Abstract:
OBJECTIVE:Exercise training has been shown to have beneficial effects on liver function in adults overweight or with fatty liver disease. To establish which exercise programme characteristics were likely to elicit optimal improvements. DESIGN:Systematic review and meta-analysis of randomised, controlled trials. DATA SOURCES:PubMed, CINAHL and Cochrane controlled trials registry searched (1966 to 2 October 2015). ELIGIBILITY CRITERIA FOR SELECTING STUDIES:Exercise intervention, with or without dietary intervention, versus usual care in adults undertaking, exercise training, who were overweight, obese or exhibited fatty liver disease (non-alcoholic fatty liver disease or non-alcoholic steatohepatitis). RESULTS:We included 21 randomised controlled trials, totalling 1530 participants. Exercise intervention studies with total exercise programme workload >10 000 kcal produced significant improvements in intrahepatic fat, -3.46% (95% CI -5.20% to -1.73%), p<0.0001, I2=73%; effect size (standardised mean difference, SMD) -1.77 (-3.11 to -0.42), p=0.01, I2=77%. When data from only exercise studies were pooled, there was a reduction in fasting free fatty acids (FFAs) -74.15 µmol/L (95% CI -118.47 to -29.84), p=0.001, I2=67% with a large effect size (SMD) -0.94 (-1.36 to -0.52), p<0.0001, I2=0%. When data from only exercise studies were pooled, there was a significant reduction in insulin MD -1.88 UL (95% CI -3.43 to -0.34), p=0.02, I2=31%. The liver enzymes, alanine aminotransferase, aspartate aminotransferase and γ-glutamyl transpeptidase, were not significantly altered with exercise. CONCLUSIONS:Exercise training reduces intrahepatic fat and FFAs while increasing cardiorespiratory fitness. An aggregate exercise programme energy expenditure (>10 000 kcal) may be required to promote reductions in intrahepatic fat.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Smart NA,King N,McFarlane JR,Graham PL,Dieberg Gdoi
10.1136/bjsports-2016-096197subject
Has Abstractpub_date
2018-07-01 00:00:00pages
834-843issue
13eissn
0306-3674issn
1473-0480pii
bjsports-2016-096197journal_volume
52pub_type
杂志文章,meta分析,评审abstract:OBJECTIVE:To examine the effects of short-term, medium-term and long-term resistance exercise training (RET) on measures of cardiometabolic health in adults. DESIGN:Intervention systematic review. DATA SOURCES:MEDLINE and Cochrane Library databases were searched from inception to February 2018. The search strategy in...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析
doi:10.1136/bjsports-2017-098970
更新日期:2020-03-01 00:00:00
abstract::There are many treatment modalities for ankle rehabilitation. These are reviewed, and the most effective training programme for rapid restoration of ankle movement, strength, endurance, and proprioception is selected. ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.37.4.291
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Antidoping and medical care delivery programmes are required at all large international multisport events. OBJECTIVE:To document and critique the novel antidoping and medical care delivery models implemented at the 2nd Summer Youth Olympic Games, Nanjing 2014. METHODS:The International Olympic Committee im...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-094424
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:To identify physical activity that is beneficial for the maintenance of bone strength with increasing age by examining the relation between bone mineral density (BMD) and chronic endurance training in men. BMD at the proximal femur, its subregions, and the lumbar spine, and serum testosterone were compared b...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.34.4.273
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:During the COVID-19 pandemic, it is essential to understand if and how to screen SARS-CoV-2-positive athletes to safely resume training and competitions. The aim of this study is to understand which investigations are useful in a screening protocol aimed at protecting health but also avoiding inappropriate ex...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2020-102789
更新日期:2021-01-01 00:00:00
abstract::Preparticipation screening programmes for underlying cardiac pathologies are now commonplace for many international sporting organisations. However, providing medical clearance for an asymptomatic athlete without a family history of sudden cardiac death (SCD) is especially challenging when the athlete demonstrates par...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2011-090838
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Some snowboarders listen to music on a personal music player and the objective was to determine if listening to music was associated with injury in a terrain park. METHODS:A case-control study was conducted at a terrain park in Alberta, Canada during the 2008-2009 and 2009-2010 winter seasons. Cases were sn...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-093487
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:The Active Script Programme (ASP) aimed to increase the number of general practitioners (GPs) in Victoria, Australia who deliver appropriate, consistent, and effective advice on physical activity to patients. To maximise GP participation, a capacity building strategy within Divisions of General Practice (DGP...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2002.001297
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND:ECG is recommended for preparticipation health examination in athletes. Owing to a lack of consensus on how to read and interpret athletes' ECGs, different criteria for abnormality are used. AIMS:To compare the prevalence of abnormal ECGs and test the correlation between visual and computer-based measuremen...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2014-093412
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Prevention of sport injuries and illnesses is a focus for epidemiological surveillance. OBJECTIVES:To record and analyse all sports injuries and illnesses registered during the second Asian Beach Games. DESIGN:A descriptive epidemiological study using the International Olympic Committee Surveillance system...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090852
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:There are controversial data about the relation between foot morphology and athletic injuries of the lower extremity. Studies in soldiers have shown some relationship, whereas those involving athletes have not shown any significant relationship. The reason for these differences is not clear. OBJECTIVE:To de...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.011478
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:To monitor the seasonal body composition alterations in 18 lightweight rowers (six females, 12 males) across a rowing season incorporating preseason, early competition, competition, and postseason. METHODS:Subject age was 23.1 (SD 4.5) years, height 170.8 (5.6) cm (female, 23.5 (3.5) years, 180.5 (2.7) cm (m...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.30.4.301
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:To determine prospectively gait-related intrinsic risk factors for patellofemoral pain (PFP) in a population of novice recreational runners. DESIGN:Prospective cohort study. PARTICIPANTS:102 novice recreational runners (89 women) with no history of knee or lower leg complaints. INTERVENTIONS:The standing f...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.046649
更新日期:2008-06-01 00:00:00
abstract::Team sports are increasingly popular, with millions of participants worldwide. Athletes engaged in these sports are required to repeatedly produce skilful actions and maximal or near-maximal efforts (eg, accelerations, changes in pace and direction, sprints, jumps and kicks), interspersed with brief recovery intervals...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2013-092950
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Low physical activity (PA) levels which increase the risk of chronic disease are reported by two-thirds of the general UK population. Promotion of PA by primary healthcare professionals is advocated but more evidence is needed regarding effective ways of integrating this within everyday practice. This study ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bjsports-2012-091581
更新日期:2014-11-01 00:00:00
abstract::A central debate in the exercise sciences is the cause of the fatigue that develops especially during high intensity exercise of short duration. The most popular theory holds that this form of exercise is limited by a peripherally based, metabolite induced failure of skeletal muscle contractile function, independent o...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.009761
更新日期:2004-10-01 00:00:00
abstract::The second international consensus conference on the scapula was held in Lexington Kentucky. The purpose of the conference was to update, present and discuss the accumulated knowledge regarding scapular involvement in various shoulder injuries and highlight the clinical implications for the evaluation and treatment of...
