Evidence map›Paper›PMID 27076578›Full record

Trial reportThe European respiratory journal2016

Effects of exercise training on sleep apnoea in patients with coronary artery disease: a randomised trial.

Monique Mendelson, Owen D Lyons, Azadeh Yadollahi, Toru Inami, Paul Oh, T Douglas Bradley

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The European respiratory journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 8 pooled it
9.5field-weighted citation impact, top 1% 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

59 citing papers in PubMed, 8 syntheses or guidelines pooled it, 128 citations in OpenAlex.

  1. Pooled it
  2. Effectiveness of aerobic exercise training in patients with obstructive sleep apnea: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Pooled it
  3. Pooled it
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  5. Effects of aerobic exercise and resistance training on obstructive sleep apnea: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Pooled it
  6. Effects of Exercise on Patients with Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
  7. Sleep Disturbances in Patients With Coronary Heart Disease: A Systematic Review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Pooled it
  8. Pooled it
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  13. Contribution of rostral fluid shift to intrathoracic airway narrowing in asthma.Journal of applied physiology (Bethesda, Md. : 1985) · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Monique MendelsonSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, ON, Canada Centre for Sleep Medicine and Circadian Biology, University of Toronto, Toronto, ON, Canada.
Owen D LyonsSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, ON, Canada Centre for Sleep Medicine and Circadian Biology, University of Toronto, Toronto, ON, Canada Dept of Medicine, University Health Network, Toronto General Hospital, Toronto, ON, Canada.
Azadeh YadollahiSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, ON, Canada Centre for Sleep Medicine and Circadian Biology, University of Toronto, Toronto, ON, Canada Institute of Biomaterial and Biomedical Engineering, University of Toronto, Toronto, ON, Canada.
Toru InamiSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, ON, Canada Centre for Sleep Medicine and Circadian Biology, University of Toronto, Toronto, ON, Canada Dept of Medicine, University Health Network, Toronto General Hospital, Toronto, ON, Canada.
Paul OhCardiac Rehabilitation and Prevention, University Health Network Toronto Rehabilitation Institute, Toronto, ON, Canada.
T Douglas BradleySleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, ON, Canada Centre for Sleep Medicine and Circadian Biology, University of Toronto, Toronto, ON, Canada Dept of Medicine, University Health Network, Toronto General Hospital, Toronto, ON, Canada douglas.bradley@utoronto.ca.
Canadian Sleep & Circadian Network · CAUniversity Health Network · CAToronto Rehabilitation Institute · CAUniversity of Toronto · CA

Funding

CIHR MOP-82731
6 · The paper itself

Abstract

Overnight fluid shift from the legs to the neck and lungs may contribute to the pathogenesis of obstructive sleep apnoea (OSA) and central sleep apnoea (CSA). We hypothesised that exercise training will decrease the severity of OSA and CSA in patients with coronary artery disease (CAD) by decreasing daytime leg fluid accumulation and overnight rostral fluid shift.Patients with CAD and OSA or CSA (apnoea-hypopnoea index >15 events per h) were randomised to 4 weeks of aerobic exercise training or to a control group. Polysomnography, with measurement of leg, thoracic and neck fluid volumes and upper-airway cross-sectional area (UA-XSA) before and after sleep, was performed at baseline and follow-up.17 patients per group completed the study. Apnoea-hypopnoea index decreased significantly more in the exercise group than in the control group (31.1±12.9 to 20.5±9.4 versus 28.1±13.5 to 27.0±15.1 events per h, p=0.047), in association with a greater reduction in the overnight change in leg fluid volume (579±222 to 466±163 versus 453±164 to 434±141 mL, p=0.04) and by a significantly greater increase in the overnight change in UA-XSA in the exercise group (p=0.04).In patients with CAD and sleep apnoea, exercise training decreases sleep apnoea severity via attenuation of overnight fluid shift and an increase in UA-XSA.

Indexed as

AgedCoronary Artery DiseaseExerciseExercise TherapyFemaleFluid ShiftsHumansMaleMiddle AgedOntarioPolysomnographySleep Apnea SyndromesTreatment Outcome

Identifiers

PMID27076578
OpenAlexW2341269853

What OpenQuestion holds

Textmetadata
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.