Research Summary
Analyzed using Evidence Intelligence™

Combined training improves metabolic syndrome parameters in women

Last updated September 9, 2026

Key finding

Blood glucose decreased by 36.4%.

This study examined the effects of a combined training program on metabolic syndrome parameters in inactive women, revealing significant improvements in various health metrics.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study examined the effects of a combined training program on metabolic syndrome parameters in inactive women, revealing significant improvements in various health metrics.

Clinical relevance

These findings are crucial as they highlight a practical approach to improving metabolic health in inactive women, a group at risk for metabolic syndrome. By demonstrating significant reductions in blood glucose and insulin resistance, the study suggests that lifestyle interventions like combined training can play a vital role in preventing chronic diseases.

Keep in mind

Unclear effectiveness for some outcomes Limited generalizability due to specific population Potential confounding factors not measured

Published in

Journal Reference

Publication details and source links for this paper.

Mouna A, Refka H, Monia Z, Asma BA, Asma O, Meriam D. Effects of a Combined Training Programme on Metabolic Syndrome Parameters in Inactive Women. Biology of Sport. 2025;43:177-186. doi:10.5114/biolsport.2026.153313

Main Effects

Blood glucose decreased by 36.4%

HbA1c decreased by 22.8%

Resting heart rate decreased by 20.4%

Functional fitness abilities increased by 200%

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Combined Training Programme and Blood glucose, FFA levels after bariatric surgery, HbA1c, and 5 more.

Primary intervention

Combined Training Programme

Primary outcomes

  • Blood glucose
  • FFA levels after bariatric surgery
  • HbA1c

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

4

Related topics

8

Evidence pairs

1470

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Blood Pressure

matched_outcome

Related evidence

Evidence topic

Fasting Blood Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Blood glucose

Combined Training Programme → Blood glucose

Combined Training Programme → Blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

FFA levels after bariatric surgery

Combined Training Programme → FFA levels after bariatric surgery

Combined Training Programme → FFA levels after bariatric surgery

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Combined Training Programme → HbA1c

Combined Training Programme → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Insulin resistance

Combined Training Programme → Insulin resistance

Combined Training Programme → Insulin resistance

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Maximal Heart Rate (max-HR)

Combined Training Programme → Maximal Heart Rate (max-HR)

Combined Training Programme → Maximal Heart Rate (max-HR)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Mean arterial pressure reduction

Combined Training Programme → Mean arterial pressure reduction

Combined Training Programme → Mean arterial pressure reduction

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Resting Heart Rate (r-HR)

Combined Training Programme → Resting Heart Rate (r-HR)

Combined Training Programme → Resting Heart Rate (r-HR)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Skeletal Muscle to Fat Ratio (MFR)

Combined Training Programme → Skeletal Muscle to Fat Ratio (MFR)

Combined Training Programme → Skeletal Muscle to Fat Ratio (MFR)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Blood glucose levels decreased by 36.4%
  • HbA1c levels decreased by 22.8%
  • Functional fitness abilities increased by 200%
who this applies

Who this applies to

  • Inactive women at risk for metabolic syndrome
  • Women seeking lifestyle interventions for health improvement
keep in mind

Keep in Mind

  • Results may not apply to active women or other demographics
  • Long-term effects of the training program were not assessed
  • Further studies needed to confirm findings and address limitations
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Limited generalizability due to specific population
  • Potential confounding factors not measured

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Combined Training Programme and Fasting Glucose, Combined Training Programme and FFA levels after bariatric surgery.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Combined Training Programme improve blood glucose?

Emerging Evidence

Combined Training Programme appears to improve blood glucose.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Combined Training Programme improve ffa levels after bariatric surgery?

Emerging Evidence

Combined Training Programme appears to improve ffa levels after bariatric surgery.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    FFA levels after bariatric surgery

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Combined Training Programme lower HbA1c?

Emerging Evidence

Combined Training Programme appears to lower HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Combined Training Programme improve insulin resistance?

Emerging Evidence

Combined Training Programme appears to improve insulin resistance.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Insulin resistance

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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