Evidence map›Paper›PMID 21778256›Full record

Trial reportChest2011

The effect of weight loss and exercise training on flow-mediated dilatation in coronary heart disease: a randomized trial.

Philip A Ades, Patrick D Savage, Stefan Lischke, Michael J Toth, Jean Harvey-Berino, Janice Y Bunn, Maryann Ludlow, David J Schneider

2 registry-linked trialsOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.9field-weighted citation impact, top 4% 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.

NCT00628277 phase3completednot on this map

Methods of Weight Loss in Overweight Coronary Patients

TypeinterventionalSponsorUniversity of VermontRan2002 to 2007Enrolled74ConditionsObesityArmshigh caloric expenditure exercise, low caloric expenditure exercise plus dietary counseling
NCT03723278 completednot on this mapstarted 2018, after this paper: background citation

Single-centre, Single-blind, Randomized, Controlled, Cross-over Study to Analyze the Influence of Nitric Oxide on Flow Mediated Dilation

TypeobservationalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2018 to 2019Enrolled20ConditionsFMD - Flow Mediated Dilation
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. The Treatment of Obesity in Cardiac Rehabilitation: A REVIEW AND PRACTICAL RECOMMENDATIONS.Journal of cardiopulmonary rehabilitation and prevention · 2021
    Review
  8. Article
  9. Review
  10. Review
  11. Consequences of obesity and weight loss: a devil's advocate position.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Philip A AdesDepartment of Medicine, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT. Electronic address: Philip.Ades@vtmednet.org.
Patrick D SavageDepartment of Medicine, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT.
Stefan LischkeDepartment of Medicine, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT.
Michael J TothDepartment of Medicine, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT.
Jean Harvey-BerinoDepartment of Nutrition, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT.
Janice Y BunnDepartment of Biostatistics, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT.
Maryann LudlowDepartment of Nutrition, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT.
David J SchneiderDepartment of Medicine, Division of Cardiology, Cardiac Rehabilitation and Prevention, University of Vermont College of Medicine, South Burlington, VT.
University of Vermont · US

Funding

Exercise and Weight Loss in Obese Coronary PatientsR01HL072851 · NHLBI · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI ADES, PHILIP A. · 2002 to 2005
$1.5M
NHLBI NIH HHS R01 HL072851NHLBI NIH HHS R01-HL72851
6 · The paper itself

Abstract

backgroundMore than 80% of patients entering cardiac rehabilitation are overweight, with a high prevalence of associated insulin resistance, diabetes, hypertension, hyperlipidemia, and a prothrombotic state. Because each of these characteristics is associated with abnormalities of endothelial-dependent flow-mediated dilatation (FMD), a predictor of long-term prognosis in patients with coronary heart disease (CHD), we assessed the effect of exercise training and weight reduction on FMD in overweight patients with CHD.

methodsAll patients (N = 38) participated in behavioral weight loss while taking their usual preventive medications. Subjects were randomized to one of two exercise protocols, which differed by caloric expenditure. The primary outcome was extent (%) of brachial artery FMD measured by ultrasonography before and after the 4-month exercise and weight-loss program.

resultsBoth study groups experienced an increase in brachial artery FMD after weight loss and exercise. Patients randomized to the higher-caloric exercise condition (longer-distance walking) lost more weight (8.6 ± 4.1 kg vs 2.3 ± 3.3 kg [P < .001]) and experienced a greater percentage increase in brachial artery FMD (3.6% ± 4.1% vs 1.3% ± 2.1%, P < .05) than did subjects in the lower-caloric-expenditure exercise group who lost less weight. Both groups increased peak aerobic capacity similarly. Increased FMD correlated with changes in body weight more than with measures of abdominal fat, glucose disposal, lipid measure, BP, or measures of physical activity or cardiorespiratory fitness.

conclusionsExercise and weight loss increased FMD in overweight and obese patients with CHD. Greater weight reduction was associated with a greater improvement in FMD; thus, there was a dose effect. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT00628277; URL: www.clinicaltrials.gov.

Indexed as

Weight LossAgedBody CompositionBody Mass IndexBrachial ArteryCoronary CirculationCoronary DiseaseDiet, Fat-RestrictedExerciseFemaleHumansMaleMiddle AgedMultivariate AnalysisOverweightPhysical Fitness

Identifiers

PMID21778256
PMCPMC3231959
OpenAlexW1980387384

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.