Evidence map›Paper›PMID 26936782›Full record

Trial reportAmerican journal of physiology. Regulatory, integrative and comparative physiology2016

Ischemic preconditioning reduces hemodynamic response during metaboreflex activation.

Gabriele Mulliri, Gianmarco Sainas, Sara Magnani, Girolamo Palazzolo, Nicola Milia, Andrea Orrù, Silvana Roberto, Elisabetta Marongiu, Raffaele Milia, Antonio Crisafulli

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of physiology. Regulatory, integrative and comparative physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.2field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

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  4. No influence of ischemic preconditioning on running economy.European journal of applied physiology · 2017
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  6. Review
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  15. Combining remote ischemic preconditioning and aerobic exercise: a novel adaptation of blood flow restriction exercise.American journal of physiology. Regulatory, integrative and comparative physiology · 2017
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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

10 authors at 1 institution in 1 country.

Gabriele MulliriDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Gianmarco SainasDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Sara MagnaniDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Girolamo PalazzoloDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Nicola MiliaDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Andrea OrrùDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Silvana RobertoDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Elisabetta MarongiuDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Raffaele MiliaDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy.
Antonio CrisafulliDepartment of Medical Sciences, Sports Physiology Laboratory, University of Cagliari, Cagliari, Italy crisafulli@tiscali.it.
University of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic preconditioning (IP) has been shown to improve exercise performance and to delay fatigue. However, the precise mechanisms through which IP operates remain elusive. It has been hypothesized that IP lowers the sensation of fatigue by reducing the discharge of group III and IV nerve endings, which also regulate hemodynamics during the metaboreflex. We hypothesized that IP reduces the blood pressure response during the metaboreflex. Fourteen healthy males (age between 25 and 48 yr) participated in this study. They underwent the following randomly assigned protocol: postexercise muscle ischemia (PEMI) test, during which the metaboreflex was elicited after dynamic handgrip; control exercise recovery session (CER) test; and PEMI after IP (IP-PEMI) test. IP was obtained by occluding forearm circulation for three cycles of 5 min spaced by 5 min of reperfusion. Hemodynamics were evaluated by echocardiography and impedance cardiography. The main results were that after IP the mean arterial pressure response was reduced compared with the PEMI test (means ± SD +3.37 ± 6.41 vs. +9.16 ± 7.09 mmHg, respectively). This was the consequence of an impaired venous return that impaired the stroke volume during the IP-PEMI more than during the PEMI test (-1.43 ± 15.35 vs. +10.28 ± 10.479 ml, respectively). It was concluded that during the metaboreflex, IP affects hemodynamics mainly because it impairs the capacity to augment venous return and to recruit the cardiac preload reserve. It was hypothesized that this is the consequence of an increased nitric oxide production, which reduces the possibility to constrict venous capacity vessels.

Indexed as

Ischemic PreconditioningAdultExerciseFatigueHemodynamicsHumansMaleMiddle AgedMuscle, SkeletalMyocardial ContractionPhysical Exertionblood pressurecardiac preloadfatiguemyocardial contractilitystroke volume

Identifiers

PMID26936782
PMCPMC5000777
OpenAlexW2292911176

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.