Evidence map›Paper›PMID 30587857›Full record

Trial reportHypertension research : official journal of the Japanese Society of Hypertension2019

Combined use of a healthy lifestyle smartphone application and usual primary care counseling to improve arterial stiffness, blood pressure and wave reflections: a Randomized Controlled Trial (EVIDENT II Study).

José I Recio-Rodríguez, Emiliano Rodriguez-Sanchez, Carlos Martin-Cantera, Vicente Martinez-Vizcaino, Maria S Arietaleanizbeaskoa, Natividad Gonzalez-Viejo, Marta Menendez-Suarez, Manuel A Gómez-Marcos, Luis Garcia-Ortiz, EVIDENT Investigators group

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hypertension research : official journal of the Japanese Society of Hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  13. Association between ideal cardiovascular health score trajectories and arterial stiffness: the Kailuan Study.Hypertension research : official journal of the Japanese Society of Hypertension · 2020
    Article
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

10 authors at 6 institutions in 1 country.

José I Recio-RodríguezPrimary Health Care Research Unit, The Alamedilla Health Center, Health Service of Castilla and Leon (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Primary Care Prevention and Health Promotion Research Network (REDIAPP), Salamanca, Spain. donrecio@gmail.com.
Emiliano Rodriguez-SanchezPrimary Health Care Research Unit, The Alamedilla Health Center, Health Service of Castilla and Leon (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Primary Care Prevention and Health Promotion Research Network (REDIAPP), Salamanca, Spain.
Carlos Martin-CanteraPrimary Health Care Research Unit of Barcelona, Institute IDIAP-Jordi Gol, Barcelona, Spain.
Vicente Martinez-VizcainoCenter for Health and Social Research, University of Castilla-La Mancha, Cuenca, Spain.
Maria S ArietaleanizbeaskoaPrimary Health Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Bilbao, Spain.
Natividad Gonzalez-ViejoTorre Ramona Health Center, Aragon Health Service, Zaragoza, Spain.
Marta Menendez-SuarezCasa del Barco Health Center, Castilla and León Health Service, Valladolid, Spain.
Manuel A Gómez-MarcosPrimary Health Care Research Unit, The Alamedilla Health Center, Health Service of Castilla and Leon (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Primary Care Prevention and Health Promotion Research Network (REDIAPP), Salamanca, Spain.
Luis Garcia-OrtizPrimary Health Care Research Unit, The Alamedilla Health Center, Health Service of Castilla and Leon (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Primary Care Prevention and Health Promotion Research Network (REDIAPP), Salamanca, Spain.
EVIDENT Investigators group
Instituto de Investigación Biomédica de Salamanca · ESCentro de Salud Casa del Barco · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESOsakidetza · ESRed de Investigación en Actividades Preventivas y Promoción de la Salud · ESServicio Aragonés de Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our aim was to investigate the effects of an intervention that comprised a brief counseling session on lifestyle habits together with the use of the EVIDENT (Lifestyles and arterial aging) application on the modification of markers that indicated different hemodynamic functions, such as arterial stiffness, blood pressure or wave reflections. The EVIDENT II study (Lifestyles and arterial aging) is a randomized clinical trial with two parallel groups. Each participant had an initial visit and two follow-up visits at 3 and 12 months where the peripheral augmentation index-PAIx75 was measured by tonometry, while an oscillometric method was used for the cardio-ankle vascular index-CAVI and brachial-ankle pulse wave velocity-baPWV. Both groups (intervention-IG and control-CG) were briefly counseled on diet and exercise. The IG also received instructions on the use of the EVIDENT II application during the 3 months. The sample (N = 597; 52 ± 11 years; 64% women) was randomized into IG = 291 and CG = 306. Comparing groups, there was a decrease in the PAIx75 favorable to the IG at 3 months (-4.9%, 95% CI: -7.7 to -2.1) and 12 months (-3.9%, 95% CI: -6.8 to -1.0). There was also a nonsignificant reduction of the CAVI at 3 months in the IG. A group effect was observed in the measurement of the PAIx75 over the 12-month follow-up (p = 0.003). This interaction was only observed in women (p = 0.017). In conclusion, the use of the EVIDENT II application achieved a modification of the PAIx75, a marker of wave reflection and vascular tone, in women through lifestyle improvements (physical activity and adherence to the Mediterranean diet). No significant results were found regarding blood pressure or arterial stiffness markers.

Indexed as

Blood PressureLife StyleMobile ApplicationsSmartphoneVascular StiffnessAdultAgedCounselingDiet, MediterraneanExerciseFemaleFollow-Up StudiesHumansManometryMiddle AgedPrimary Health CareHealthy lifestylemHealthVascular stiffness

Identifiers

PMID30587857
OpenAlexW2905713124

What OpenQuestion holds

Textmetadata
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.