Evidence map›Paper›PMID 25762810›Full record

Trial reportThe American journal of clinical nutrition2015

Effects of resistance training with and without caloric restriction on physical function and mobility in overweight and obese older adults: a randomized controlled trial.

Barbara J Nicklas, Elizabeth Chmelo, Osvaldo Delbono, J Jeffrey Carr, Mary F Lyles, Anthony P Marsh

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01049698 (Improving Muscle for Functional Independence Trial), which is not on this map. Cited by 90 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 6 pooled it
9.8field-weighted citation impact, top 1% 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.

NCT01049698 nacompletednot on this map

Improving Muscle for Functional Independence Trial

TypeinterventionalSponsorWake Forest UniversityRan2010 to 2014Enrolled126ConditionsObesityArmsResistance Training, Resistance Training + Diet
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 6 syntheses or guidelines pooled it, 138 citations in OpenAlex.

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  5. Influence of Resistance Training on Gait & Balance Parameters in Older Adults: A Systematic Review.International journal of environmental research and public health · 2021
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30 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Barbara J NicklasFrom the Section on Gerontology and Geriatric Medicine, Department of Internal Medicine (BJN, EC, OD, and MFL), the Department of Radiology, Wake Forest School of Medicine (JJC), and the Department of Health and, Exercise Science (BJN and APM), Wake Forest University, Winston-Salem, NC.
Elizabeth ChmeloFrom the Section on Gerontology and Geriatric Medicine, Department of Internal Medicine (BJN, EC, OD, and MFL), the Department of Radiology, Wake Forest School of Medicine (JJC), and the Department of Health and, Exercise Science (BJN and APM), Wake Forest University, Winston-Salem, NC.
Osvaldo DelbonoFrom the Section on Gerontology and Geriatric Medicine, Department of Internal Medicine (BJN, EC, OD, and MFL), the Department of Radiology, Wake Forest School of Medicine (JJC), and the Department of Health and, Exercise Science (BJN and APM), Wake Forest University, Winston-Salem, NC.
J Jeffrey CarrFrom the Section on Gerontology and Geriatric Medicine, Department of Internal Medicine (BJN, EC, OD, and MFL), the Department of Radiology, Wake Forest School of Medicine (JJC), and the Department of Health and, Exercise Science (BJN and APM), Wake Forest University, Winston-Salem, NC.
Mary F LylesFrom the Section on Gerontology and Geriatric Medicine, Department of Internal Medicine (BJN, EC, OD, and MFL), the Department of Radiology, Wake Forest School of Medicine (JJC), and the Department of Health and, Exercise Science (BJN and APM), Wake Forest University, Winston-Salem, NC.
Anthony P MarshFrom the Section on Gerontology and Geriatric Medicine, Department of Internal Medicine (BJN, EC, OD, and MFL), the Department of Radiology, Wake Forest School of Medicine (JJC), and the Department of Health and, Exercise Science (BJN and APM), Wake Forest University, Winston-Salem, NC.
Wake Forest University · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
Tropin T and Excitation-Contraction Coupling in Aging Skeletal MuscleR01AG013934 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DELBONO, OSVALDO · 2001 to 2017
$4.7M
Loss of fat tissue and functional responses to exercise in older, obese adultsR01AG020583 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NICKLAS, BARBARA J · 2002 to 2013
$4.0M
Age-Dependent Regulation of Excitation-Contraction CouplingR01AG015820 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DELBONO, OSVALDO · 1998 to 2013
$3.4M
NIA NIH HHS P30 AG021332NIA NIH HHS P30AG21332NIA NIH HHS R01 AG013934NIA NIH HHS R01 AG015820NIA NIH HHS R01 AG020583NIA NIH HHS R01AG020583
6 · The paper itself

Abstract

backgroundResistance training (RT) improves muscle strength and overall physical function in older adults. RT may be particularly important in the obese elderly who have compromised muscle function. Whether caloric restriction (CR) acts synergistically with RT to enhance function is unknown.

objectiveAs the primary goal of the Improving Muscle for Functional Independence Trial (I'M FIT), we determined the effects of adding CR for weight loss on muscle and physical function responses to RT in older overweight and obese adults.

designI'M FIT was a 5-mo trial in 126 older (65-79 y) overweight and obese men and women who were randomly assigned to a progressive, 3-d/wk, moderate-intensity RT intervention with a weight-loss intervention (RT+CR) or without a weight-loss intervention (RT). The primary outcome was maximal knee extensor strength; secondary outcomes were muscle power and quality, overall physical function, and total body and thigh compositions.

resultsBody mass decreased in the RT+CR group but not in the RT group. Fat mass, percentage of fat, and all thigh fat volumes decreased in both groups, but only the RT+CR group lost lean mass. Adjusted postintervention body- and thigh-composition measures were all lower with RT+CR except intermuscular adipose tissue (IMAT). Knee strength, power, and quality and the 4-m gait speed increased similarly in both groups. Adjusted postintervention means for a 400-m walk time and self-reported disability were better with RT+CR with no group differences in other functional measures, including knee strength. Participants with a lower percentage of fat and IMAT at baseline exhibited a greater improvement in the 400-m walk and knee strength and power.

conclusionsRT improved body composition (including reducing IMAT) and muscle strength and physical function in obese elderly, but those with higher initial adiposity experienced less improvement. The addition of CR during RT improves mobility and does not compromise other functional adaptations to RT. These findings support the incorporation of RT into obesity treatments for this population regardless of whether CR is part of the treatment. This trial was registered at clinicaltrials.gov as NCT01049698.

Indexed as

Caloric RestrictionResistance TrainingAgedBody CompositionBody Mass IndexDietFemaleHumansMaleMuscle StrengthObesityOverweightWeight Lossbody compositioncaloric restrictionintermuscular thigh fatmuscle qualitymuscle strength and powerobesityolder adultsresistance trainingweight loss

Identifiers

PMID25762810
PMCPMC4409692
OpenAlexW2122889447

What OpenQuestion holds

Textmetadata
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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.