Evidence map›Paper›PMID 21868709›Full record

Trial reportArteriosclerosis, thrombosis, and vascular biology2011

Angiogenesis in skeletal muscle precede improvements in peak oxygen uptake in peripheral artery disease patients.

Brian D Duscha, Jennifer L Robbins, William S Jones, William E Kraus, R John Lye, John M Sanders, Jason D Allen, Judith G Regensteiner, William R Hiatt, Brian H Annex

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Arteriosclerosis, thrombosis, and vascular biology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 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.

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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. The Role of Home-Based Exercise in the Management of Peripheral Artery Disease.Current treatment options in cardiovascular medicine · 2026
    Article
  12. Article
  13. Increased cGMP improves microvascular exercise training adaptations in diet-induced obesity.American journal of physiology. Endocrinology and metabolism · 2025
    Article
  14. New horizons in nuclear cardiology: Imaging of peripheral arterial disease.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2025
    Review
  15. Article
  16. Peripheral arterial disease: A small and large vessel problem.American heart journal plus : cardiology research and practice · 2023
    Review
  17. Article
  18. Review
  19. 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.

Brian D DuschaDuke University Medical Center, Division of Cardiology, Durham, NC 27710, USA. brian.duscha@duke.edu
Jennifer L Robbins
William S Jones
William E Kraus
R John Lye
John M Sanders
Jason D Allen
Judith G Regensteiner
William R Hiatt
Brian H Annex

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI CATHLEEN S COLON-EMERIC · 2006 to 2026
$24.6M
Angiogenesis and Mechanisms of Exercise Training in Peripheral Arterial DiseaseR01HL075752 · NHLBI · UNIVERSITY OF VIRGINIA · PI ANNEX, BRIAN H · 2003 to 2007
$4.2M
NCRR NIH HHS 1 UL1 RR 025780NCRR NIH HHS UL1 RR025780NHLBI NIH HHS R01 HL075752NHLBI NIH HHS R01-HL755752NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

objectivePeripheral artery disease (PAD) is characterized by impaired blood flow to the lower extremities, causing claudication and exercise intolerance. The mechanism(s) by which exercise training improves functional capacity is not understood. This study tested the hypothesis that in PAD patients who undergo supervised exercise training, increases in capillary density (CD) in calf muscle take place before improvements in peak oxygen uptake (VO(2)). METHODS AND

resultsThirty-five PAD patients were randomly assigned to 12 weeks of directly supervised or home-based exercise training. Peak VO(2) testing and gastrocnemius muscle biopsies were performed at baseline and after training. CD (endothelial cells/mm(2)) was measured using immunofluorescence staining. After 3 weeks of directly supervised training, patients had an increase in CD (216±66 versus 284±77, P<0.01) but no increase in peak VO(2). However, after 12 weeks, peak VO(2) increased (15.3±2.8 versus 16.8±3.8, P<0.01), whereas in muscle, CD remained increased over baseline, but there were no changes in markers of oxidative capacity. Within subjects, CD was related to peak VO(2) before and after directly supervised training.

conclusionChanges in CD in ischemic muscle with training may modulate the response to training, and those changes precede the increase in VO(2).

Indexed as

AgedBiopsyCapillariesExercise TherapyFemaleHumansMaleMiddle AgedMuscle, SkeletalNeovascularization, PhysiologicOxygen ConsumptionPeripheral Arterial DiseaseRegional Blood FlowTime Factors

Identifiers

PMID21868709
PMCPMC3578302

What OpenQuestion holds

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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.