Evidence map›Paper›PMID 19680681›Full record

Trial reportEuropean journal of applied physiology2009

Isometric handgrip exercise improves acute neurocardiac regulation.

Philip J Millar, Maureen J MacDonald, Steven R Bray, Neil McCartney

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of applied physiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04467879 (A Pivotal Study To Evaluate The Effectiveness of Isometric Handgrip Therapy In Prehypertensive And Hypertensive Patients), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04467879 naterminatednot on this mapstarted 2020, after this paper: background citation

A Pivotal Study To Evaluate The Effectiveness of Isometric Handgrip Therapy In Prehypertensive And Hypertensive Patients

TypeinterventionalSponsorZona Health, IncRan2020 to 2022Enrolled146ConditionsHypertension, SystolicArmsZona Plus Device, Control Device
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Correlation properties of heart rate variability during endurance exercise: A systematic review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2020
    Pooled it
  2. Trial
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  15. Exercise, the Brain, and Hypertension.Current hypertension reports · 2015
    Review
  16. 4-Second Exercise Test: Reference Values for Ages 18-81 Years.Arquivos brasileiros de cardiologia · 2015
    Article
  17. Article
  18. Review
  19. Double-leg isometric exercise training in older men.Open access journal of sports medicine · 2013
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Philip J MillarDepartment of Kinesiology, McMaster University, 1280 Main St W, Hamilton, ON L8S 4K1, Canada. millarpj@mcmaster.ca
Maureen J MacDonald
Steven R Bray
Neil McCartney

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isometric handgrip (IHG) training (>6 weeks) has been shown to reduce resting arterial blood pressure (ABP) and improve cardiac autonomic modulation. However, the effects of a single bout of IHG on acute neurocardiac regulation remain unknown. The purpose of this study was to examine the effect of IHG exercise on nonlinear heart rate dynamics and cardiac vagal activity. Nonlinear dynamics were assessed by sample entropy, detrended fluctuation analysis (alpha(1)), and correlation dimension techniques. The 4-second exercise test was used to calculate the cardiac vagal index (CVI), an indirect measure of cardiac vagal activity. In a randomized crossover design, 18 older (70 +/- 5 years of age) subjects completed IHG exercise (four 2-min isometric contractions at 30% MVC) and a time-matched control condition. Following a single bout of bilateral IHG, there was a small reduction in systolic blood pressure (125 +/- 2 to 122 +/- 1 mmHg, P < 0.01), in addition to, a significant decrease in alpha(1) (1.42 +/- 0.12 to 1.22 +/- 0.10, P < 0.05), an increase in sample entropy (1.28 +/- 0.03 to 1.40 +/- 0.05, P < 0.001), and an increase in the CVI (1.24 +/- 0.03 to 1.29 +/- 0.03, P < 0.01). These results suggest improvements in acute cardiac autonomic modulation following a single bout of IHG. This may be mechanistically linked to the observed reductions in ABP seen in previous IHG training studies. Alternatively, these acute effects may have clinical applications and require further investigation.

Indexed as

AgedAutonomic Nervous SystemBlood PressureCardiovascular Physiological PhenomenaCross-Over StudiesExerciseFemaleHandHand StrengthHeartHeart RateHumansMaleTime Factors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.