Evidence map›Paper›PMID 34440496›Full record

ArticleLife (Basel, Switzerland)2021

Influence of Different Types of Corticosteroids on Heart Rate Variability of Individuals with Duchenne Muscular Dystrophy-A Pilot Cross Sectional Study.

Rodrigo Martins Dias, Rosangela Akemi Hoshi, Luiz Carlos Marques Vanderlei, Carlos Bandeira de Mello Monteiro, Mayra Priscila Boscolo Alvarez, Tânia Brusque Crocetta, Luis Fernando Grossklauss, Deborah Cristina Gonçalves Luiz Fernani, Maria Tereza Artero Prado Dantas, Fabiana Paula Almeida Martins and 4 more

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Time and frequency domain assessment of heart rate variability in patients with pulmonary sarcoidosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  2. 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

14 authors at 9 institutions in 3 countries.

Rodrigo Martins DiasPostgraduate Program in Medicine (Cardiology) at Paulista School of Medicine, Federal University of São Paulo (EPM/UNIFESP), São Paulo 04024-002, Brazil.ORCID 0000-0003-1857-163X
Rosangela Akemi HoshiCardiology Department, Brigham and Women's Hospital, Boston, MA 02115, USA.
Luiz Carlos Marques VanderleiDepartment of Physiotherapy, Faculty of Science and Technology, FCT/UNESP, Presidente Prudente 19060-900, Brazil.ORCID 0000-0002-1891-3153
Carlos Bandeira de Mello MonteiroPostgraduate Program in Rehabilitation Sciences, Faculty of Medicine, University of São Paulo (FMUSP), São Paulo 05360-160, Brazil.
Mayra Priscila Boscolo AlvarezPostgraduate Program in Rehabilitation Sciences, Faculty of Medicine, University of São Paulo (FMUSP), São Paulo 05360-160, Brazil.
Tânia Brusque CrocettaLaboratório de Psicologia do Esporte e do Exercício, Centro de Ciências da Saúde e do Esporte, Universidade do Estado de Santa Catarina, Florianópolis 88035-001, Brazil.
Luis Fernando GrossklaussDepartment of Neurology/Neurosurgery, Neuropediatrist at the Federal University of São Paulo, São Paulo 04039-002, Brazil.ORCID 0000-0002-7531-6857
Deborah Cristina Gonçalves Luiz FernaniDepartment of Health Sciences, University of Western Paulista (UNOESTE), Presidente Prudente 19050-920, Brazil.
Maria Tereza Artero Prado DantasDepartment of Health Sciences, University of Western Paulista (UNOESTE), Presidente Prudente 19050-920, Brazil.
Fabiana Paula Almeida MartinsStudy Design and Scientific Writing Laboratory, ABC Medical School (FMABC), Santo André 09060-870, Brazil.
David M GarnerCardiorespiratory Research Group, Department of Biological and Medical Sciences, Faculty of Health and Life Sciences, Headington Campus, Oxford Brookes University, Gipsy Lane, Oxford OX3 0BP, UK.ORCID 0000-0002-8114-9055
Luiz Carlos AbreuDepartment of Integrated Health Education, Federal University of Espírito Santo (UFES), Vitória 29040-090, Brazil.
Celso FerreiraPostgraduate Program in Medicine (Cardiology) at Paulista School of Medicine, Federal University of São Paulo (EPM/UNIFESP), São Paulo 04024-002, Brazil.
Talita Dias da SilvaPostgraduate Program in Medicine (Cardiology) at Paulista School of Medicine, Federal University of São Paulo (EPM/UNIFESP), São Paulo 04024-002, Brazil.ORCID 0000-0002-4683-4671
Universidade de São Paulo · BRUniversidade Federal de São Paulo · BRUniversidade do Oeste Paulista · BRBrigham and Women's Hospital · USFaculdade de Medicina do ABC · BROxford Brookes University · GBUniversidade do Estado de Santa Catarina · BRUniversidade Estadual Paulista (Unesp) · BRUniversidade Federal do Espírito Santo · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 442456/2016-6Fundação de Amparo à Pesquisa do Estado de São Paulo 2011/07277-2; 2013/00175-5; 2017/24991-7
6 · The paper itself

Abstract

Individuals with Duchenne Muscular Dystrophy (DMD) have an impairment of cardiac autonomic function categorized by parasympathetic reduction and sympathetic predominance. The objective of this study was to assess the cardiac autonomic modulation of individuals with DMD undergoing therapy with Prednisone/Prednisolone and Deflazacort and compare with individuals with DMD without the use of these medications and a typically developed control group. Methods: A cross-sectional study was completed, wherein 40 boys were evaluated. The four treatment groups were: Deflazacort; Prednisone/Prednisolone; no corticoid use; and typical development. Heart Rate Variability (HRV) was investigated via linear indices (Time Domain and Frequency Domain) and non-linear indices Results: The results of this study revealed that individuals with DMD undertaking pharmacotherapies with Prednisolone demonstrated HRV comparable to the Control Typically Developed (CTD) group. In contrast, individuals with DMD undergoing pharmacotherapies with Deflazacort achieved lower HRV, akin to individuals with DMD without any medications, as demonstrated in the metrics: RMSSD; LF (n.u.), HF (n.u.), LF/HF; SD1, α1, and α1/α2, and a significant effect for SD1/SD2; %DET and Ratio; Shannon Entropy, 0 V%, 2 LV% and 2 ULV%. Conclusions: Corticosteroids have the potential to affect the cardiac autonomic modulation in adolescents with DMD. The use of Prednisone/Prednisolone appears to promote improved responses in terms of sympathovagal activity as opposed to Deflazacort.

Indexed as

autonomic nervous systemdeflazacortDuchenne Muscular Dystrophy (DMD)Heart Rate Variability (HRV)prednisone

Identifiers

PMID34440496
PMCPMC8398672
OpenAlexW3186431976

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.