Evidence map›Paper›PMID 29696812›Full record

Trial reportArthritis care & research2019

Effects of Aerobic and Resistance Exercise in Older Adults With Rheumatoid Arthritis: A Randomized Controlled Trial.

Elvira Lange, Daniel Kucharski, Sara Svedlund, Karin Svensson, Gunhild Bertholds, Inger Gjertsson, Kaisa Mannerkorpi

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Elvira LangeUniversity of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-4190-8667
Daniel KucharskiUniversity of Gothenburg, Gothenburg, Sweden.
Sara SvedlundUniversity of Gothenburg, Gothenburg, Sweden.
Karin SvenssonSkaraborg Hospital, Skövde, Sweden.
Gunhild BertholdsSkaraborg Hospital, Skövde, Sweden.
Inger GjertssonUniversity of Gothenburg, Gothenburg, Sweden.
Kaisa MannerkorpiUniversity of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SESkaraborg Hospital · SE

Funding

ALF/LUA at Sahlgrenska University Hospital ALFGBG-4636751Health and Medical Care Committee of the Regional Executive Board VGFOUREG-66251Region Västra GötalandSwedish Rheumatism Association R-663361University of Gothenburg Centre for Person-Centered Care
6 · The paper itself

Abstract

objectiveTo evaluate the effect of a moderate-to-high-intensity, aerobic and resistance exercise with person-centered guidance in older adults with rheumatoid arthritis (RA), through a randomized controlled multicenter trial.

methodsOlder adults (ages 65-75 years) with RA (n = 74) were randomized to either a 20-week exercise intervention at a gym (n = 36) or to home-based exercise of light intensity (n = 38). Assessments were performed at baseline, at 20 weeks, and at 12 months. The primary outcome was the difference in the Health Assessment Questionnaire disability index (HAQ DI) score, and the secondary outcomes were the differences in physical fitness assessed by a cardiopulmonary exercise test, an endurance test, the timed up and go test, the sit to stand test, and an isometric elbow flexion force measurement.

resultsNo significant differences between the groups were found for the primary outcome, HAQ DI score. Within the intervention group there was a significant improvement in the HAQ DI score when compared to baseline (P = 0.022). Aerobic capacity (P < 0.001) and 3 of 4 additional performance-based tests of endurance and strength significantly improved (P < 0.05) in the intervention group when compared to the control group. In the intervention group, 71% of patients rated their health as much or very much improved compared to 24% of patients in the control group (P < 0.001). At the 12-month follow-up, there were no significant differences in change between the 2 groups on the HAQ DI score. A significant between-group difference was found for change in an endurance test (P = 0.022).

conclusionAerobic and resistance exercise with person-centered guidance improved physical fitness in terms of aerobic capacity, endurance, and strength in older adults with RA.

Indexed as

AgedArthritis, RheumatoidExerciseFemaleFollow-Up StudiesHumansMaleResistance TrainingSurveys and QuestionnairesSwedenTreatment OutcomeexercisePatient-centredperson-centeredperson-centredphysical therapyphysiotherapyRheumatoid arthritis

Identifiers

PMID29696812
PMCPMC6590333
OpenAlexW2801943566

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.