Evidence map›Paper›PMID 30899753›Full record

ArticleJournal of exercise rehabilitation2019

Influence of physical rehabilitation on heart rate dynamics in patients with idiopathic pulmonary fibrosis.

Sameera Senanayake, Nicholas Harrison, Michael Lewis

Open access · diamondAbstract read
In one paragraph

Article in Journal of exercise rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

3 authors at 3 institutions in 2 countries.

Sameera SenanayakeSchool of Sport and Exercise Sciences, Swansea University, Swansea, UK.
Nicholas HarrisonRespiratory Unit, Morriston Hospital, Abertawe Bro Morgannwg University Health Board, Swansea, UK.
Michael LewisSchool of Sport and Exercise Sciences, Swansea University, Swansea, UK.ORCID 0000-0002-6709-9215
General Sir John Kotelawala Defence University · LKSwansea Bay University Health Board · GBSwansea University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study sought to determine whether a 6-week physical rehabilitation programme has a measurable influence on heart rate responsiveness to changing metabolic demand in patients with pulmonary fibrosis. Fifteen individuals (13 with idiopathic pulmonary fibrosis and two with pulmonary fibrosis associated with rheumatoid disease) underwent assessments of physical function (6-min walk test), ventilatory function (spirometry), and cardio-respiratory function (respiratory gas analysis and electrocardiogram [ECG] recording during a protocol consisting of periods of rest, incremental bicycle exercise to maximal effort, and post-exercise recovery). RR (beat-to-beat cardiac intervals) data were derived from the ECG and used to quantify (a) heart rate variability (HRV) and (b) cardiac acceleration (AC) and deceleration capacities (DC) (via phase rectified signal averaging). Following the rehabilitation programme, heart rate was elevated by 11%-18% during exercise and recovery states. HRV was not statistically influenced by rehabilitation during any stage of the assessment protocol; however, qualitative changes were apparent with HRV increasing by 68%-75% during all stages of the protocol. Statistically, AC and DC were similar pre- and postrehabilitation (AC=-2.7 and -3.2 msec; DC=2.3 and 3.2 msec, respectively) but again we observed qualitative improvements in these indices of 19% and 38%, respectively. These results provide initial evidence that physical rehabilitation improves heart rate dynamics (via modulation of autonomic control of heart rate) in idiopathic pulmonary fibrosis patients, even when respiratory and physical functions are unchanged or diminished.

Indexed as

Autonomic nervous systemExerciseHeart rateLung disease

Identifiers

PMID30899753
PMCPMC6416513
OpenAlexW2910287645

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.