Evidence map›Paper›PMID 34069950›Full record

ReviewNutrients2021

Considerations for Maximizing the Exercise "Drug" to Combat Insulin Resistance: Role of Nutrition, Sleep, and Alcohol.

Mary-Margaret E Remchak, Kelsey L Piersol, Sabha Bhatti, Andrea M Spaeth, Jennifer F Buckman, Steven K Malin

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Circadian rhythms and gastrointestinal hormone-related appetite regulation.Current opinion in endocrinology, diabetes, and obesity · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

6 authors at 1 institution in 1 country.

Mary-Margaret E RemchakDepartment of Kinesiology & Health, Rutgers University, New Brunswick, NJ 08901, USA.
Kelsey L PiersolDepartment of Kinesiology & Health, Rutgers University, New Brunswick, NJ 08901, USA.
Sabha BhattiDivision of Cardiovascular Medicine, Rutgers University, New Brunswick, NJ 08901, USA.
Andrea M SpaethDepartment of Kinesiology & Health, Rutgers University, New Brunswick, NJ 08901, USA.
Jennifer F BuckmanDepartment of Kinesiology & Health, Rutgers University, New Brunswick, NJ 08901, USA.
Steven K MalinDepartment of Kinesiology & Health, Rutgers University, New Brunswick, NJ 08901, USA.ORCID 0000-0002-7360-6711
Rutgers, The State University of New Jersey · US

Funding

Exercise Dose and Metformin for Vascular Health in Adults with Metabolic SyndromeR01HL130296 · NHLBI · UNIVERSITY OF VIRGINIA · PI MALIN, STEVEN K · 2017 to 2021
$3.7M
Deconstructing the temporal and multi-level influences of the baroreflex mechanism on alcohol use behaviorsK02AA025123 · NIAAA · RUTGERS, THE STATE UNIV OF N.J. · PI BUCKMAN, JENNIFER F. · 2017 to 2021
$762k
NHLBI NIH HHS R01 HL130296NIAAA NIH HHS K02 AA025123NIH HHS K02AA025123NIH HHS RO1-HL130296
6 · The paper itself

Abstract

Insulin resistance is a key etiological factor in promoting not only type 2 diabetes mellitus but also cardiovascular disease (CVD). Exercise is a first-line therapy for combating chronic disease by improving insulin action through, in part, reducing hepatic glucose production and lipolysis as well as increasing skeletal muscle glucose uptake and vasodilation. Just like a pharmaceutical agent, exercise can be viewed as a "drug" such that identifying an optimal prescription requires a determination of mode, intensity, and timing as well as consideration of how much exercise is done relative to sitting for prolonged periods (e.g., desk job at work). Furthermore, proximal nutrition (nutrient timing, carbohydrate intake, etc.), sleep (or lack thereof), as well as alcohol consumption are likely important considerations for enhancing adaptations to exercise. Thus, identifying the maximal exercise "drug" for reducing insulin resistance will require a multi-health behavior approach to optimize type 2 diabetes and CVD care.

Indexed as

Alcohol DrinkingCarbohydrate MetabolismCardiovascular DiseasesDiabetes Mellitus, Type 2Energy IntakeEnergy MetabolismExerciseGlucoseHumansInsulin ResistanceLipolysisLiverMuscle, SkeletalSleepVasodilationGlucosecardiovascular diseasecircadian rhythmdietendothelial functionglycemic controlphysical activity

Identifiers

PMID34069950
PMCPMC8157556
OpenAlexW3162587612

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.