Evidence map›Paper›PMID 27776149›Full record

Trial reportPloS one2016

Acute Effects of Caffeine on Heart Rate Variability, Blood Pressure and Tidal Volume in Paraplegic and Tetraplegic Compared to Able-Bodied Individuals: A Randomized, Blinded Trial.

Joelle Leonie Flueck, Fabienne Schaufelberger, Martina Lienert, Daniela Schäfer Olstad, Matthias Wilhelm, Claudio Perret

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02083328 (Influence of Caffeine on Heart Rate Variability and Exercise Performance in in Tetraplegic and Paraplegic Subjects Compared to Able-bodied Subjects), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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.

NCT02083328 nacompletednot on this map

Influence of Caffeine on Heart Rate Variability and Exercise Performance in in Tetraplegic and Paraplegic Subjects Compared to Able-bodied Subjects

TypeinterventionalSponsorSwiss Paraplegic Research, NottwilRan2014 to 2015Enrolled35ConditionsCaffeine, Spinal Cord InjuryArmsCaffeine, Placebo (Mannitol)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Article
  5. Article
  6. Article
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  10. The effect of heart rate variability on blood pressure is augmented in spinal cord injury and is unaltered by exercise training.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2021
    Article
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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

6 authors at 3 institutions in 1 country.

Joelle Leonie FlueckInstitute of Sports Medicine, Swiss Paraplegic Centre, Nottwil, Switzerland.
Fabienne SchaufelbergerInstitute of Human Movement Sciences and Sport, ETH Zurich, Switzerland.
Martina LienertInstitute of Human Movement Sciences and Sport, ETH Zurich, Switzerland.
Daniela Schäfer OlstadDivision of Cardiovascular Prevention, Rehabilitation and Sports Medicine, University Clinic for Cardiology, Inselspital, University Hospital and University of Bern, Bern, Switzerland.
Matthias WilhelmDivision of Cardiovascular Prevention, Rehabilitation and Sports Medicine, University Clinic for Cardiology, Inselspital, University Hospital and University of Bern, Bern, Switzerland.
Claudio PerretInstitute of Sports Medicine, Swiss Paraplegic Centre, Nottwil, Switzerland.
ETH Zurich · CHSwiss Paraplegic Center · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caffeine increases sympathetic nerve activity in healthy individuals. Such modulation of nervous system activity can be tracked by assessing the heart rate variability. This study aimed to investigate the influence of caffeine on time- and frequency-domain heart rate variability parameters, blood pressure and tidal volume in paraplegic and tetraplegic compared to able-bodied participants. Heart rate variability was measured in supine and sitting position pre and post ingestion of either placebo or 6 mg caffeine in 12 able-bodied, 9 paraplegic and 7 tetraplegic participants in a placebo-controlled, randomized and double-blind study design. Metronomic breathing was applied (0.25 Hz) and tidal volume was recorded during heart rate variability assessment. Blood pressure, plasma caffeine and epinephrine concentrations were analyzed pre and post ingestion. Most parameters of heart rate variability did not significantly change post caffeine ingestion compared to placebo. Tidal volume significantly increased post caffeine ingestion in able-bodied (p = 0.021) and paraplegic (p = 0.036) but not in tetraplegic participants (p = 0.34). Systolic and diastolic blood pressure increased significantly post caffeine in able-bodied (systolic: p = 0.003; diastolic: p = 0.021) and tetraplegic (systolic: p = 0.043; diastolic: p = 0.042) but not in paraplegic participants (systolic: p = 0.09; diastolic: p = 0.33). Plasma caffeine concentrations were significantly increased post caffeine ingestion in all three groups of participants (p<0.05). Plasma epinephrine concentrations increased significantly in able-bodied (p = 0.002) and paraplegic (p = 0.032) but not in tetraplegic participants (p = 0.63). The influence of caffeine on the autonomic nervous system seems to depend on the level of lesion and the extent of the impairment. Therefore, tetraplegic participants may be less influenced by caffeine ingestion.

trial registrationClinicalTrials.gov NCT02083328.

Indexed as

AdultAutonomic Nervous SystemBlood PressureBlood Pressure DeterminationCaffeineDouble-Blind MethodEpinephrineFemaleHeart RateHumansMaleMiddle AgedParaplegiaQuadriplegiaRespirationTidal VolumeCaffeineEpinephrine

Identifiers

PMID27776149
PMCPMC5077167
OpenAlexW2532419067

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.