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Effect of Exercise on Vascular Function and Blood Lipids in Postmenopausal Women: A Systematic Review and Network Meta-Analysis

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  • Chenxi Xin

    (Department of Chinese Academy of Sport and Health, Beijing Sport University, Beijing 100084, China)

  • Mingyi Ye

    (Department of Chinese Academy of Sport and Health, Beijing Sport University, Beijing 100084, China)

  • Qianqian Zhang

    (Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China)

  • Hui He

    (Department of Chinese Academy of Sport and Health, Beijing Sport University, Beijing 100084, China)

Abstract

This study aimed to compare and rank the effectiveness of aerobic exercise (AE), resistance training (RT), combined training (CT), and water exercise (WE) on vascular function and blood lipids in postmenopausal women using a network meta-analysis (NMA). Methods: We searched the PubMed, Cochrane, Embase, Web of Science, and EBSCO (SPORTDiscus) databases to identify randomized controlled trials investigating the effects of exercise on vascular function and blood lipids in postmenopausal women. The retrieval period was from inception to March 2022. Two reviewers independently screened the retrieved articles, extracted pertinent data, and assessed the risk of bias of the included studies. Results: A total of 38 studies involving 1407 patients were included in this study. The results of the NMA indicated that WE had the greatest effect on systolic blood pressure (SBP) (surface under the cumulative ranking [SUCRA] = 84.9) and total cholesterol (TC) (SUCRA = 93.1); CT had the greatest effect on triglycerides (TG) (SUCRA = 96.2), high-density lipoprotein cholesterol (HDL-C) (SUCRA = 94.8), and diastolic blood pressure (DBP) (SUCRA = 91.1); RT had the greatest effect on low-density lipoprotein cholesterol (LDL-C) (SUCRA = 79.4). Conclusion: The results suggest that exercise can effectively improve the PWV, SBP, and DBP and the levels of TC, TG, and LDL-C in postmenopausal women. WE had the best effect on improving TC and SBP. CT had the best effect on improving TG, HDL-C, and DBP. To improve LDL-C, RT can achieve a good effect. Considering the limitations of NMA, more RCTS need to be performed in the future to provide more direct evidence of the effectiveness of various exercise interventions on vascular health in postmenopausal women.

Suggested Citation

  • Chenxi Xin & Mingyi Ye & Qianqian Zhang & Hui He, 2022. "Effect of Exercise on Vascular Function and Blood Lipids in Postmenopausal Women: A Systematic Review and Network Meta-Analysis," IJERPH, MDPI, vol. 19(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12074-:d:923782
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    References listed on IDEAS

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    1. Marko Manojlović & Branka Protić-Gava & Nebojša Maksimović & Tijana Šćepanović & Sunčica Poček & Roberto Roklicer & Patrik Drid, 2021. "Effects of Combined Resistance and Aerobic Training on Arterial Stiffness in Postmenopausal Women: A Systematic Review," IJERPH, MDPI, vol. 18(18), pages 1-11, September.
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