Evidence map›Paper›PMID 31009423›Full record

ArticleMedicine and science in sports and exercise2019

Dermal Calcium Loss Is Not the Primary Determinant of Parathyroid Hormone Secretion during Exercise.

Wendy M Kohrt, Pamela Wolfe, Vanessa D Sherk, Sarah J Wherry, Toby Wellington, Edward L Melanson, Christine M Swanson, Connie M Weaver, Rebecca S Boxer

Open access · greenAbstract read
In one paragraph

Article in Medicine and science in sports and exercise, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Environmental Factors That Affect Parathyroid Hormone and Calcitonin Levels.International journal of molecular sciences · 2021
    Review
  9. Article
  10. Review
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 4 institutions in 1 country.

Wendy M KohrtDivision of Geriatric Medicine, Department of Medicine, University of Colorado Denver, Aurora, CO.
Pamela WolfeDepartment of Preventive Medicine and Biometrics, University of Colorado Denver, Aurora, CO.
Vanessa D SherkDivision of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Colorado Denver, Aurora, CO.
Sarah J WherryDivision of Geriatric Medicine, Department of Medicine, University of Colorado Denver, Aurora, CO.
Toby WellingtonDivision of Geriatric Medicine, Department of Medicine, University of Colorado Denver, Aurora, CO.
Edward L MelansonDivision of Geriatric Medicine, Department of Medicine, University of Colorado Denver, Aurora, CO.
Christine M SwansonDivision of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Colorado Denver, Aurora, CO.
Connie M WeaverDepartment of Nutrition Science, Purdue University, West Lafayette, IN.
Rebecca S BoxerDivision of Geriatric Medicine, Department of Medicine, University of Colorado Denver, Aurora, CO.
University of Colorado Denver · USGeriatric Research Education and Clinical Center · USPurdue University West Lafayette · USVA Eastern Colorado Health Care System · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
NIDDK National Research Service Award (NRSA) T32 Diversity Administrative SupplementT32DK007658 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Kristen Elizabeth Boyle, Ihuoma U Eneli · 1991 to 2026
$6.0M
Sleep Disturbance: A Novel Risk Factor for Impaired Bone RemodelingK23AR070275 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI SWANSON, CHRISTINE M · 2016 to 2020
$853k
Ovarian hormone suppression and regulation of adipogenesis in womenR21DK092718 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI KOHRT, WENDY M · 2011 to 2012
$421k
NCATS NIH HHS UL1 TR002535NIAMS NIH HHS K23 AR070275NIA NIH HHS T32 AG000279NIDDK NIH HHS P30 DK048520NIDDK NIH HHS R21 DK092718NIDDK NIH HHS T32 DK007658
6 · The paper itself

Abstract

introductionExercise can cause a decrease in serum ionized calcium (iCa) concentration, which stimulates parathyroid hormone (PTH) secretion and activates bone resorption. We postulated that dermal Ca loss during cycling exercise is the major determinant of the serum iCa, PTH, and bone resorption (C-terminal telopeptide of type 1 collagen [CTX]) responses.

methodsTo investigate this, women (n = 13) and men (n = 12) age 18 to 45 yr performed the same exercise bout under cool (18°C) and warm (26°C) conditions. Exercise was 60 min of cycling at ~75% of peak aerobic power. Sweat samples were obtained during exercise using a skin patch method, and blood samples were obtained before and during exercise and during 60 min of recovery.

resultsSweat volume and estimated sweat Ca loss were 50% higher for the warm condition than the cool condition. Despite this, there were no differences between thermal conditions in the changes (mean, 95% confidence interval [95% CI]) in iCa (cool, -0.07 mg·dL; 95% CI, -0.16 to 0.03); warm, -0.07 mg·dL; 95% CI, -0.20 to 0.05), PTH (cool, 34.4 pg·mL; 95% CI, 23.6-45.2; warm: 35.8 pg·mL; 95% CI, 22.4-49.1), or CTX (cool, 0.11 ng·mL; 95% CI, 0.08-0.13; warm, 0.15 ng·mL; 95% CI, 0.11-0.18). Adjusting for exercise-related shifts in plasma volume revealed a marked decline in vascular iCa content in the first 15 min of exercise (cool, -0.85 mg·dL; 95% CI, -1.01 to -0.68; warm, -0.85 mg·dL; 95% CI, -1.05 to -0.66), before substantial sweat Ca loss had occurred.

conclusionsThis indicates that dermal Ca loss was not the primary trigger for the increases in PTH and CTX during exercise. Further research is necessary to understand the causes and consequences of the disruption in Ca homeostasis during exercise and specifically the extravascular shift in iCa.

Indexed as

AcidosisAdolescentAdultBone ResorptionCalciumCollagen Type IExerciseFemaleHeart RateHomeostasisHumansMaleMiddle AgedParathyroid HormonePeptidesSkinCalciumCollagen Type Icollagen type I trimeric cross-linked peptideParathyroid HormonePeptides

Identifiers

PMID31009423
PMCPMC6746591
OpenAlexW2940684628

What OpenQuestion holds

Textmetadata
LicenceTDM
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.