Evidence map›Paper›PMID 20835904›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2011

Acute and chronic effects of exercise on inflammatory markers and B-type natriuretic peptide in patients with coronary artery disease.

Juliano Lara Fernandes, Carlos Vicente Serrano, Flavia Toledo, Maria Fernanda Hunziker, Augusto Zamperini, Fabio H Teo, Romulo T Oliveira, Maria Heloisa Blotta, Maria Urbana Rondon, Carlos Eduardo Negrão

Open access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 10% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. The effect of placebo adherence on reducing cardiovascular mortality: a meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2014
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Balancing exercise risk and benefits: lessons learned from sickle cell trait and sickle cell anemia.Hematology. American Society of Hematology. Education Program · 2018
    Review
  14. Article
  15. Gut Microbiome: What We Do and Don't Know.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2015
    Review
  16. Article
  17. Article
  18. Exercise and the microbiota.Gut microbes · 2015
    Article
  19. Acute and chronic effects of exercise on circulating endothelial progenitor cells in healthy and diseased patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    Review
  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

10 authors at 3 institutions in 1 country.

Juliano Lara FernandesUniversity of Campinas (Unicamp), R. Antonio Lapa 1032, Campinas, SP, 13025-242, Brazil. jlaraf@fcm.unicamp.br
Carlos Vicente Serrano
Flavia Toledo
Maria Fernanda Hunziker
Augusto Zamperini
Fabio H Teo
Romulo T Oliveira
Maria Heloisa Blotta
Maria Urbana Rondon
Carlos Eduardo Negrão
Universidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRHospital de Clínicas da Unicamp · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have prospectively addressed the effects of exercise in the inflammatory activity of patients with coronary artery disease (CAD). We sought to evaluate the consequences of an acute bout of exercise on inflammatory markers and BNP in untrained CAD patients before and after randomization to a training program.

methods34 CAD patients underwent a 50-min acute exercise session on a cycle-ergometer at 65% peak oxygen uptake before and after blood sampling. They were then randomized to a 4-month chronic exercise program (15 patients) or general lifestyle recommendations (19 patients), undergoing a new acute session of exercise after that.

resultsIn the overall population, acute exercise caused a significant increase in C-reactive protein [CRP; 1.79 (4.49) vs. 1.94 (4.89) mg/L, P < 0.001], monokine induced by interferon-γ [Mig; 351 (324) vs. 373 (330) pg/mL, P = 0.027] and vascular adhesion molecule-1 [VCAM-1; 226 (82) vs. 252 (110) pg/mL, P = 0.02]. After 4-months, in exercise-trained patients, there was a significant decrease in the inflammatory response provoked by the acute exercise compared to patients in the control group reflected by a significant decrease in the differences between rest and post-exercise levels of CRP [-0.29 (0.84) mg/L vs. -0.11 (0.21) mg/L, P = 0.05]. Resting BNP was also significantly lower in exercise-trained patients when compared to untrained controls [15.6 (16.2) vs. 9.7 (11.4) pg/mL, P = 0.04 and 19.2 (27.8) vs. 23.2 (27.5) pg/mL, P = 0.76; respectively].

conclusionsChronic exercise training might partially reverse the inflammatory response caused by acute exercise in CAD patients. These results suggest that regular exercise is an important nonpharmacological strategy to the improvement in inflammation in CAD patients.

Indexed as

ExerciseAcute DiseaseAdultAgedBiomarkersChronic DiseaseCoronary Artery DiseaseCytokinesExercise TestFemaleHumansInflammationMaleMiddle AgedNatriuretic Peptide, BrainBiomarkersCytokinesNatriuretic Peptide, Brain

Identifiers

PMID20835904
OpenAlexW2082715352

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.