Evidence map›Paper›PMID 29956573›Full record

Trial reportJournal of the renin-angiotensin-aldosterone system : JRAAS

A pilot investigation into the effects of acute normobaric hypoxia, high altitude exposure and exercise on serum angiotensin-converting enzyme, aldosterone and cortisol.

Mark Cooke, Richard Cruttenden, Adrian Mellor, Andrew Lumb, Stewart Pattman, Anne Burnett, Chris Boot, Louise Burnip, Christopher Boos, John O'Hara and 1 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of the renin-angiotensin-aldosterone system : JRAAS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Acute Normobaric Hypoxia Lowers Executive Functions among Young Men despite Increase of BDNF Concentration.International journal of environmental research and public health · 2022
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Geographic components of SARS-CoV-2 expansion: a hypothesis.Journal of applied physiology (Bethesda, Md. : 1985) · 2020
    Review
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

11 authors at 6 institutions in 1 country.

Mark Cooke1 Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, UK.ORCID https://orcid.org/0000-0003-0286-2731
Richard Cruttenden2 School of Medicine, University of Leeds, UK.
Adrian Mellor1 Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, UK.
Andrew Lumb2 School of Medicine, University of Leeds, UK.
Stewart Pattman5 Department of Biochemistry, Northumbria NHS Foundation Trust, UK.
Anne Burnett6 Blood Sciences, Royal Victoria Infirmary, UK.
Chris Boot6 Blood Sciences, Royal Victoria Infirmary, UK.
Louise Burnip6 Blood Sciences, Royal Victoria Infirmary, UK.
Christopher Boos1 Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, UK.
John O'Hara1 Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, UK.
David Woods1 Institute for Sport, Physical Activity and Leisure, Leeds Beckett University, UK.
Royal Victoria Infirmary · GBLeeds Beckett University · GBRoyal Navy · GBUniversity of Leeds · GBNorthumbria Healthcare NHS Foundation Trust · GBPoole Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAldosterone decreases at high altitude (HA) but the effect of hypoxia on angiotensin-converting enzyme (ACE), a key step in the renin-angiotensin-aldosterone system, is unclear.

methodsWe investigated the effects of exercise and acute normobaric hypoxia (NH, ~11.0% FiO

resultsThere was no difference in cortisol or aldosterone between groups pre-exercise. Aldosterone rose with exercise to a greater extent at SL than in NH (post-exercise: 700 ± 325 versus 335 ± 238 pmol/L, mean ± SD, p = 0.044). Conversely, cortisol rose to a greater extent in NH (post-exercise: 734 ± 165 versus 344 ± 159 nmol/L, mean ± SD, p = 0.001). There were no differences in ACE activity. During the trek to HA, resting aldosterone and cortisol reduced with no change in ACE.

conclusionsAcute NH subdues the exercise-associated rise in aldosteroe but stimulates cortisol, whereas prolonged exposure at HA reduces both resting aldosterone and cortisol. As ACE activity was unchanged in both environments, this is not the mechanism underlying the fall in aldosterone.

Indexed as

AltitudeAcute DiseaseAdultAldosteroneExerciseHumansHydrocortisoneHypoxiaPeptidyl-Dipeptidase APilot ProjectsWalkingYoung AdultAldosteroneHydrocortisonePeptidyl-Dipeptidase AACEaldosteronealdosterone synthasecortisolhigh altitudeNormobaric hypoxia

Identifiers

PMID29956573
PMCPMC6077905
OpenAlexW2811480389

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.