Evidence map›Paper›PMID 33489310›Full record

ArticleBMJ open sport & exercise medicine2021

Effect of losartan on performance and physiological responses to exercise at high altitude (5035 m).

Samuel J E Lucas, William L Malein, Owen D Thomas, Kimberly M Ashdown, Carla A Rue, Kelsey E Joyce, Charles Newman, Patrick Cadigan, Brian Johnson, Stephen D Myers and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

17 authors at 9 institutions in 1 country.

Samuel J E LucasSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-8713-2457
William L MaleinDepartment of Anaesthesia, Ninewells Hospital, Dundee, UK.
Owen D ThomasDepartment of Anaesthesia, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, UK.
Kimberly M AshdownOccupational Performance Research Group, University of Chichester, Chichester, West Sussex, UK.
Carla A RueOccupational Performance Research Group, University of Chichester, Chichester, West Sussex, UK.
Kelsey E JoyceSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-3189-847X
Charles NewmanRoyal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Patrick CadiganBirmingham Medical Research Expeditionary Society, Birmingham, UK.
Brian JohnsonBirmingham Medical Research Expeditionary Society, Birmingham, UK.
Stephen D MyersOccupational Performance Research Group, University of Chichester, Chichester, West Sussex, UK.
Fiona A MyersSchool of Biological Sciences, University of Portsmouth, Portsmouth, Hampshire, UK.
Alexander D WrightSchool of Medicine, University of Birmingham, Birmingham, UK.
John DelamereSchool of Medicine, University of Birmingham, Birmingham, UK.
Chris H E ImrayDepartment of Vascular Surgery, University Hospitals of Coventry and Warwickshire, Warwick Medical School, University of Warwick, Coventry, UK.
Arthur R BradwellSchool of Medicine, University of Birmingham, Birmingham, UK.ORCID 0000-0002-1562-1606
Mark EdsellDepartment of Anaesthesia, St George's University Hospitals NHS Foundation Trust, London, UK.
Birmingham Medical Research Expeditionary Society
University of Birmingham · GBUniversity of Chichester · GBExpedition (United Kingdom) · GBNinewells Hospital · GBRoyal Gwent Hospital · GBSt George’s University Hospitals NHS Foundation Trust · GBUniversity of Portsmouth · GBUniversity of Ulster · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAltitude-related and exercise-related elevations in blood pressure (BP) increase the likelihood of developing pulmonary hypertension and high-altitude illness during high-altitude sojourn. This study examined the antihypertensive effect and potential exercise benefit of the angiotensin II receptor antagonist losartan when taken at altitude.

methodsTwenty participants, paired for age and ACE genotype status, completed a double-blinded, randomised study, where participants took either losartan (100 mg/day) or placebo for 21 days prior to arrival at 5035 m (Whymper Hut, Mt Chimborazo, Ecuador). Participants completed a maximal exercise test on a supine cycle ergometer at sea level (4 weeks prior) and within 48 hours of arrival to 5035 m (10-day ascent). Power output, beat-to-beat BP, oxygen saturation (SpO

resultsAt altitude, peak power was reduced relative to sea level (p<0.01) in both groups (losartan vs placebo: down 100±29 vs 91±28 W, p=0.55), while SpO

conclusionLosartan had no observable effect on resting or exercising BP, exercise-induced symptomology of pulmonary hypertension or performance at 5035 m.

Indexed as

altitudecardiovascularexercisepulmonary

Identifiers

PMID33489310
PMCPMC7797254
OpenAlexW3120424315

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.