Evidence map›Paper›PMID 24811327›Full record

ArticleMedicine and science in sports and exercise2015

Sex differences in the effects of type 2 diabetes on exercise performance.

Judith G Regensteiner, Timothy A Bauer, Amy G Huebschmann, Leah Herlache, Howard D Weinberger, Eugene E Wolfel, Jane E B Reusch

Open access · greenAbstract read
In one paragraph

Article in Medicine and science in sports and exercise, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
2.6field-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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  11. Positive Effects of Physical Activity on Insulin Signaling.Current issues in molecular biology · 2024
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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 at 3 institutions in 1 country.

Judith G Regensteiner1Department of Medicine, Division of Internal Medicine, University of Colorado School of Medicine, Aurora, CO; 2Department of Medicine, Division of Cardiology, University of Colorado School of Medicine, Aurora, CO; 3Department of Medicine, Center for Women's Health Research, University of Colorado School of Medicine, Aurora, CO; 4Division of Endocrinology, University of Colorado School of Medicine, Aurora, CO; 5Department of Medicine, Division of Cardiology, National Jewish Health, Denver, CO; and 6Denver Veterans Affairs Medical Center, Denver, CO.
Timothy A Bauer
Amy G Huebschmann
Leah Herlache
Howard D Weinberger
Eugene E Wolfel
Jane E B Reusch
University of Colorado Denver · USColorado School of Public Health · USNational Jewish Health · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
ZORVIRAX ORAL SUSPENSION FOR SEVERE CHILDHOOD HERPES VIRUS INFECTIONSM01RR000069 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 1985 to 2008
$22.1M
Colorado Clinical and Translational Sciences InstituteKL2TR001080 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$2.6M
Colorado Clinical and Translational Science Institute (KL2)KL2RR025779 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$2.2M
NCATS NIH HHS KL2 TR001080NCATS NIH HHS UL1 TR001082NCRR NIH HHS KL2 RR025779NCRR NIH HHS M01 RR000069NCRR NIH HHS UL1 RR025780
6 · The paper itself

Abstract

purposePeople with uncomplicated type 2 diabetes (T2D) have impaired peak exercise performance compared with that of their nondiabetic counterparts. This impairment may represent the earliest indication of cardiovascular (CV) abnormalities in T2D. Women with T2D are known to have worse CV outcomes than those in men with T2D. We hypothesized that women with diabetes have a greater exercise impairment than that in men with diabetes compared with that in their nondiabetic counterparts.

methodsWe studied 15 women (premenopausal) and 14 men with T2D as well as their nondiabetic counterparts (22 women and 13 men). Exercise testing was performed. Additional outcomes included measurements of insulin sensitivity, endothelial function, blood flow, and resting cardiac function.

resultsMen and women with T2D but not controls had impaired insulin sensitivity. Women with T2D had a lower peak oxygen consumption (V˙O2peak) compared with that of nondiabetic women (24%, P < 0.05) than men with diabetes compared with that in nondiabetic men (16%, P < 0.05) (P value between groups < 0.05). The time constants (phase 2) of the V˙O2 kinetic response tended to be slower in men and women with T2D than those in nondiabetic controls (P = 0.08). There were no differences in resting ventricular function by Doppler echocardiography techniques between groups. Women with T2D had significantly lower flow-mediated dilation and blood flow responses to hyperemia than those in nondiabetic women (both P < 0.05), whereas men with T2D had lower flow-mediated dilation but not lower blood flow than those in nondiabetic men.

conclusionsAlthough both men and women with uncomplicated T2D had a lower V˙O2peak, the abnormality in women with T2D compared with that in nondiabetic women was greater than that seen in men. Because V˙O2peak has a strong inverse correlation with mortality, sex disparities observed in exercise capacity among people with T2D suggest a possible rationale for the increased CV morbidity and mortality observed in women compared with those observed in men with uncomplicated T2D.

Indexed as

Sex FactorsAdultBrachial ArteryDiabetes Mellitus, Type 2Echocardiography, DopplerEndotheliumExerciseExercise TestFemaleForearmHealthy VolunteersHumansInsulin ResistanceKineticsMaleMiddle Aged

Identifiers

PMID24811327
PMCPMC4296732
OpenAlexW1996948287

What OpenQuestion holds

Textmetadata
LicenceTDM
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.