The purpose of this systematic review was to synthesize the results from current literature examining the effects of prior exercise on the postprandial triglyceride (TG) response to evaluate current literature and provide future direction. A quantitative review was performed using meta-analytic methods to quantify individual effect sizes. A moderator analysis was performed to investigate potential variables that could influence the effect of prior exercise on postprandial TG response. Two hundred and seventy-nine effects were retrieved from 165 studies for the total TG response and 142 effects from 87 studies for the incremental area under the curve TG response. There was a moderate effect of exercise on the total TG response (Cohen’s d = −0.47; p < .0001). Moderator analysis revealed exercise energy expenditure significantly moderated the effect of prior exercise on the total TG response (p < .0001). Exercise modality (e.g., cardiovascular, resistance, combination of both cardiovascular and resistance, or standing), cardiovascular exercise type (e.g., continuous, interval, concurrent, or combined), and timing of exercise prior to meal administration significantly affected the total TG response (p < .001). Additionally, exercise had a moderate effect on the incremental area under the curve TG response (Cohen’s d = −0.40; p < .0001). The current analysis reveals a more homogeneous data set than previously reported. The attenuation of postprandial TG appears largely dependent on exercise energy expenditure (∼2 MJ) and the timing of exercise. The effect of prior exercise on the postprandial TG response appears to be transient; therefore, exercise should be frequent to elicit an adaptation.

本系统评价的目的是综合当前文献的结果，检查先前运动对餐后甘油三酯 (TG) 反应的影响，以评估当前文献并提供未来方向。使用荟萃分析方法进行定量审查以量化个体效应大小。进行调节分析以研究可能影响先前运动对餐后 TG 反应的影响的潜在变量。从 165 项研究中检索到 279 项效应用于总 TG 反应，从 87 项研究中检索到 142 项效应用于曲线下 TG 反应的增量面积。运动对总 TG 反应有中等影响（Cohen's d  = -0.47；p < .0001)。调节分析显示，运动能量消耗显着缓和了先前运动对总 TG 反应的影响 ( p  < .0001)。运动方式（例如，心血管运动、阻力运动、心血管运动和抵抗运动的组合，或站立）、心血管运动类型（例如，连续、间歇、同时或组合）以及进餐前运动的时间显着影响总 TG 反应( p  < .001)。此外，运动对 TG 反应曲线下的增量面积有中等影响（Cohen's d  = -0.40；p < .0001)。目前的分析揭示了一个比以前报道的更同质的数据集。餐后 TG 的衰减似乎很大程度上取决于运动能量消耗（~2 MJ）和运动时间。先前锻炼对餐后 TG 反应的影响似乎是短暂的；因此，应该经常锻炼以引起适应。