journal_title:British journal of sports medicine
pub_type: 共识发展会议,杂志文章
doi:10.1136/bjsports-2013-092425
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:In this study, the serum triglycerides and total serum cholesterol levels in patients with rotator cuff tear were determined. DESIGN:Frequency-matched case-control study. Setting University teaching hospital. PARTICIPANTS:240 individuals who were operated on at our institution were included in the study. 12...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2008.056440
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To verify presence and severity of muscular and/or intravascular damage during a subterranean exploration of long duration. METHODS:We measured serum levels of creatine kinase (CK) and lactate dehydrogenase (LDH) as markers of muscular damage. We also measured haptoglobin as a marker of intravascular haemoly...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.021402
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:The therapeutic efficacy of non-surgical treatment strategies in Achilles tendinopathy (AT) has not been well clarified. Time-consuming and costly combinations of treatment for pain, physiotherapy and biomechanical procedures are often applied. OBJECTIVE:To analyse the efficacy of single therapeutic regimen...
journal_title:British journal of sports medicine
pub_type: 杂志文章,随机对照试验
doi:10.1136/bjsm.2006.031732
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVES:Physique traits and their relationship to competitive success were assessed amongst lightweight rowers competing at the 2003 Australian Rowing Championships. METHODS:Full anthropometric profiles were collected from 107 lightweight rowers (n = 65 males, n = 45 females) competing in the Under 23 and Open age ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2004.015990
更新日期:2005-10-01 00:00:00
abstract::Anabolic androgenic steroids (AAS) are used illicitly at high doses by bodybuilders. The misuse of these drugs is associated with serious adverse effects to the liver, including cellular adenomas and adenocarcinomas. We report two very different cases of adult male bodybuilders who developed hepatocellular adenomas fo...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2004.013599
更新日期:2005-05-01 00:00:00
abstract::A history of morning and rest pain that eases with activity was found to improve after anti-inflammatory injections around the paratenon or within the Achilles bursae. The reduction in pain morbidity was significant, and the peritendinous steroid injections did not increase the rupture rate. ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.33.2.134
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:To investigate the relationships between the time spent in specific intensities of activity and inactivity, cardiorespiratory fitness and body composition in children. METHODS:A cross-sectional study was conducted in a random sample of schools. Height, weight and waist circumference were measured in 224 chil...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究
doi:10.1136/bjsm.2006.032045
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Studies failing to show a negative effect of rapid weight loss (RWL) on performance have been conducted in athletes who have been cycling weight for years. It has been suggested that chronic weight cycling could lead combat athletes to become resistant to the stresses associated with weight loss. To investig...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2013-092689
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND/AIM:Dupuytren disease is a fibroproliferative hand condition. The role of exposure to vibration as a risk factor has been studied with contradictory results. Since field hockey is expected to be a strong source of hand-arm vibration, we hypothesised that long-term exposure to field hockey is associated with ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-096236
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:There is a considerable amount of scientific literature on football, but few studies have focused on referees, despite their key role in this sport. Existing studies focus on the physiological demands and training of referees. PURPOSE:To analyse injuries and musculoskeletal complaints in referees and assist...
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究
doi:10.1136/bjsm.2008.048314
更新日期:2009-07-01 00:00:00
abstract::The aims of this review were to determine the level of evidence for exercise training in the management of patients with chronic obstructive pulmonary disease (COPD) and provide evidence-based recommendations on exercise training. This review was performed in PubMed and Cochrane Library. Included studies investigated ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2015-095872
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:The menstrual cycle can affect sports participation and exercise performance. There are very few data on specific menstrual cycle symptoms (symptoms during various phases of the cycle, not only during menstruation) experienced by exercising women. We aimed to characterise the most common symptoms, as well as...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2020-102792
更新日期:2020-11-16 00:00:00
abstract:OBJECTIVE:To summarise the evidence for non-pharmacological management of low back pain (LBP) in athletes, a common problem in sport that can negatively impact performance and contribute to early retirement. DATA SOURCES:Five databases (EMBASE, Medline, CINAHL, Web of Science, Scopus) were searched from inception to S...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2020-102723
更新日期:2020-12-21 00:00:00