Evidence map›Paper›PMID 30115967›Full record

ReviewNature reviews. Cardiology2018

Exercise benefits in cardiovascular disease: beyond attenuation of traditional risk factors.

Carmen Fiuza-Luces, Alejandro Santos-Lozano, Michael Joyner, Pedro Carrera-Bastos, Oscar Picazo, José L Zugaza, Mikel Izquierdo, Luis M Ruilope, Alejandro Lucia

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 434 papers, 24 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
434citing papers in PubMed, 24 pooled it
70.5field-weighted citation impact, top 1% 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.

NCT06684912 nacompletednot on this mapstarted 2020, after this paper: background citation

Acute Effects of Moderate Intensity Continuous Exercise Versus High-Intensity Interval Exercise on Flow Mediated Slowing and Flow Mediated Dilation in Adults With and Without Type 2 Diabetes

TypeinterventionalSponsorEgas Moniz - Cooperativa de Ensino Superior, CRLRan2020 to 2022Enrolled36ConditionsDiabetes Mellitus, Type 2ArmsHigh-intensity interval exercise, Moderate continuous exercise
NCT07130968 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Real-World Cohort Study of Cardiopulmonary Function in Chinese Patients With Cardiovascular Disease: CPET Evaluation and Five-Year Prognostic Follow-Up Based on a Multicenter Structured Data Platform

TypeobservationalSponsorGuangdong Provincial People's HospitalRan2025 to 2035Enrolled200,000ConditionsMACE, Cardiac Death, Unplanned Repeat Revascularization, Cardiac Rehospitalization
3 · Its place in the literature

Who cites it

434 citing papers in PubMed, 24 syntheses or guidelines pooled it, 775 citations in OpenAlex.

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  5. Circulating Myokine Responses to Acute Endurance Exercise and Their Role in Immunoregulation: A Systematic Review and Meta-Analysis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  8. Impact of exercise-based prehabilitation on cardiometabolic health in surgical patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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374 more citing papers are in PubMed but not listed here.

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 9 institutions in 4 countries.

Carmen Fiuza-LucesFaculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain. carmen.fiuza@universidadeuropea.es.
Alejandro Santos-Lozanoi+HeALTH Research Group, Department of Health Sciences, European University Miguel de Cervantes, Valladolid, Spain.
Michael JoynerDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Pedro Carrera-BastosCentre for Primary Health Care Research, Lund University/Region Skåne, Skåne University Hospital, Malmö, Sweden.
Oscar PicazoNutriScience - Education and Consulting, Lisbon, Portugal.
José L ZugazaAchucarro - Basque Center for Neuroscience, Bilbao, Spain.
Mikel IzquierdoDepartment of Health Sciences, Public University of Navarre, CIBER of Frailty and Healthy Aging (CIBERFES), Navarrabiomed, Pamplona, Spain.ORCID http://orcid.org/0000-0002-1506-4272
Luis M RuilopeFaculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.
Alejandro LuciaFaculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.
Ikerbasque · ESInstituto de Investigación de Enfermedades Raras · ESLink Consulting · PTLund University · SEMayo Clinic in Arizona · USResearch Institute Hospital 12 de Octubre · ESUniversidad Europea de Madrid · ESUniversidad Europea Miguel de Cervantes · ESUniversidad Publica de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite strong scientific evidence supporting the benefits of regular exercise for the prevention and management of cardiovascular disease (CVD), physical inactivity is highly prevalent worldwide. In addition to merely changing well-known risk factors for systemic CVD, regular exercise can also improve cardiovascular health through non-traditional mechanisms. Understanding the pathways through which exercise influences different physiological systems is important and might yield new therapeutic strategies to target pathophysiological mechanisms in CVD. This Review includes a critical discussion of how regular exercise can have antiatherogenic effects in the vasculature, improve autonomic balance (thereby reducing the risk of malignant arrhythmias), and induce cardioprotection against ischaemia-reperfusion injury, independent of effects on traditional CVD risk factors. This Review also describes how exercise promotes a healthy anti-inflammatory milieu (largely through the release of muscle-derived myokines), stimulates myocardial regeneration, and ameliorates age-related loss of muscle mass and strength, a frequently overlooked non-traditional CVD risk factor. Finally, we discuss how the benefits of exercise might also occur via promotion of a healthy gut microbiota. We argue, therefore, that a holistic view of all body systems is necessary and useful when analysing the role of exercise in cardiovascular health.

Indexed as

ExerciseHealthy LifestyleRisk Reduction BehaviorAnimalsAutonomic Nervous SystemCardiovascular DiseasesCardiovascular SystemExercise TherapyExercise ToleranceGastrointestinal MicrobiomeHealth StatusHumansInflammation MediatorsMuscle, SkeletalMuscle StrengthProtective FactorsInflammation Mediators

Identifiers

PMID30115967
OpenAlexW2887420502

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.