Evidence map›Paper›PMID 23941790›Full record

ArticleThe journal of spinal cord medicine2013

Heavy reliance on carbohydrate across a wide range of exercise intensities during voluntary arm ergometry in persons with paraplegia.

Kevin A Jacobs, Patricia Burns, Jochen Kressler, Mark S Nash

Abstract read
In one paragraph

Article in The journal of spinal cord medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Maximal Fat Oxidation during Incremental Upper and Lower Body Exercise in Healthy Young Males.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Exercise Interventions Targeting Obesity in Persons With Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 2021
    Review
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. 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 at 3 institutions in 1 country.

Kevin A JacobsUniversity of Miami, Miami, FL, USA. k.jacobs@miami.edu
Patricia Burns
Jochen Kressler
Mark S Nash
University of Miami · USMiami University · USNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CONTEXT/

objectiveTo describe and compare substrate oxidation and partitioning during voluntary arm ergometry in individuals with paraplegia and non-disabled individuals over a wide range of exercise intensities.

designCross-sectional study.

settingClinical research facility.

participantsTen apparently healthy, sedentary men with paraplegia and seven healthy, non-disabled subjects.

interventionsRest and continuous progressive voluntary arm ergometry between 30 and 80% of peak aerobic capacity (VO2peak). OUTCOME MEASURES: Total energy expenditure and whole body rates of fat and carbohydrate oxidation.

resultsA maximal whole body fat oxidation (WBFO) rate of 0.13 ± 0.07 g/minute was reached at 41 ± 9% VO2peak for subjects with paraplegia, although carbohydrate became the predominant fuel source during exercise exceeding an intensity of 30-40% VO2peak. Both the maximal WBFO rate (0.06 ± 0.04 g/minute) and the intensity at which it occurred (13 ± 3% VO2peak) were significantly lower for the non-disabled subjects than those with paraplegia.

conclusionSedentary individuals with paraplegia are more capable of oxidizing fat during voluntary arm ergometry than non-disabled individuals perhaps due to local adaptations of upper body skeletal muscle used for daily locomotion. However, carbohydrate is the predominant fuel source oxidized across a wide range of intensities during voluntary arm ergometry in those with paraplegia, while WBFO is limited and maximally achieved at low exercise intensities compared to that achieved by able-bodied individuals during leg ergometry. These findings may partially explain the diminished rates of fat loss imposed by acute bouts of physical activity in those with paraplegia.

Indexed as

Adipose TissueAdultCarbohydrate MetabolismCross-Sectional StudiesEnergy MetabolismExerciseExercise TestFatty Acids, NonesterifiedFemaleHumansLegMaleMiddle AgedModels, BiologicalOxidation-ReductionOxygen ConsumptionFatty Acids, Nonesterified

Identifiers

PMID23941790
PMCPMC3739892
OpenAlexW2015637640

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.