Nine risk factors of AAA development and progression were included in this meta-analysis, and hs-CRP, TG, VO2peak, and AT were significantly improved in the exercise training group, while the size of AAA, TC, LDL, HDL, HDL/LDL ratio, and MMP-9 of the exercise training group were not significantly different, compared with the control. Here, MMP9 is linked to triple-A syndrome.