Evidence map›Paper›PMID 29846834›Full record

ArticleSports medicine - open2018

Is Cardiorespiratory Fitness Related to Cardiometabolic Health and All-Cause Mortality Risk in Patients with Coronary Heart Disease? A CARE CR Study.

Simon Nichols, Claire Taylor, Richard Page, Anna Kallvikbacka-Bennett, Fiona Nation, Toni Goodman, Andrew L Clark, Sean Carroll, Lee Ingle

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Sports medicine - open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
6.1field-weighted citation impact, top 4% 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

7 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Simon NicholsCentre for Sport and Exercise Science, Sheffield Hallam University, Collegiate Hall, Collegiate Crescent, Sheffield, S10 2BP, UK. s.j.nichols@shu.ac.uk.ORCID http://orcid.org/0000-0003-0377-6982
Claire TaylorCarnegie School of Sport, Leeds Beckett University, Fairfax Hall, Headingley Campus, Leeds, LS6 3QS, UK.
Richard PageSport Health and Exercise Science, Don Building, University of Hull, Cottingham Road, Hull, HU6 7RX, UK.
Anna Kallvikbacka-BennettAcademic Cardiology, Castle Hill Hospital, Castle Road, Cottingham, HU16 5JQ, UK.
Fiona NationSport Health and Exercise Science, Don Building, University of Hull, Cottingham Road, Hull, HU6 7RX, UK.
Toni GoodmanCity Health Care Partnership CIC, East Riding Community Hospital, Swinemoore Lane, Beverley, HU17 0FA, UK.
Andrew L ClarkAcademic Cardiology, Castle Hill Hospital, Castle Road, Cottingham, HU16 5JQ, UK.
Sean CarrollSport Health and Exercise Science, Don Building, University of Hull, Cottingham Road, Hull, HU6 7RX, UK.
Lee IngleSport Health and Exercise Science, Don Building, University of Hull, Cottingham Road, Hull, HU6 7RX, UK.
University of Hull · GBCastle Hill Hospital · GBEast Riding Community Hospital · GBLeeds Beckett University · GBSheffield Hallam University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigher cardiorespiratory fitness (CRF) is associated with lower morbidity and mortality in patients with coronary heart disease (CHD). The mechanisms for this are not fully understood. A more favourable cardiometabolic risk factor profile may be responsible; however, few studies have comprehensively evaluated cardiometabolic risk factors in relation to CRF amongst patients with CHD. We aimed to explore differences in cardiometabolic risk and 5-year all-cause mortality risk in patients with CHD who have low, moderate, and high levels of CRF.

methodsPatients with CHD underwent maximal cardiopulmonary exercise testing, echocardiogram, carotid intima-media thickness measurement, spirometry, and dual X-ray absorptiometry assessment. Full blood count, biochemical lipid profiles, high-sensitivity (hs) C-reactive protein, and NT-proBNP were analysed. Patients were defined as having low, moderate, or high CRF based on established prognostic thresholds.

resultsSeventy patients with CHD (age 63.1 ± 10.0 years, 86% male) were recruited. Patients with low CRF had a lower ventilatory anaerobic threshold, peak oxygen pulse, post-exercise heart rate recovery, and poor ventilatory efficiency. The low CRF group also had higher NT pro-BNP, hs-CRP, non-fasting glucose concentrations, and lower haemoglobin and haematocrit. Five-year mortality risk (CALIBER risk score) was also greatest in the lowest CRF group (14.9%).

conclusionsPractitioners should interpret low CRF as an important clinical risk factor associated with adverse cardiometabolic health and poor prognosis, study registry; www.researchregistry.com .

Indexed as

AtherosclerosisCALIBER 5-year riskCardiac RehabilitationCardiometabolic HealthCoronary Heart DiseaseExercise TrainingMaximal Cardiopulmonary Exercise TestingVO2peak

Identifiers

PMID29846834
PMCPMC5976559
OpenAlexW2804755682

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.