002-7748-8097

Funding

Fundacija za šport D5-RR-1-24-003Javna Agencija za Raziskovalno Dejavnost RS P5-0147Univerza v Ljubljani 005-1/2023Univerza v Ljubljani 802-15-2023-5
6 · The paper itself

Abstract

backgroundAerobic exercise (AE) has long been recognized as a potent stimulus for improving various cardiovascular disease (CVD)-related markers. Although several meta-analyses have focused on some of these markers, no meta-analysis or meta-regression has comprehensively evaluated the influence of multiple CVD-related markers on endothelial function, assessed by brachial-artery flow-mediated dilation (

methodsThis meta-analysis and meta-regression included randomized controlled trials investigating the effect of AE on

resultsSeventy-two studies comprising 3357 participants were included. AE significantly improved

conclusionsAE elicits robust improvements in endothelial function and a wide range of CVD-related markers. This is the first meta-analysis to integrate these outcomes through meta-regression, demonstrating that exercise induced enhancements in body composition, cardiorespiratory fitness, blood pressure and insulin regulation collectively contribute to endothelial adaptations. These findings provide new mechanistic insights into the vascular benefits of AE and reinforce its role as a potent nonpharmacological strategy for CVD prevention and vascular health optimization. The protocol was prospectively registered in the Open Science Framework online registry (DOI: https://doi.org/10.17605/OSF.IO/E4QYD ).

Indexed as

BiomarkersBrachial artery flow-mediated dilatationCardiovascular healthPhysical exerciseVascular function

Identifiers

PMID42848119

What OpenQuestion holds

Textmetadata
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.