Evidence map›Paper›PMID 31957654›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020

Long-term effects of cardiac rehabilitation on sleep apnea severity in patients with coronary artery disease.

Monique Mendelson, Toru Inami, Owen Lyons, Hisham Alshaer, Susan Marzolini, Paul Oh, T Douglas Bradley

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Effectiveness of aerobic exercise training in patients with obstructive sleep apnea: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Cardiac Rehab for Functional Improvement.Current heart failure reports · 2020
    Review
  7. 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

7 authors at 2 institutions in 1 country.

Monique MendelsonSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, Canada.
Toru InamiSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, Canada.
Owen LyonsSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, Canada.
Hisham AlshaerSleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, Canada.
Susan MarzoliniCardiac Rehabilitation and Prevention, University Health Network Toronto Rehabilitation Institute, Toronto, Canada.
Paul OhCardiac Rehabilitation and Prevention, University Health Network Toronto Rehabilitation Institute, Toronto, Canada.
T Douglas BradleySleep Research Laboratory, University Health Network Toronto Rehabilitation Institute, Toronto, Canada.
University Health Network · CAToronto Rehabilitation Institute · CA

Funding

CIHR MOP-82731
6 · The paper itself

Abstract

STUDY

objectivesSleep apnea (SA) is prevalent among patients with coronary artery disease (CAD) and increases cardiovascular risk. A previous study showed that 1 month of cardiac rehabilitation (CR) reduced severity of SA in patients with CAD by reducing fluid accumulation in the legs during the day and the amount of fluid shifting rostrally into the neck overnight. The aim of this study was to evaluate whether CR will lead to longer-term attenuation of SA in patients with CAD.

methodsFifteen patients with CAD and SA who had participated in a 1-month randomized trial of the effects of exercise training on SA were followed up until they completed 6 months of CR (age: 65 ± 10 years; body mass index: 27.0 ± 3.9 kg/m²; apnea-hypopnea index [AHI]: 39.0 ± 16.7). The AHI was evaluated at baseline by polysomnography and then at 6 months by portable monitoring at home. Cardiorespiratory fitness (VO

resultsAfter 6 months of CR, there was a 54% reduction in the AHI (30.5 ± 15.2 to 14.1 ± 7.5, P < .001). Body mass index remained unchanged, but VO

conclusionsParticipation in CR is associated with a significant long-term decrease in the severity of SA. This finding suggests that attenuation of SA by exercise could be a mechanism underlying reduced mortality following participation in CR in patients with CAD and SA. CLINICAL

trial registrationThis study is registered at www.controlled-trials.com with identifier number ISRCTN50108373.

Indexed as

Cardiac RehabilitationCoronary Artery DiseaseSleep Apnea SyndromesAgedExerciseHumansMiddle AgedPolysomnographycoronary artery diseaseexercisefluid shiftssleep apneaupper airway

Identifiers

PMID31957654
PMCPMC7053008
OpenAlexW2994852050

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.