Evidence map›Paper›PMID 31138145›Full record

ArticleBMC cardiovascular disorders2019

Influence of intermittent fasting on myocardial infarction-induced cardiac remodeling.

K Okoshi, M D M Cezar, M A M Polin, J R Paladino, P F Martinez, S A Oliveira, A R R Lima, R L Damatto, S A R Paiva, L A M Zornoff and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  4. Review
  5. Nlrc4 Inflammasome Expression After Acute Myocardial Infarction in Rats.International journal of molecular sciences · 2025
    Article
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  7. Acrolein-triggered atherosclerosisJournal of biomedical research · 2024
    Article
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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

11 authors at 2 institutions in 1 country.

K OkoshiInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
M D M CezarInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
M A M PolinInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
J R PaladinoInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
P F MartinezFederal University of Mato Grosso do Sul, Cidade Universitária, Av. Costa e Silva - Pioneiros, Campo Grande, MS, 79070-900, Brazil.
S A OliveiraFederal University of Mato Grosso do Sul, Cidade Universitária, Av. Costa e Silva - Pioneiros, Campo Grande, MS, 79070-900, Brazil.
A R R LimaInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
R L DamattoInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
S A R PaivaInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
L A M ZornoffInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil.
M P OkoshiInternal Medicine Department, Botucatu Medical School, Sao Paulo State University, UNESP, Botucatu, SP, Brazil. mpoliti@fmb.unesp.br.ORCID 0000-0001-7728-4505
Universidade Estadual Paulista (Unesp) · BRUniversidade Federal de Mato Grosso do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation on the role of intermittent fasting (IF) on pathologic cardiac remodeling is scarce. We compared the effects of IF before and after myocardial infarction (MI) on rat cardiac remodeling and survival.

methodsWistar rats were intermittently fasted (food available every other day) or fed ad libitum for 12 weeks and then divided into three groups: AL - fed ad libitum; AL/IF - fed AL before MI and IF after MI; and IF - fed IF before and after MI. Echocardiogram was performed before MI and 2 and 12 weeks after surgery. Isolated hearts were evaluated in Langendorff preparations.

resultsBefore surgery, body weight (BW) was lower in IF than AL. Final BW was lower in AL/IF and IF than AL. Perioperative mortality did not change between AL (31.3%) and IF (27.3%). Total mortality was lower in IF than AL. Before surgery, echocardiographic parameters did not differ between groups. Two weeks after surgery, MI size did not differ between groups. Twelve weeks after MI, left ventricular (LV) diastolic posterior wall thickness was lower in AL/IF and IF than AL. The percentage of variation of echocardiographic parameters between twelve and two weeks showed that MI size decreased in all groups and the reduction was higher in IF than AL/IF. In Langendorff preparations, LV volume at zero end-diastolic pressure (V0; AL: 0.41 ± 0.05; AL/IF: 0.34 ± 0.06; IF: 0.28 ± 0.05 mL) and at 25 mmHg end-diastolic pressure (V25; AL: 0.61 ± 0.05; AL/IF: 0.54 ± 0.07; IF: 0.44 ± 0.06 mL) was lower in AL/IF and IF than AL and V25 was lower in IF than AL/IF. V0/BW ratio was lower in IF than AL and LV weight/V0 ratio was higher in IF than AL. Myocyte diameter was lower in AL/IF and IF than AL (AL: 17.3 ± 1.70; AL/IF: 15.1 ± 2.21; IF: 13.4 ± 1.49 μm). Myocardial hydroxyproline concentration and gene expression of ANP, Serca 2a, and α- and β-myosin heavy chain did not differ between groups.

conclusionIntermittent fasting initiated before or after MI reduces myocyte hypertrophy and LV dilation. Myocardial fibrosis and fetal gene expression are not modulated by feeding regimens. Benefit is more evident when intermittent fasting is initiated before rather than after MI.

Indexed as

Caloric RestrictionFastingVentricular Function, LeftVentricular RemodelingAnimalsDisease Models, AnimalFibrosisIsolated Heart PreparationMyocardial InfarctionMyocardiumRats, WistarTime FactorsWeight LossCalorie restrictionEchocardiogramFetal gene expressionHeart failureIntermittent feedingIsolated heartLangendorff preparationMyocardial infarctionRatVentricular remodeling

Identifiers

PMID31138145
PMCPMC6540428
OpenAlexW2947522445

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LicenceCC BY
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Registered trials

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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.