Effect of exercise on epicardial fat in adults: a protocol for systematic review and meta-analyses

L. Roever, E. S. Resende, A. Diniz, N. Penha-Silva, J. L. O’Connell, Fernanda Rodrigues Souza, Poliana Rodrigues Alves Duarte, L. Lopes, P. F. Gomes, H. R. Zanetti, Anaisa Silva Roerver-Borges, F. Veloso, T. Fidale, A. Casella-Filho, P. Dourado, A. Chagas, Sadeq Ali-Hasan-Al-Saegh, P. E. O. Reis, R. Pinto, Gustavo B. F. Oliveira, Álvaro Avezum Mansueto Neto, A. Durães, R. Silva, A. J. Grande, C. Denardi, Renato D. Lopes, N. Nerlekar, S. Alizadeh, A. Hernandez, M. I. Rosa, G. Tse, Tong Liu, Roberto Furlanetto Júnior, C. L. Lourenço, G. Biondi‐Zoccai
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Abstract

Introduction: Epicardial adipose tissue (EAT) is a complex disease that includes endothelial dysfunction, insulin resistance, diabetes, hypertension, ectopic obesity, and dyslipidaemia and an increased risk of cardiovascular events. This study aims to fill this gap of research by conducting a systematic review and meta-analysis to compare differences types of exercise to reduce EAT. Methods and analysis: We will search the PubMed, EMBASE, Cochrane Library, Web of Science, Embase, google scholar, clinical trials registry (ClinicalTrials. gov) for unpublished or undergoing research listed in registry platforms. Randomized controlled trials (RCTs) on the drug therapy of EAT with outcome measures including diagnostic criteria of EAT will be included. The quality of included RTCs will be evaluated according to the Cochrane Collaboration's risk of bias tool. Sensitivity analysis on the sample size of RCTs, meta-regression analysis on the follow-up periods, dosages and baselines of outcome measure, contradiction analysis between pairwise and network meta-analyses, and publication bias analysis, will be performed. The quality of included RTCs will be evaluated according to the Cochrane Collaboration's risk of bias tool. Sensitivity analysis on the sample size of RCTs, meta-regression analysis on the follow-up periods, dosages and baselines of outcome measure, contradiction analysis between pairwise and network meta-analyses, and publication bias analysis, will be performed. Ethics and dissemination: Ethics approval was not required for this study because it was based on published studies and this study will be submitted in a scientific peer-reviewed journal. Trial registration number: PROSPERO (CRD42018096581). *Correspondence to: Leonardo Roever, Department of Clinical Research, Federal University of Uberlândia, Heart Institute (InCor), Master Institute of Education President Antonio Carlos, IMEPAC, Araguari, Brazil, E-mail: leonardoroever@hotmail.com
运动对成人心外膜脂肪的影响:一项系统回顾和荟萃分析的方案
心外膜脂肪组织(EAT)是一种复杂的疾病,包括内皮功能障碍、胰岛素抵抗、糖尿病、高血压、异位肥胖和血脂异常,并增加心血管事件的风险。本研究旨在通过系统回顾和荟萃分析来比较不同类型的运动来减少EAT,从而填补这一研究空白。方法与分析:我们将检索PubMed, EMBASE, Cochrane Library, Web of Science, EMBASE,谷歌scholar,临床试验注册(ClinicalTrials)。Gov)登记平台中列出的未发表或正在进行的研究。随机对照试验(rct)的药物治疗的结果测量,包括EAT的诊断标准将包括在内。纳入的rtc的质量将根据Cochrane协作的偏倚风险工具进行评估。对随机对照试验样本量进行敏感性分析,对随访期、剂量、结局指标基线进行meta回归分析,对双元分析与网络meta分析的矛盾分析,发表偏倚分析。纳入的rtc的质量将根据Cochrane协作的偏倚风险工具进行评估。对随机对照试验样本量进行敏感性分析,对随访期、剂量、结局指标基线进行meta回归分析,对双元分析与网络meta分析的矛盾分析,发表偏倚分析。伦理和传播:本研究不需要伦理批准,因为它是基于已发表的研究,本研究将提交给同行评议的科学期刊。试验注册号:PROSPERO (CRD42018096581)。*通信:Leonardo Roever,临床研究系,uberl联邦大学,心脏研究所(InCor),教育硕士学院院长Antonio Carlos, IMEPAC,阿拉瓜里,巴西,E-mail: leonardoroever@hotmail.com
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