Evidence map›Paper›PMID 29189426›Full record

Trial reportThe Journal of cardiovascular nursing

The Influence of Exercise on Cardiovascular Health in Sedentary Adults With Human Immunodeficiency Virus.

Allison R Webel, Joseph Perazzo, Christopher T Longenecker, Trevor Jenkins, Abdus Sattar, Margaret Rodriguez, Nate Schreiner, Richard A Josephson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 9% 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, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Evaluation of dyspnea of unknown etiology in HIV patients with cardiopulmonary exercise testing and cardiovascular magnetic resonance imaging.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
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

8 authors at 1 institution in 1 country.

Allison R WebelAllison R. Webel, PhD, RN Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Joseph Perazzo, PhD, RN Postdoctoral Fellow, fellow Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Christopher T. Longenecker, MD Assistant Professor, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Ohio. Trevor Jenkins, MD Assistant Professor, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Ohio. Abdus Sattar, PhD Assoicate Professor, School of Medicine, Case Western Reserve University, Cleveland, Ohio. Margaret Rodriguez Student Research Assistant, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Nate Schreiner, PhD, RN Graduate Research Assistant, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Richard A. Josephson, MD, MS Professor, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Ohio.
Joseph Perazzo
Christopher T Longenecker
Trevor Jenkins
Abdus Sattar
Margaret Rodriguez
Nate Schreiner
Richard A Josephson
University Hospitals of Cleveland · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Alan David Levine · 1994 to 2026
$50.0M
Symptom Management and Palliative Care Research in Adults with Advanced DiseaseT32NR014213 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI DALY, BARBARA · 2013 to 2017
$1.6M
NIAID NIH HHS P30 AI036219NINR NIH HHS T32 NR014213
6 · The paper itself

Abstract

backgroundLifestyle physical activity (ie, moderate physical activity during routine daily activities most days of the week) may benefit human immunodeficiency virus (HIV)-positive adults who are at high risk for cardiovascular disease.

objectiveThe aims of this study were to describe lifestyle physical activity patterns in HIV-positive adults and to examine the influence of lifestyle physical activity on markers of cardiovascular health. Our secondary objective was to compare these relationships between HIV-positive adults and well-matched HIV-uninfected adults.

methodsA total of 109 HIV-positive adults and 20 control participants wore an ActiGraph accelerometer, completed a maximal graded cardiopulmonary exercise test, completed a coronary computed tomography, completed anthropomorphic measures, and had lipids and measures of insulin resistance measured from peripheral blood.

resultsParticipants (N = 129) had a mean age of 52 ± 7.3 years, 64% were male (n = 82), and 88% were African American (n = 112). On average, HIV-positive participants engaged in 33 minutes of moderate-to-vigorous physical activity per day (interquartile range, 17-55 minutes) compared with 48 minutes in controls (interquartile range, 30-62 minutes, P = .05). Human immunodeficiency virus-positive adults had poor fitness (peak oxygen uptake [VO2], 16.8 ± 5.2 mL/min per kg; and a ventilatory efficiency, 33.1 [4.6]). A marker of HIV disease (current CD4+ T cell) was associated with reduced peak VO2 (r = -0.20, P < .05) and increased insulin resistance (r = 0.25, P < .01) but not with physical activity or other markers of cardiovascular health (P ≥ 0.05). After controlling for age, gender, body mass index, and HIV status, physical activity was not significantly associated with peak VO2 or ventilatory efficiency.

conclusionHuman immunodeficiency virus-positive adults have poor physical activity patterns and diminished cardiovascular health. Future longitudinal studies should examine whether HIV infection blunts the beneficial effects of physical activity on cardiovascular health.

Indexed as

ExerciseSedentary BehaviorAccelerometryCalcinosisCardiorespiratory FitnessCD4 Lymphocyte CountComputed Tomography AngiographyCoronary VesselsCross-Sectional StudiesExercise TestFemaleHIV InfectionsHumansInsulin ResistanceMaleMiddle Aged

Identifiers

PMID29189426
PMCPMC5893400
OpenAlexW2770535841

What OpenQuestion holds

Textmetadata
LicenceTDM
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.