Evidence map›Paper›PMID 31808026›Full record

ReviewGeroScience2020

The role of exercise in the reversal of IGF-1 deficiencies in microvascular rarefaction and hypertension.

Amani M Norling, Adam T Gerstenecker, Thomas W Buford, Bilal Khan, Suzanne Oparil, Ronald M Lazar

Open access · bronzeAbstract readReview
In one paragraph

Review in GeroScience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Microbiology spectrum · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

6 authors at 1 institution in 1 country.

Amani M NorlingDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0003-1638-5913
Adam T GersteneckerDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0003-2696-5380
Thomas W BufordDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0002-9541-4358
Bilal KhanDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0003-0546-8975
Suzanne OparilDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0002-7505-2599
Ronald M LazarDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA. rlazar@uabmc.edu.ORCID http://orcid.org/0000-0002-7388-042X
University of Alabama at Birmingham · US

Funding

MECHANISMS OF HYPERTENSION AND CARDIOVASCULAR DISEASEST32HL007457 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Martin E Young · 1985 to 2026
$8.6M
ACES - ACE inhibitors Combined with Exercise for hypertensive SeniorsR01AG056769 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BUFORD, THOMAS W · 2017 to 2022
$3.4M
UAB Predoctoral Training Grant in Translational and Molecular SciencesT32GM109780 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PATEL, RAKESH P. · 2015 to 2019
$967k
National Institute of General Medical Sciences (US) 5 T32 GM109780-4NHLBI NIH HHS 5 T32 HL007457-39NHLBI NIH HHS T32 HL007457NIA NIH HHS R01 AG056769NIA NIH HHS R01AG056769NIGMS NIH HHS T32 GM109780
6 · The paper itself

Abstract

Hypertension has been linked with peripheral and central reductions in vascular density, and with devastating effects on brain function. However, the underlying mechanisms in the relationship between blood pressure and cognitive impairment have yet to be fully elucidated. Here, we review compelling evidence from two lines of inquiry: one that links microvascular rarefaction with insulin-like growth factor 1 (IGF-1) deficiencies, and another which posits that vascular dysfunction precedes hypertension. Based on the findings from experimental and clinical studies, we propose that these lines of evidence converge, and suggest that age-related declines in IGF-1 concentrations precede microvascular rarefaction, initiate an increase in vascular resistance, and therefore are causally linked to onset of hypertension. Physical exercise provides a relevant model for supporting our premise, given the well-established effects of exercise in attenuating vascular dysfunction, hypertension, IGF-1 deficiency, and cognitive decline. We highlight here the role of exercise-induced increases in blood flow in improving vascular integrity and enhancing angiogenesis via the actions of IGF-1, resulting in reversal of rarefaction and hypertension, and enhancement of cerebral blood flow and cognition.

Indexed as

HypertensionMicrovascular RarefactionBlood PressureExerciseHumansInsulin-Like Growth Factor IInsulin-Like Growth Factor IBrainCognitionExerciseGrowth factorHypertensionIGF-1Rarefaction

Identifiers

PMID31808026
PMCPMC7031491
OpenAlexW2992903119

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.