Evidence map›Paper›PMID 26044827›Full record

Observational studyCardiovascular diabetology2015

The inflammation, vascular repair and injury responses to exercise in fit males with and without Type 1 diabetes: an observational study.

Daniel J West, Matthew D Campbell, Javier T Gonzalez, Mark Walker, Emma J Stevenson, Fahad W Ahmed, Stephanie Wijaya, James A Shaw, Jolanta U Weaver

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Cardiovascular diabetology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Type 1 diabetes patients increase CXCR4Scientific reports · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
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

9 authors at 2 institutions in 1 country.

Daniel J WestFaculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK. d.j.west@northumbria.ac.uk.
Matthew D CampbellFaculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK. matthew.campbell@northumbria.ac.uk.
Javier T GonzalezFaculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK. j.gonzalez@northumbria.ac.uk.
Mark WalkerInstitute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne, UK. mark.walker@newcastle.ac.uk.
Emma J StevensonFaculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK. e.stevenson@northumbria.ac.uk.
Fahad W AhmedInstitute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne, UK. fahad.ahmed@newcastle.ac.uk.
Stephanie WijayaInstitute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne, UK. s.wijaya@newcastle.ac.uk.
James A ShawInstitute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne, UK. jim.shaw@newcastle.ac.uk.
Jolanta U WeaverInstitute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne, UK. jolanta.weaver@newcastle.ac.uk.
Newcastle University · GBNorthumbria University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 1 diabetes is associated with raised inflammation, impaired endothelial progenitor cell mobilisation and increased markers of vascular injury. Both acute and chronic exercise is known to influence these markers in non-diabetic controls, but limited data exists in Type 1 diabetes. We assessed inflammation, vascular repair and injury at rest and after exercise in physically-fit males with and without Type 1 diabetes.

methodsTen well-controlled type 1 diabetes (27 ± 2 years; BMI 24 ± 0.7 kg.m(2); HbA1c 53.3 ± 2.4 mmol/mol) and nine non-diabetic control males (27 ± 1 years; BMI 23 ± 0.8 kg.m(2)) matched for age, BMI and fitness completed 45-min of running. Venous blood samples were collected 60-min before and 60-min after exercise, and again on the following morning. Blood samples were processed for TNF-α using ELISA, and circulating endothelial progenitor cells (cEPCs; CD45(dim)CD34(+)VEGFR2(+)) and endothelial cells (cECs; CD45(dim)CD133(-)CD34(+)CD144(+)) counts using flow-cytometry.

resultsTNF-α concentrations were 4-fold higher at all-time points in Type 1 diabetes, when compared with control (P < 0.001). Resting cEPCs were similar between groups; after exercise there was a significant increase in controls (P = 0.016), but not in Type 1 diabetes (P = 0.202). CEPCs peaked the morning after exercise, with a greater change in controls vs. Type 1 diabetes (+139 % vs. 27 %; P = 0.01). CECs did not change with exercise and were similar between groups at all points (P > 0.05). Within the Type 1 diabetes group, the delta change in cEPCS from rest to the following morning was related to HbA1c (r = -0.65, P = 0.021) and TNF-α (r = -0.766, P = 0.005).

conclusionsResting cEPCs and cECs in Type 1 diabetes patients with excellent HbA1c and high physical-fitness are comparable to healthy controls, despite eliciting 4-fold greater TNF-α. Furthermore, Type 1 diabetes patients appear to have a blunted post-exercise cEPCs response (vascular repair), whilst a biomarker of vascular injury (cECs) remained comparable to healthy controls.

Indexed as

ExercisePhysical FitnessAdultBiomarkersDiabetes Mellitus, Type 1Endothelial CellsEndothelial Progenitor CellsEndothelium, VascularFlow CytometryGlycated HemoglobinHumansInflammationMaleTumor Necrosis Factor-alphaBiomarkersGlycated Hemoglobinhemoglobin A1c protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID26044827
PMCPMC4460651
OpenAlexW1634842036

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.