Evidence map›Paper›PMID 26536979›Full record

ArticleArquivos brasileiros de cardiologia2015

Cardiovascular Autonomic Dysfunction in Patients with Morbid Obesity.

Maurício de Sant Anna Junior, João Regis Ivar Carneiro, Renata Ferreira Carvalhal, Diego de Faria Magalhães Torres, Gustavo Gavina da Cruz, José Carlos do Vale Quaresma, Jocemir Ronaldo Lugon, Fernando Silva Guimarães

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Maurício de Sant Anna JuniorPrograma de Tratamento Multidisciplinar da Obesidade, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
João Regis Ivar CarneiroPrograma de Tratamento Multidisciplinar da Obesidade, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Renata Ferreira CarvalhalPrograma de Tratamento Multidisciplinar da Obesidade, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Diego de Faria Magalhães TorresPrograma de Tratamento Multidisciplinar da Obesidade, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Gustavo Gavina da CruzPrograma de Tratamento Multidisciplinar da Obesidade, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
José Carlos do Vale QuaresmaPrograma de Tratamento Multidisciplinar da Obesidade, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Jocemir Ronaldo LugonDivisão de Nefrologia, Faculdade de Medicina, Universidade Federal Fluminense, Niterói, RJ, Brazil.
Fernando Silva GuimarãesDepartamento de Fisioterapia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Hospital Universitário Clementino Fraga Filho · BRUniversidade Federal do Rio de Janeiro · BRUniversidade Federal Fluminense · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMorbid obesity is directly related to deterioration in cardiorespiratory capacity, including changes in cardiovascular autonomic modulation.

objectiveThis study aimed to assess the cardiovascular autonomic function in morbidly obese individuals.

methodsCross-sectional study, including two groups of participants: Group I, composed by 50 morbidly obese subjects, and Group II, composed by 30 nonobese subjects. The autonomic function was assessed by heart rate variability in the time domain (standard deviation of all normal RR intervals [SDNN]; standard deviation of the normal R-R intervals [SDNN]; square root of the mean squared differences of successive R-R intervals [RMSSD]; and the percentage of interval differences of successive R-R intervals greater than 50 milliseconds [pNN50] than the adjacent interval), and in the frequency domain (high frequency [HF]; low frequency [LF]: integration of power spectral density function in high frequency and low frequency ranges respectively). Between-group comparisons were performed by the Student's t-test, with a level of significance of 5%.

resultsObese subjects had lower values of SDNN (40.0 ± 18.0 ms vs. 70.0 ± 27.8 ms; p = 0.0004), RMSSD (23.7 ± 13.0 ms vs. 40.3 ± 22.4 ms; p = 0.0030), pNN50 (14.8 ± 10.4 % vs. 25.9 ± 7.2%; p = 0.0061) and HF (30.0 ± 17.5 Hz vs. 51.7 ± 25.5 Hz; p = 0.0023) than controls. Mean LF/HF ratio was higher in Group I (5.0 ± 2.8 vs. 1.0 ± 0.9; p = 0.0189), indicating changes in the sympathovagal balance. No statistical difference in LF was observed between Group I and Group II (50.1 ± 30.2 Hz vs. 40.9 ± 23.9 Hz; p = 0.9013).

conclusionmorbidly obese individuals have increased sympathetic activity and reduced parasympathetic activity, featuring cardiovascular autonomic dysfunction.

Indexed as

AdultAnthropometryAutonomic Nervous System DiseasesCardiovascular DiseasesCase-Control StudiesCross-Sectional StudiesFemaleHeart RateHumansMaleMiddle AgedMuscle StrengthObesity, MorbidPredictive Value of TestsReference ValuesRespiratory Function Tests

Identifiers

PMID26536979
PMCPMC4693662
OpenAlexW2118662455

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.