Evidence map›Paper›PMID 30680633›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019

A pilot randomized controlled trial of 6-week combined exercise program on fasting insulin and fitness levels in individuals with spinal cord injury.

Dong-Il Kim, J Andrew Taylor, Can Ozan Tan, Hyuna Park, Ji Young Kim, Sang-Yong Park, Kyong-Mee Chung, Young-Hee Lee, Bum-Suk Lee, Justin Y Jeon

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
1.4field-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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Review
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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

10 authors at 6 institutions in 2 countries.

Dong-Il KimDepartment of Professional Therapy, Graduate School of Professional Therapy, Gachon University, Seongnam, Gyeonggi-do, Republic of Korea.
J Andrew TaylorDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.
Can Ozan TanDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.
Hyuna ParkDepartment of Sport Industry Studies, Exercise Medicine and Rehabilitation Laboratory, Yonsei University, 50 Yonsei-Ro, Seodaemun-Gu, Seoul, 120-749, Korea.
Ji Young KimKorea Disabled People's Development Institute, Seoul, Korea.
Sang-Yong ParkDepartment of Physical Education, Gachon University, Seongnam, Gyeonggi-do, Republic of Korea.
Kyong-Mee ChungDepartment of Psychology, Yonsei University, Seoul, Korea.
Young-Hee LeeDepartment of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Wonju, Gangwon-do, Korea.
Bum-Suk LeeDepartment of Rehabilitation Medicine, National Rehabilitation Hospital, Seoul, Korea.
Justin Y JeonDepartment of Sport Industry Studies, Exercise Medicine and Rehabilitation Laboratory, Yonsei University, 50 Yonsei-Ro, Seodaemun-Gu, Seoul, 120-749, Korea. jjeon@yonsei.ac.kr.
Yonsei University · KRGachon University · KRHarvard University · USKorea Disabled People s Development Institute · KRNational Rehabilitation Center · KRSpaulding Hospital · US

Funding

Ministry of Education NRF-2016S1A5B5A07916765National Rehabilitation Research Institute code# 2014007
6 · The paper itself

Abstract

purposeThe aim of this randomized controlled trial study was to investigate the effect of combined exercise program on the fasting insulin and fitness levels of people with spinal cord injury (SCI).

methodsA total of 19 individuals with SCI participated in a combined exercise program consisting of aerobic and resistance exercises for 60 min per day, 3 days per week for 6 weeks. Peak oxygen consumption, body mass index, percent body fat, waist circumference, shoulder abduction and adduction, shoulder flexion and extension, elbow flexion and extension, fasting insulin levels, and homeostasis model assessment of insulin resistance (HOMA-IR) levels were measured at baseline and after the intervention.

resultsThe 6-week exercise program significantly decreased the average fasting insulin (baseline: 7.5 ± 4.7 µU/ml vs. post-intervention: 4.5 ± 2.2 µU/ml, p < 0.05) and HOMA-IR (baseline: 1.5 ± 1.0 vs. post-intervention: 0.9 ± 0.4, p < 0.05) in the exercise group, whereas there was no change in control group (between group difference, mean fasting insulin: - 3.2 µU/ml, p = 0.003; mean HOMA-IR: - 0.66, p = 0.001). In addition, muscle strength of the shoulder flexors, extensors, abductors, adductors, and elbow flexors was significantly improved in the exercise group compared to the controls.

conclusionA combined exercise program is effective in decreasing fasting insulin and HOMA-IR levels while improving fitness in those with SCI. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Exercise TherapyFastingHumansInsulinMuscle StrengthPilot ProjectsSpinal Cord InjuriesInsulinBody compositionExerciseFitnessInsulinSpinal cord injury

Identifiers

PMID30680633
OpenAlexW2913542253

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.