Evidence map›Paper›PMID 34008811›Full record

Trial reportArquivos brasileiros de cardiologia2021

Walking Training Improves Ambulatory Blood Pressure Variability in Claudication.

Marcel da Rocha Chehuen, Gabriel Grizzo Cucato, Celso Ricardo Fernandes de Carvalho, Antonio Eduardo Zerati, Anthony Leicht, Nelson Wolosker, Raphael Mendes Ritti-Dias, Claudia Lucia de Moraes Forjaz

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arquivos brasileiros de cardiologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Marcel da Rocha ChehuenUniversidade de São Paulo - Escola de Educação Física e Esporte, São Paulo, SP - Brasil.ORCID 0000-0002-9857-8761
Gabriel Grizzo CucatoNorthumbria University, Newcastle Upon Tyne, Reino Unido.
Celso Ricardo Fernandes de CarvalhoHospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP - Brasil.
Antonio Eduardo ZeratiHospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP - Brasil.
Anthony LeichtJames Cook University, Queensland - Austrália.
Nelson WoloskerHospital Israelita Albert Einstein, São Paulo, SP - Brasil.ORCID 0000-0003-1991-3507
Raphael Mendes Ritti-DiasUniversidade Nove de Julho - Programa de Pós-Graduação em Ciências da Reabilitação, São Paulo, SP - Brasil.ORCID 0000-0001-7883-6746
Claudia Lucia de Moraes ForjazUniversidade de São Paulo - Escola de Educação Física e Esporte, São Paulo, SP - Brasil.ORCID 0000-0001-7584-4265
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BRHospital Israelita Albert Einstein · BRJames Cook University · AUNorthumbria University · GBUniversidade Nove de Julho · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWalking training (WT) improves walking capacity and reduces clinic blood pressure (BP) in patients with peripheral artery disease (PAD), but its effects on ambulatory BP remains unknown.

objectiveTo investigate the effect of 12 weeks of WT on ambulatory BP and its variability in patients with PAD.

methodsThirty-five male patients with PAD and claudication symptoms were randomly allocated into two groups: control (n = 16, 30 min of stretching) and WT (n = 19, 15 bouts of 2 min of walking at the heart rate of leg pain threshold interspersed by 2 min of upright rest). Before and after 12 weeks, 24-hour ambulatory BP was assessed. Ambulatory BP variability indices assessed at both time points included the 24-hour standard deviation (SD24), the awake and asleep weighted standard deviation (SDdn), and the 24-hour average real variability (ARV24). Data were analyzed by mixed two-way ANOVAs, considering P<0.05 as significant.

resultsAfter 12 weeks, neither group had significant changes in 24-hour, awake and sleep BPs. The WT decreased systolic and mean BP variabilities (Systolic BP - 13.3±2.8 vs 11.8±2.3, 12.1±2.84 vs 10.7±2.5 and 9.4±2.3 vs 8.8±2.2 mmHg); Mean BP - 11.0±1.7 vs 10.4±1.9, 10.1±1.6 vs 9.1±1.7 and 8.0.±1.7 vs 7.2±1.5 mmHg) for SD24, SDdn and ARV24, respectively). Neither group had significant changes in diastolic BP variabilities after 12 weeks.

conclusionsThe WT does not change ambulatory BP levels but decreases ambulatory BP variability in patients with PAD. This improvement may have a favorable impact on the cardiovascular risk of patients with symptomatic PAD. (Arq Bras Cardiol. 2021; 116(5):898-905).

Indexed as

HypertensionWalkingBlood PressureBlood Pressure Monitoring, AmbulatoryHeart RateHumansIntermittent ClaudicationMale

Identifiers

PMID34008811
PMCPMC8121473
OpenAlexW3160373847

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.