Evidence map›Paper›PMID 28243813›Full record

SynthesisTechniques in coloproctology2017

Systematic review: the impact of exercise on mesenteric blood flow and its implication for preoperative rehabilitation.

K A Knight, S J Moug, M A West

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04712331 (Effect of Preoperative Graduated Abdominal Exercises and Russian Stimulation on The Abdominal Muscles Strength After Abdominoplasty), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04712331 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Effect of Preoperative Graduated Abdominal Exercises and Russian Stimulation on The Abdominal Muscles Strength After Abdominoplasty

TypeinterventionalSponsorSouth Valley UniversityRan2020 to 2021Enrolled60ConditionsAbdominoplastyArmsGraduated abdominal strengthening exercises, The Russian current stimulation, Combination Product: Graduated abdominal strengthening exercises and the Russian current stimulation
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The effect of preoperative rehabilitation on the prevention of postoperative ileus in colorectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  6. Article
  7. Review
  8. Exercise and physical activity in cirrhosis: opportunities or perils.Journal of applied physiology (Bethesda, Md. : 1985) · 2020
    Article
  9. Observational
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

3 authors.

K A KnightDepartment of Surgery, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, G51 4TF, UK.
S J MougDepartment of Surgery, Royal Alexandra Hospital NHS Trust, Corsebar Road, Paisley, PA2 2PN, UK.
M A WestAcademic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, South Block, Mail Point 816, Southampton University Hospital, Southampton, SO16 6YD, UK. M.West@soton.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise in the preoperative period, or prehabilitation, continues to evolve as an important tool in optimising patients awaiting major intra-abdominal surgery. It has been shown to reduce rates of post-operative morbidity and length of hospital stay. The mechanism by which this is achieved remains poorly understood. Adaptations in mesenteric flow in response to exercise may play a role in improving post-operative recovery by reducing rates of ileus and anastomotic leak.

aimsTo systematically review the existing literature to clarify the impact of exercise on mesenteric arterial blood flow using Doppler ultrasound.

methodsPubMed, EMBASE and the Cochrane library were systematically searched to identify clinical trials using Doppler ultrasound to investigate the effect of exercise on flow through the superior mesenteric artery (SMA). Data were extracted including participant characteristics, frequency, intensity, timing and type of exercise and the effect on SMA flow. The quality of each study was assessed using the Downs and Black checklist.

resultsSixteen studies, comprising 305 participants in total, were included. Methodological quality was generally poor. Healthy volunteers were used in twelve studies. SMA flow was found to be reduced in response to exercise in twelve studies, increased in one and unchanged in two studies. Clinical heterogeneity precluded a meta-analysis.

conclusionThe weight of evidence suggests that superior mesenteric arterial flow is reduced immediately following exercise. Differences in frequency, intensity, timing and type of exercise make a consensus difficult. Further studies are warranted to provide a definitive understanding of the impact of exercise on mesenteric flow.

Indexed as

AbdomenAdultAgedAnastomotic LeakClinical Trials as TopicDigestive System Surgical ProceduresEchocardiography, DopplerExerciseExercise TherapyFemaleHumansIleusMaleMesenteric ArteriesMiddle AgedPreoperative PeriodCancerColorectalMesenteric blood flowPrehabilitation

Identifiers

PMID28243813
PMCPMC5360832

What OpenQuestion holds

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LicenceCC BY
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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.