Evidence map›Paper›PMID 32494859›Full record

ArticleEuropean journal of applied physiology2020

Analysis of changes in cardiac circadian rhythms of RR and QT induced by a 60-day head-down bed rest with and without nutritional countermeasure.

S Solbiati, F Landreani, M Turcato, A Martin-Yebra, L Costantini, P Vaida, Enrico G Caiani

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Article in European journal of applied physiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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.

S SolbiatiDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, P.zza L. da Vinci 32, 20133, Milan, Italy.
F LandreaniDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, P.zza L. da Vinci 32, 20133, Milan, Italy.
M TurcatoDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, P.zza L. da Vinci 32, 20133, Milan, Italy.
A Martin-YebraDepartment of Biomedical Engineering and Center for Integrative Electrocardiology, Lund University, Lund, Sweden.
L CostantiniAzienda Sanitaria Locale Lecce, P.O. Santa Caterina Novella, U.O. Di Cardiologia E UTIC, Lecce, Italy.
P VaidaUniversity of Bordeaux, Bordeaux, France.
Enrico G CaianiDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, P.zza L. da Vinci 32, 20133, Milan, Italy. enrico.caiani@polimi.it.ORCID http://orcid.org/0000-0002-1770-6486

Funding

Agenzia Spaziale Italiana 2018-7-U.0
6 · The paper itself

Abstract

purposeProlonged weightlessness exposure generates cardiovascular deconditioning, with potential implications on ECG circadian rhythms. Head-down (- 6°) tilt (HDT) bed rest is a ground-based analogue model for simulating the effects of reduced motor activity and fluids redistribution occurring during spaceflight. Our aim was to evaluate the impact of 60-day HDT on the circadianity of RR and ventricular repolarization (QTend) intervals extracted from 24-h Holter ECG recordings, scheduled 9 days before HDT (BDC-9), the 5th (HDT5), 21st (HDT21) and 58th (HDT58) day of HDT, the 1st (R + 0) and 8th (R + 7) day after HDT. Also, the effectiveness of a nutritional countermeasure (CM) in mitigating the HDT-related changes was tested.

methodsRR and QTend circadian rhythms were evaluated by Cosinor analysis, resulting in maximum and minimum values, MESOR (a rhythm-adjusted mean), oscillation amplitude (OA, half variation within a night-day cycle), and acrophase (φ, the time at which the fitting sinusoid's amplitude is maximal) values.

resultsRR and QTend MESOR increased at HDT5, and the OA was reduced along the HDT period, mainly due to the increase of the minima. At R + 0, QTend OA increased, particularly in the control group. The φ slightly anticipated during HDT and was delayed at R + 0.

conclusion60-Day HDT affects the characteristics of cardiac circadian rhythm by altering the physiological daily cycle of RR and QTend intervals. Scheduled day-night cycle and feeding time were maintained during the experiment, thus inferring the role of changes in the gravitational stimulus to determine these variations. The applied nutritional countermeasure did not show effectiveness in preventing such changes.

Indexed as

Bed RestAdultBlood PressureCircadian RhythmFemaleHead-Down TiltHeartHeart RateHumansLower Body Negative PressureMaleMiddle AgedWeightlessnessWeightlessness CountermeasuresCardiac deconditioningCircadian rhythmHead-down bed restHeart rateNutritionVentricular repolarization

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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.