Evidence map›Paper›PMID 26707538›Full record

ArticleExperimental physiology2016

Exercise oxidative skeletal muscle metabolism in adolescents with cystic fibrosis.

Maarten Werkman, Jeroen Jeneson, Paul Helders, Bert Arets, Kors van der Ent, Birgitta Velthuis, Rutger Nievelstein, Tim Takken, Erik Hulzebos

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Experimental physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07770854 (Machine Learning Prediction of Pulmonary Function in Children With Cystic Fibrosis), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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.

NCT07770854 completednot on this mapstarted 2021, after this paper: background citation

Machine Learning Prediction of Pulmonary Function in Children With Cystic Fibrosis: Multidimensional Analysis of Peripheral Muscle Oxygenation, Postural Balance, and Clinical-Functional Markers

TypeobservationalSponsorGazi UniversityRan2021 to 2025Enrolled31ConditionsCystic Fibrosis (CF)ArmsArchived Multidimensional Clinical and Functional Assessment Data
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. NMR in biomedicine · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Exercise and Cystic Fibrosis.Advances in experimental medicine and biology · 2020
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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

9 authors at 2 institutions in 1 country.

Maarten WerkmanChild Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Jeroen JenesonChild Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Paul HeldersChild Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Bert AretsCystic Fibrosis Center and Department of Pediatric Respiratory Medicine, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Kors van der EntCystic Fibrosis Center and Department of Pediatric Respiratory Medicine, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Birgitta VelthuisDepartment of Radiology, University Medical Center Utrecht, The Netherlands.
Rutger NievelsteinDepartment of Radiology, University Medical Center Utrecht, The Netherlands.
Tim TakkenChild Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Erik HulzebosChild Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLUtrecht University · NL

Funding

Integrated Modeling of Cardiac Metabolism and TransportR01HL072011 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BEARD, DANIEL A · 2004 to 2016
$4.0M
NHLBI NIH HHS HL-072011NHLBI NIH HHS R01 HL072011
6 · The paper itself

Abstract

NEW

findingsWhat is the central question of this study? Do intrinsic abnormalities in oxygenation and/or muscle oxidative metabolism contribute to exercise intolerance in adolescents with mild cystic fibrosis? What is the main finding and its importance? This study found no evidence that in adolescents with mild cystic fibrosis in a stable clinical state intrinsic abnormalities in skeletal muscle oxidative metabolism seem to play a clinical significant role. Based on these results, we concluded that there is no metabolic constraint to benefit from exercise training. Patients with cystic fibrosis (CF) are reported to have limited exercise capacity. There is no consensus about a possible abnormality in skeletal muscle oxidative metabolism in CF. Our aim was to test the hypothesis that abnormalities in oxygenation and/or muscle oxidative metabolism contribute to exercise intolerance in adolescents with mild CF. Ten adolescents with CF (12-18 years of age; forced expiratory volume in 1 s >80% of predicted; and resting oxygen saturation >94%) and 10 healthy age-matched control (HC) subjects were tested with supine cycle ergometry using near-infrared spectroscopy and (31)P magnetic resonance spectroscopy to study skeletal muscle oxygenation and oxidative metabolism during rest, exercise and recovery. No statistically significant (P > 0.1) differences in peak workload and peak oxygen uptake per kilogram lean body mass were found between CF and HC subjects. No differences were found between CF and HC subjects in bulk changes of quadriceps phosphocreatine (P = 0.550) and inorganic phosphate (P = 0.896) content and pH (P = 0.512) during symptom-limited exercise. Furthermore, we found statistically identical kinetics for phosphocreatine resynthesis during recovery for CF and HC subjects (P = 0.53). No statistically significant difference in peak exercise arbitrary units for total haemoglobin content was found between CF and HC subjects (P = 0.66). The results of this study provide evidence that in patients with mild CF and a stable clinical status (without signs of systemic inflammation and/or chronic Pseudomonas aeruginosa colonization), no intrinsic metabolic constraints and/or abnormalities in oxygenation and/or muscle oxidative metabolism contribute to exercise intolerance.

Indexed as

AdolescentBody CompositionBody Mass IndexCystic FibrosisExerciseExercise TestExercise ToleranceFemaleForced Expiratory VolumeHemoglobinsHumansMaleMuscle, SkeletalOxygenOxygen ConsumptionPhosphocreatineHemoglobinsOxygenPhosphocreatine

Identifiers

PMID26707538
PMCPMC4925307
OpenAlexW2196654226

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.