Evidence map›Paper›PMID 28382218›Full record

ArticleSpinal cord series and cases2017

A lifestyle intervention program for successfully addressing major cardiometabolic risks in persons with SCI: a three-subject case series.

Gregory E Bigford, Armando J Mendez, Luisa Betancourt, Patricia Burns-Drecq, Deborah Backus, Mark S Nash

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Spinal cord series and cases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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  14. Nutritional Health Considerations for Persons with Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 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

6 authors at 2 institutions in 1 country.

Gregory E BigfordDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA; Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA.
Armando J MendezDepartment of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Luisa BetancourtMiami Project to Cure Paralysis, University of Miami Miller School of Medicine , Miami, FL, USA.
Patricia Burns-DrecqMiami Project to Cure Paralysis, University of Miami Miller School of Medicine , Miami, FL, USA.
Deborah BackusThe Crawford Research Institute, Shepherd Center Atlanta, GA, USA.
Mark S NashDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA; Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Physical Medicine & Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID 0000-0003-4205-4130
University of Miami · USShepherd Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study is a prospective case series analyzing the effects of a comprehensive lifestyle intervention program in three patients with chronic paraplegia having major risks for the cardiometabolic syndrome (CMS). CASE PRESENTATION: Individuals underwent an intense 6-month program of circuit resistance exercise, nutrition using a Mediterranean diet and behavioral support, followed by a 6-month extension (maintenance) phase involving minimal support. The primary goal was a 7% reduction of body mass. Other outcomes analyzed insulin resistance using the HOMA-IR model, and plasma levels of fasting triglycerides and high-density lipoprotein cholesterol. All participants achieved the goal for 7% reduction of body mass and maintained the loss after the MP. Improvements were observed in 2/3 subjects for HOMA-IR and high-density lipoprotein cholesterol. All participants improved their risk for plasma triglycerides. DISCUSSION: We conclude, in a three-person case series of persons with chronic paraplegia, a lifestyle intervention program involving circuit resistance training, a calorie-restrictive Mediterranean-style diet and behavioral support, results in clinically significant loss of body mass and effectively reduced component risks for CMS and diabetes. These results were for the most part maintained after a 6-month MP involving minimal supervision.

Indexed as

Cardiovascular diseasesRisk factors

Identifiers

PMID28382218
PMCPMC5352674
OpenAlexW2629095121

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.