Evidence map›Paper›PMID 26800706›Full record

Observational studyThe Journal of international medical research2016

Aggravation of Helicobacter pylori stomach infections in stressed military recruits.

Keran Jia, Liyun An, Fukun Wang, Lanchun Shi, Xiangyang Ran, Xianling Wang, Zhanguo He, Jing Chen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in The Journal of international medical research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Prevalence ofWorld journal of gastroenterology · 2025
    Article
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Prevalence ofInternational journal of general medicine · 2021
    Article
  7. Review
  8. Diagnosis ofPediatric gastroenterology, hepatology & nutrition · 2018
    Review
  9. 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

8 authors at 2 institutions in 1 country.

Keran JiaClinical Laboratory Department, Bethune International Peace Hospital, Hebei, China.
Liyun AnClinical Laboratory Department, Bethune International Peace Hospital, Hebei, China.
Fukun WangClinical Laboratory Department, Bethune International Peace Hospital, Hebei, China wangfk8@sina.com.
Lanchun ShiBiochemistry Department, Bethune Medical NCO School, Hebei, China.
Xiangyang RanClinical Laboratory Department, Bethune International Peace Hospital, Hebei, China.
Xianling WangClinical Laboratory Department, Bethune International Peace Hospital, Hebei, China.
Zhanguo HeClinical Laboratory Department, Bethune International Peace Hospital, Hebei, China.
Jing ChenClinical Laboratory Department, Bethune International Peace Hospital, Hebei, China.
Bethune International Peace Hospital · CNBethune Second Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effect of military stress on immune response and Helicobacter pylori stomach infections.

methodsIn this prospective, observational study, the Symptom Checklist-90 questionnaire was completed by military recruits before and following a 3-month basic training programme. H. pylori immunoglobulin (Ig)G levels, C(14)-urea breath-test values and levels of cortisol, catecholamine, and certain humoral and cellular immune responses were measured before and after the basic training.

resultsFor 60 military recruits, somatization, depression and paranoid ideation scores were significantly increased after, compared with before, basic training. Post-training H. pylori IgG detection revealed three additional cases of H. pylori infection. Post-training C(14)-urea breath-test values were significantly higher compared with before training - thus suggesting higher levels of H. pylori colonization in the stomach. Post-training cortisol and catecholamine levels were increased, while serum IgG levels were decreased; complement component (C)3 and C4 levels remained unchanged. Post-training CD4(+) and CD8(+) T-cell percentages and the CD4(+)/CD8(+) ratio were significantly reduced compared with before training. Serum interleukin (IL)-2 levels were lower and IL-10 levels were higher following training and there was a significant decrease in the IL-2/IL-10 ratio.

conclusionMilitary stress may reduce humoral and cellular immune responses and may aggravate the severity of H. pylori infection.

Indexed as

AdolescentAntibodies, BacterialBreath TestsCatecholaminesCD4-CD8 RatioComplement C3Complement C4DepressionHelicobacter InfectionsHelicobacter pyloriHumansHydrocortisoneImmunity, HumoralImmunity, InnateImmunoglobulin GInterleukin-10Antibodies, BacterialCatecholaminesComplement C3Complement C4HydrocortisoneIL10 protein, humanImmunoglobulin GInterleukin-10Interleukin-2UreaC14-urea breath testHelicobacter pyloriimmune responseMilitary stressstomach infections

Identifiers

PMID26800706
PMCPMC5580058
OpenAlexW2261196074

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.