The aging process leads to the degeneration of body structure and function. The objective of this study is to conduct a systematic review and meta-analysis of the effects of resistance circuit training (RCT) on comprehensive health indicators of older adults. PubMed, Embase, and Web of Science were searched until August 2023. Primary outcomes were body composition, muscle strength, cardiorespiratory endurance, blood pressure, and functional autonomy. Muscle function and exercise intensity subgroups were analyzed. RCT reduces body fat (MD = − 5.39 kg, 95% CI − 10.48 to − 0.29), BMI (MD = − 1.22, 95% CI − 2.17 to − 0.26), and body weight (MD = − 1.28 kg, 95% CI − 1.78 to − 0.78), and increases lean body mass (MD = 1.42 kg, 95% CI 0.83–2.01) in older adults. It improves upper limb strength (SMD = 2.09, 95% CI 1.7–2.48), lower limb strength (SMD = 2.03, 95% CI 1.56–2.51), cardiorespiratory endurance (MD = 94 m, 95% CI 25.69–162.67), and functional autonomy (MD = − 1.35, 95% CI − 1.73 to − 0.96). High-intensity RCT benefits BMI and body weight, while low-intensity exercise reduces blood pressure. RCT improves muscle function in push, pull, hip, and knee movements in older adults. RCT improves body composition, muscle strength, cardiorespiratory endurance, blood pressure, and functional autonomy in older adults. High-intensity training is superior for body composition, while moderate to low intensity training is more effective for lowering blood pressure.