Evidence map›Paper›PMID 33607978›Full record

Trial reportBMC pulmonary medicine2021

Heart rate recovery in asthmastic children and adolescents after clinical field test.

Élida Pereira Silva, Bruno Alvarenga Soares, Mariana M Reimberg, Raphael Ritti-Dias, Karina Silva Nascimento, Fabiana Silvia Anjos, Gustavo Falbo Wandalsen, Dirceu Solé, Simone Dal Corso, Fernanda Cordoba Lanza

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02383069 (Pulmonary Rehabilitation in Asthmatic Pediatric Patients), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-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.

NCT02383069 nacompletednot on this map

Pulmonary Rehabilitation in Asthmatic Pediatric Patients: Randomized Clinical Trial

TypeinterventionalSponsorFernanda de Cordoba LanzaRan2015 to 2018Enrolled66ConditionsAsthmatic, ChildrenArmsIntervention Group, Control Group
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors at 3 institutions in 1 country.

Élida Pereira SilvaPost Graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho - UNINOVE, São Paulo, SP, 01525-000, Brazil.
Bruno Alvarenga SoaresGraduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, 31270-901, Brazil.
Mariana M ReimbergPost Graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho - UNINOVE, São Paulo, SP, 01525-000, Brazil.
Raphael Ritti-DiasPost Graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho - UNINOVE, São Paulo, SP, 01525-000, Brazil.
Karina Silva NascimentoPost Graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho - UNINOVE, São Paulo, SP, 01525-000, Brazil.
Fabiana Silvia AnjosPost Graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho - UNINOVE, São Paulo, SP, 01525-000, Brazil.
Gustavo Falbo WandalsenPediatric Department, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, 04025-002, Brazil.
Dirceu SoléPediatric Department, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, 04025-002, Brazil.
Simone Dal CorsoPost Graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho - UNINOVE, São Paulo, SP, 01525-000, Brazil.
Fernanda Cordoba LanzaPost Graduate Programa in Rehabilitation Sciences, Universidade Nove de Julho - UNINOVE, São Paulo, SP, 01525-000, Brazil. lanzafe@gmail.com.ORCID http://orcid.org/0000-0002-4748-6947
Universidade Nove de Julho · BRUniversidade Federal de Minas Gerais · BRUniversidade Federal de São Paulo · BR

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo #2014/12040-0
6 · The paper itself

Abstract

backgroundInflammation caused by chronic lung disease in childhood may lead to delayed heart rate recovery (HRR) however, there is lack of evidence on HRR in this population. The aim was to assess HRR after functional capacity testing in asthmatic children and adolescents and to compare with severity and disease control.

methodThis was a study secondary to a randomized control trial. The modified shuttle test (MST) was performed to assess functional capacity and HRR. This is an externally cadenced test in which the distance walked is the outcome. HRR was assessed after MST and was defined as HR at exercise peak minus HR in the second minute after the end of exercise. Asthma control was assessed by the Asthma Control Test (ACT). Data normality was tested by Shapiro Wilk and the comparison between groups was made by Student's t test or Mann Whitney test for numerical variables, and by Chi-square test for categorical variables. Statistical significance was considered when p < 0.05. SPSS version 20 was used in the analyzes.

resultsThe sample included 77 patients diagnosed with asthma (asthma group - AG) who were regularly treated for asthma. Control group (CG) consisted of 44 volunteers considered healthy, matched in age and gender to AG. The median age of CG was 12 (10-14) years and in AG 11 (9-13 years) being classified as mild to moderate asthmatic, and 57% of the sample had controlled asthma by ACT. Distance walked in the CG was 952 ± 286 m and AG 799 ± 313 m, p = 0.001. HRR was more efficient in CG (79 ± 15 bpm) compared to AG (69 ± 12 bpm), p = 0.001. The mild (69 ± 12 beats) and severe (72 ± 15 beats) AG presented worse HRR compared to control group (79 ± 15 bpm), p < 0.05.

conclusionsAsthmatic children and adolescents have delayed HRR after modified Shuttle test compared to their peers, suggesting that asthma leads to autonomic nervous system imbalance.

trial registrationRegistered in Clinical Trials under number NCT02383069 and approved by the Universidade Nove de Julho - UNINOVE Research Ethics Committee, protocol number 738192/2014.

Indexed as

Exercise TestAdolescentAsthmaBrazilChildExercise ToleranceFemaleForced Expiratory VolumeHeart RateHumansMaleSpirometryTime FactorsAsthmaHeart rate recoveryModified shuttle test

Identifiers

PMID33607978
PMCPMC7896361
OpenAlexW3133395457

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.