Evidence map›Paper›PMID 27312989›Full record

Trial reportJournal of nephrology2016

Respiratory muscle impairment in dialysis patients: can minimal dose of exercise limit the damage? A Preliminary study in a sample of patients enrolled in the EXCITE trial.

Luca Pomidori, Nicola Lamberti, Anna Maria Malagoni, Fabio Manfredini, Enrico Pozzato, Michele Felisatti, Luigi Catizone, Antonio Barillà, Alessandro Zuccalà, Giovanni Tripepi and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 7 pooled it
2.3field-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.

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

16 citing papers in PubMed, 7 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Exercise training for adults undergoing maintenance dialysis.The Cochrane database of systematic reviews · 2022
    Pooled it
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  8. Trial
  9. Article
  10. Review
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  12. Review
  13. Article
  14. When kidneys and lungs suffer together.Journal of nephrology · 2019
    Review
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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

13 authors at 3 institutions in 2 countries.

Luca PomidoriBiomedical Sport Studies Centre, University of Ferrara, Ferrara, Italy. pmdlcu@unife.it.ORCID http://orcid.org/0000-0001-9587-3143
Nicola LambertiDepartment of Biomedical and Surgical Specialties Sciences, Section of Sport Sciences, University of Ferrara, Ferrara, Italy.
Anna Maria MalagoniBiomedical Sport Studies Centre, University of Ferrara, Ferrara, Italy.
Fabio ManfrediniDepartment of Biomedical and Surgical Specialties Sciences, Section of Sport Sciences, University of Ferrara, Ferrara, Italy.
Enrico PozzatoBiomedical Sport Studies Centre, University of Ferrara, Ferrara, Italy.
Michele FelisattiBiomedical Sport Studies Centre, University of Ferrara, Ferrara, Italy.
Luigi CatizoneNephrology Dialysis Unit, Hospital University of Ferrara, Ferrara, Italy.
Antonio BarillàNephrology Dialysis Unit, Hospital University of Ferrara, Ferrara, Italy.
Alessandro ZuccalàNephrology Dialysis Unit, Civil Hospital of Imola, Imola, Italy.
Giovanni TripepiCNR-IFC, Clinical Epidemiology and Physiopathology of Renal Diseases and Hypertension of Reggio Calabria, Reggio Calabria, Italy.
Francesca MallamaciCNR-IFC, Clinical Epidemiology and Physiopathology of Renal Diseases and Hypertension of Reggio Calabria, Reggio Calabria, Italy.
Carmine ZoccaliNephrology and Renal Transplantation Division, Ospedali Riuniti, Reggio Calabria, Italy.
Annalisa CogoBiomedical Sport Studies Centre, University of Ferrara, Ferrara, Italy.
University of Ferrara · ITIstituto di Fisiologia Clinica · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSkeletal muscle atrophy and dysfunction with associated weakness may involve the respiratory muscles of dialysis patients. We evaluated the effect of moderate-intensity exercise on lung function and respiratory muscle strength.

methodsFifty-nine patients (25 F, aged 65 ± 13 years) from two centers participating in the multicenter randomized clinical trial EXerCise Introduction To Enhance Performance in Dialysis (EXCITE) were studied. Subjects were randomized into a prescribed exercise group (E), wherein subjects performed two 10-min walking sessions every second day at an intensity below the self-selected speed, or a control group (C) with usual care. Physical performance was assessed by the 6-min walk test (6MWT). Patient lung function and respiratory muscle strength were evaluated by spirometry and maximal inspiratory pressure (MIP), respectively.

resultsForty-two patients (14 F) completed the study. At baseline, the groups did not differ in any parameters. In total, 7 patients (4 in E; 3 in C) showed an obstructive pattern. The pulmonary function parameters were significantly correlated with 6MWT but not with any biochemical measurements. Group E safely performed the exercise program. At follow-up, the spirometry parameters did not change in either group. A deterioration of MIP (-7 %; p = 0.008) was observed in group C, but not in group E (+3.3 %, p = ns). In E, an increase of 6MWT was also found (+12 vs. 0 % in C; p = 0.038).

conclusionIn dialysis patients, a minimal dose of structured exercise improved physical capacity and maintained a stable respiratory muscle function, in contrast to the control group where it worsened.

Indexed as

Renal DialysisWalkingAgedExercise TherapyExercise ToleranceFemaleForced Expiratory VolumeGaitHealth StatusHumansItalyKidney Failure, ChronicLungMaleMaximal Respiratory PressuresMiddle AgedChronic kidney diseaseDialysisExerciseMuscle weaknessRespiratory function tests

Identifiers

PMID27312989
OpenAlexW2442764735

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.