Evidence map›Paper›PMID 22921739›Full record

Trial reportVaccine2012

Acute exercise enhancement of pneumococcal vaccination response: a randomised controlled trial of weaker and stronger immune response.

Kate M Edwards, Meredith A Pung, Lianne M Tomfohr, Michael G Ziegler, John P Campbell, Mark T Drayson, Paul J Mills

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02807623 ("Do NSAIDS or Executing Exercise Decrease Local Erythema, Site Swelling & Pain After INoculation), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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.

NCT02807623 nacompletednot on this mapstarted 2016, after this paper: background citation

"Do NSAIDS or Executing Exercise Decrease Local Erythema, Site Swelling & Pain After INoculation: the NEED LESS PAIN Study"

TypeinterventionalSponsorWomack Army Medical CenterRan2016 to 2018Enrolled300ConditionsImmune System and Related DisordersArmsIbuprofen, Compound Exercise of Push-ups, oral placebo
3 · Its place in the literature

Who cites it

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

  1. Benefits of Exercise on Influenza or Pneumonia in Older Adults: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. How does geographical diversity shape vaccine efficacy?Clinical and experimental vaccine research · 2024
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Why Physical Activity Should Be Considered in Clinical Trials for COVID-19 Vaccines: A Focus on Risk Groups.International journal of environmental research and public health · 2022
    Review
  16. Review
  17. Observational
  18. Article
  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

7 authors.

Kate M EdwardsDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA. kate.edwards@sydney.edu.au
Meredith A Pung
Lianne M Tomfohr
Michael G Ziegler
John P Campbell
Mark T Drayson
Paul J Mills

Funding

ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHANG, R JEFFREY · 1985 to 2010
$74.3M
SAN DIEGO CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTEUL1RR031980 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2010 to 2011
$14.0M
NCRR NIH HHS M01 RR000827NCRR NIH HHS M01 RR00827NCRR NIH HHS UL1 RR031980NCRR NIH HHS UL1RR031980
6 · The paper itself

Abstract

Acute exercise at the time of vaccination can enhance subsequent immune responses. However, the potential benefit of this effect will be its efficacy in boosting poor responses, and thus protection in at-risk populations. The current study tested the effect of exercise on the response to either a full- or half-dose Pneumococcal (Pn) vaccination to elicit stronger and weaker responses. Subjects were 133 young healthy adults, randomised to one of four groups: exercise or control task, receiving a full- or half-dose Pn vaccination. Prior to vaccination, exercise groups completed a 15 min arm and shoulder exercise task, control groups rested quietly. Antibody levels to 11 Pn strains were evaluated at baseline and 1-month. Across all participants, exercise groups showed significantly greater increase in antibody levels than control groups. When doses were compared, it emerged that those who exercised had significantly larger responses than those who rested in the half-dose group, but in the full-dose groups responses were similar. This data indicates the effectiveness of exercise as a vaccine adjuvant, particularly in weaker responses. Thus, given the potential public health benefits of no-cost behavioural intervention to enhance response to vaccination, testing in at-risk populations should be pursued.

Indexed as

Antibody FormationDose-Response Relationship, ImmunologicExerciseAdultAntibodies, BacterialFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansInterleukin-6MalePneumococcal InfectionsPneumococcal VaccinesYoung AdultAntibodies, BacterialGranulocyte-Macrophage Colony-Stimulating FactorIL6 protein, humanInterleukin-6Pneumococcal Vaccines

Identifiers

PMID22921739
PMCPMC3456995

What OpenQuestion holds

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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.