Evidence map›Paper›PMID 29986761›Full record

ArticleTrials2018

The impact of an exercise training intervention on cortisol levels and post-traumatic stress disorder in juveniles from an Ugandan refugee settlement: study protocol for a randomized control trial.

Henning Budde, Davin P Akko, Herbert E Ainamani, Eric Murillo-Rodríguez, Roland Weierstall

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 18% 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, 3 syntheses or guidelines pooled it, 30 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

5 authors at 3 institutions in 5 countries.

Henning BuddeMedical School Hamburg MSH, Department of Psychology, Faculty of Human Sciences, Am Kaiserkai 1, 20457, Hamburg, Germany.
Davin P AkkoMedical School Hamburg MSH, Department of Psychology, Faculty of Human Sciences, Am Kaiserkai 1, 20457, Hamburg, Germany. davin.akko@gmail.com.
Herbert E AinamaniDepartment of Psychology and Development Management, Bishop Stuart University, Mbarara, Uganda.
Eric Murillo-RodríguezEscuela de Medicina, División Ciencias de la Salud, Universidad Anáhuac Mayab Mérida, Mérida, Yucatán, Mexico.
Roland WeierstallMedical School Hamburg MSH, Department of Psychology, Faculty of Human Sciences, Am Kaiserkai 1, 20457, Hamburg, Germany.
MSH Medical School Hamburg – University of Applied Sciences and Medical University · DEAnahuac Mayab University · MXBishop Stuart University · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLatest research demonstrates a significant improvement in stress-related symptoms in psychological disorders as a result of exercise training (ET). Controlled clinical trials further validate the significance of ET by demonstrating lower salivary cortisol levels in patients with post-traumatic stress disorder (PTSD) after intervention. A significant change in cortisol and dehydroepiandrosterone (DHEA) levels can already be found after an 8-12-week ET program. The proposed study aims to investigate the impact of an 8-week ET on PTSD symptoms and changes in cortisol levels in a juvenile refugee sample from the Democratic Republic of the Congo (DRC) at an Ugandan refugee settlement. It is the first to implement an ET intervention in a resource-poor, post-conflict setting. METHODS/

designIn a randomized controlled trial, 198 adolescent participants aged 13-16 years from the DRC who, suffer from PTSD, will be investigated. The participants are based at the Nakivale refugee settlement, an official refugee camp in Uganda, Africa, which is among the largest in the world. The participants will be randomized into an Exercise Training (ET) group with a maximum heart rate (HR DISCUSSION: To date, there is no controlled and reliable longitudinal study examining the effects of an ET program on symptom severity in individuals with PTSD that can be explained with a harmonization of cortisol secretion. The presented study design introduces an intervention that can be implemented with little expenditure. It aims to provide a promising low-threshold and cost-effective treatment approach for the application in resource-poor settings.

trial registrationGerman Trials Register, ID: DRKS00014280 . Registered prospectively on 15 March 2018.

Indexed as

Exercise TherapyRandomized Controlled Trials as TopicRefugeesAdolescentDehydroepiandrosteroneEthics Committees, ClinicalExerciseHumansHydrocortisoneHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemResearch DesignStress Disorders, Post-TraumaticTreatment OutcomeDehydroepiandrosteroneHydrocortisoneCortisolDehydroepiandrosterone (DHEA)Exercise trainingHypothalamic-pituitary-adrenal (HPA) axisJuvenile refugeesPost-traumatic stress disorder (PTSD)

Identifiers

PMID29986761
PMCPMC6038242
OpenAlexW2811999066

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.