Evidence map›Paper›PMID 29924745›Full record

Trial reportMedicine and science in sports and exercise2018

Efficacy of Testosterone plus NASA Exercise Countermeasures during Head-Down Bed Rest.

E Lichar Dillon, Melinda Sheffield-Moore, William J Durham, Lori L Ploutz-Snyder, Jeffrey W Ryder, Christopher P Danesi, Kathleen M Randolph, Charles R Gilkison, Randall J Urban

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine and science in sports and exercise, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Review
  6. Article
  7. Impacts of microgravity on amino acid metabolism during spaceflight.Experimental biology and medicine (Maywood, N.J.) · 2023
    Review
  8. Article
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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

9 authors at 2 institutions in 1 country.

E Lichar DillonDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Melinda Sheffield-MooreDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
William J DurhamDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Lori L Ploutz-SnyderUniversities Space Research Association, Houston, TX.
Jeffrey W RyderUniversities Space Research Association, Houston, TX.
Christopher P DanesiDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Kathleen M RandolphDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Charles R GilkisonDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Randall J UrbanDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
The University of Texas Medical Branch at Galveston · USUniversities Space Research Association · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
NASA NNX10AP86GNCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1 TR001439
6 · The paper itself

Abstract

introductionProlonged confinement to head-down bed rest (HDBR) results in musculoskeletal losses similar to those observed during long-duration space flight. Exercise countermeasures by themselves have not completely prevented the deleterious losses in muscle mass or function in HDBR or space flight. PURPOSE: The objective was to investigate the safety and efficacy of intermittent, low-dose testosterone treatment in conjunction with NASA exercise (SPRINT) countermeasures during 70 d of 6° HDBR.

methodsHealthy men (35 ± 8 yr) were randomized into one of three groups that remained inactive (CON) or performed exercise 6 d·wk in addition to receiving either placebo (PEX) or testosterone treatment (TEX, 100 mg·wk). Testosterone/placebo injections were administered once a week for 2 wk, followed by 2 wk off and so on, during HDBR.

resultsTotal, leg, and trunk lean body mass (LBM) consistently decreased in CON, increased in TEX, and had little or no changes in PEX. Total, leg, and trunk fat mass consistently increased in CON and PEX and decreased in TEX. Leg strength decreased in CON, whereas PEX and TEX were protected against loss in strength. Changes in leg LBM correlated positively with changes in leg muscle strength.

conclusionsAddition of a testosterone countermeasure enhanced the preventative actions of exercise against body composition changes during long-term HDBR in healthy eugonadal men. This is the first report to demonstrate that cycled, low-dose testosterone treatment increases LBM under conditions of strict exercise control. These results are clinically relevant to the development of safe and effective therapies against muscle atrophy during long-term bed rest, aging, and disease where loss of muscle mass and strength is a risk. The potential space flight applications of such countermeasure combinations deserve further investigations.

Indexed as

Bed RestExercise TherapyAdultHumansMaleMiddle AgedMuscular AtrophySpace FlightTestosteroneUnited StatesUnited States National Aeronautics and Space AdministrationWeightlessness SimulationTestosterone

Identifiers

PMID29924745
PMCPMC6095739
OpenAlexW2797479550

What OpenQuestion holds

Textmetadata
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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.