Evidence map›Paper›PMID 25872789›Full record

Trial reportTrials2015

SMART: physical activity and cerebral metabolism in older people: study protocol for a randomised controlled trial.

Johannes Fleckenstein, Silke Matura, Tobias Engeroff, Eszter Füzéki, Valentina A Tesky, Ulrich Pilatus, Elke Hattingen, Ralf Deichmann, Lutz Vogt, Winfried Banzer and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02343029 (Physical Activity and Cerebral Metabolism in the Elderly), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT02343029 nacompletednot on this map

Physical Activity and Cerebral Metabolism in the Elderly: a Randomised Controlled Trial

TypeinterventionalSponsorProfessor Johannes PantelRan2014 to 2015Enrolled60ConditionsDementia, Cognitive ImpairmentArmsIndividualised aerobic exercise training, Waiting Control
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. The age-related decline in spatiotemporal gait characteristics is moderated by concerns of falling, history of falls & diseases, and sociodemographic-anthropometric characteristics in 60-94 years old adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2021
    Article
  3. Article
  4. Article
  5. Article
  6. 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

11 authors.

Johannes FleckensteinDepartment of Sports Medicine, Institute of Sports Sciences, Goethe University, Ginnheimer Landstrasse 39, Frankfurt am Main, 60487, Germany. Johannes.fleckenstein@sport.uni-frankfurt.de.
Silke MaturaInstitute of General Practice, Goethe University, Frankfurt/Main, Germany. Matura@allgemeinmedizin.uni-frankfurt.de.
Tobias EngeroffDepartment of Sports Medicine, Institute of Sports Sciences, Goethe University, Ginnheimer Landstrasse 39, Frankfurt am Main, 60487, Germany. engeroff@sport.uni-frankfurt.de.
Eszter FüzékiDepartment of Sports Medicine, Institute of Sports Sciences, Goethe University, Ginnheimer Landstrasse 39, Frankfurt am Main, 60487, Germany. fuezeki@sport.uni-frankfurt.de.
Valentina A TeskyInstitute of General Practice, Goethe University, Frankfurt/Main, Germany. Tesky@allgemeinmedizin.uni-frankfurt.de.
Ulrich PilatusInstitute of Neuroradiology, Goethe University Hospital Frankfurt, Frankfurt, Germany. u.pilatus@em.uni-frankfurt.de.
Elke HattingenInstitute of Neuroradiology, Goethe University Hospital Frankfurt, Frankfurt, Germany. Elke.Hattingen@kgu.de.
Ralf DeichmannBrain Imaging Centre, Frankfurt/Main, Germany. deichmann@med.uni-frankfurt.de.
Lutz VogtDepartment of Sports Medicine, Institute of Sports Sciences, Goethe University, Ginnheimer Landstrasse 39, Frankfurt am Main, 60487, Germany. l.vogt@sport.uni-frankfurt.de.
Winfried BanzerDepartment of Sports Medicine, Institute of Sports Sciences, Goethe University, Ginnheimer Landstrasse 39, Frankfurt am Main, 60487, Germany. banzer@sport.uni-frankfurt.de.
Johannes PantelInstitute of General Practice, Goethe University, Frankfurt/Main, Germany. Pantel@allgemeinmedizin.uni-frankfurt.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity exerts a variety of long-term health benefits in older adults. In particular, it is assumed to be a protective factor against cognitive decline and dementia. METHODS/

designRandomised controlled assessor blinded 2-armed trial (n = 60) to explore the exercise- induced neuroprotective and metabolic effects on the brain in cognitively healthy older adults. Participants (age ≥ 65), recruited within the setting of assisted living facilities and newspaper advertisements are allocated to a 12-week individualised aerobic exercise programme intervention or a 12-week waiting control group. Total follow-up is 24 weeks. The main outcome is the change in cerebral metabolism as assessed with Magnetic Resonance Spectroscopic Imaging reflecting changes of cerebral N-acetyl-aspartate and of markers of neuronal energy reserve. Imaging also measures changes in cortical grey matter volume. Secondary outcomes include a broad range of psychometric (cognition) and movement-related parameters such as nutrition, history of physical activity, history of pain and functional diagnostics. Participants are allocated to either the intervention or control group using a computer-generated randomisation sequence. The exercise physiologist in charge of training opens sealed and opaque envelopes and informs participants about group allocation. For organisational reasons, he schedules the participants for upcoming assessments and exercise in groups of five. All assessors and study personal other than exercise physiologists are blinded. DISCUSSION: Magnetic Resonance Spectroscopic Imaging gives a deeper insight into mechanisms of exercise-induced changes in brain metabolism. As follow-up lasts for 6 months, this study is able to explore the mid-term cerebral metabolic effects of physical activity assuming that an individually tailored aerobic ergometer training has the potential to counteract brain ageing.

trial registrationNCT02343029 (clinicaltrials.gov; 12 January 2015).

Indexed as

Clinical ProtocolsExerciseAdultBrainHumansMagnetic Resonance ImagingMagnetic Resonance Spectroscopy

Identifiers

PMID25872789
PMCPMC4403840

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.