Evidence map›Paper›PMID 26935138›Full record

Trial reportObesity (Silver Spring, Md.)2016

Effects of clinically significant weight loss with exercise training on insulin resistance and cardiometabolic adaptations.

Damon L Swift, Neil M Johannsen, Carl J Lavie, Conrad P Earnest, Steven N Blair, Timothy S Church

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04671186 (Role of Probiotics in Treatment of Pediatric Nonalcoholic Fatty Liver Disease), which is not on this map. Cited by 41 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 6 pooled it
12.9field-weighted citation impact, top 2% 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.

NCT04671186 nacompletednot on this mapstarted 2020, after this paper: background citation

Role of Probiotics in Treatment of Pediatric Nonalcoholic Fatty Liver Disease (NAFLD) Patients by Assessing With Fibroscan

TypeinterventionalSponsorNorthwell HealthRan2020 to 2023Enrolled47ConditionsNon-Alcoholic Fatty Liver DiseaseArmsCulturelle (Lactobacillus rhamnosus strain GG), Placebo
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 6 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Post-operative weight loss in venous sinus stenting patients: A multi-center review, systematic review, and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Pooled it
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  4. Systematic review of electronically delivered behavioral obesity prevention interventions targeting men.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
  5. Intermittent fasting for the prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2021
    Pooled it
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  7. Telemedicine-Based Health Coaching Is Effective for Inducing Weight Loss and Improving Metabolic Markers.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 1 country.

Damon L SwiftDepartment of Kinesiology, East Carolina University, Greenville, North Carolina, USA.
Neil M JohannsenDepartment of Kinesiology, Louisiana State University, Baton Rouge, Louisiana, USA.
Carl J LavieDepartment of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School-The University of Queensland School of Medicine, New Orleans, Louisiana, USA.
Conrad P EarnestDepartment of Health and Kinesiology, Texas A&M University, College Station, Texas, USA.
Steven N BlairDepartment of Exercise Science and Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina, USA.
Timothy S ChurchDepartment of Preventive Medicine, Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
East Carolina University · USLouisiana State University · USOchsner Medical Center · USPennington Biomedical Research Center · USTexas A&M University · USUniversity of South Carolina · US

Funding

DOSE-RESPONSE TO EXERCISE IN WOMEN AGED 45-75 YEARSR01HL066262 · NHLBI · COOPER INSTITUTE · PI BLAIR, STEVEN N. · 2001 to 2005
$3.6M
NHLBI NIH HHS HL066262NHLBI NIH HHS R01 HL066262
6 · The paper itself

Abstract

objectiveTo determine response rates for clinically significant weight loss (CWL) following different aerobic exercise training amounts and whether enhanced cardiometabolic adaptations are observed with CWL compared to modest weight loss (MWL) or neither.

methodsParticipants (N = 330) performed 6 months of aerobic training at 4 kcal per kilogram per week (KKW), 8 KKW, or 12 KKW (50%, 100%, and 150% of recommended levels respectively). Weight loss was categorized as CWL (≥5%) or MWL (3.0% to 4.9%) or neither.

resultsThe CWL response rate was greater in the 8 KKW group (20.2%, CI: 13.0% to 27.5%) compared to 4 KKW (10.3%, CI: 4.6% to 16.0%), but not compared to the 12 KKW group (14.6%, CI: 7.6% to 21.6%). Reductions in HOMA-IR were observed in participants with CWL (-0.60, CI: -0.98 to -0.22) and with MWL (-0.48, CI: -0.87 to -0.10), but not those who achieved neither (-0.06, CI -0.22 to 0.10). No changes between groups were observed for cholesterol, fitness, or blood pressure.

conclusionsLow response rates for CWL were observed following training, even at levels above recommended levels. Achieving MWL with exercise may represent a reasonable initial weight loss target since the improvement in insulin resistance with MWL is similar to what is achieved with CWL.

Indexed as

Exercise TherapyWeight Reduction ProgramsFemaleHumansInsulin ResistanceMiddle AgedOverweightWeight Loss

Identifiers

PMID26935138
PMCPMC4814330
OpenAlexW2288782549

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.