Evidence map›Paper›PMID 34957643›Full record

ReviewEuropean journal of heart failure2022

Exercise: a molecular tool to boost muscle growth and mitochondrial performance in heart failure?

Kirsten T Nijholt, Pablo I Sánchez-Aguilera, Suzanne N Voorrips, Rudolf A de Boer, B Daan Westenbrink

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Physical exercise in liver diseases.Hepatology (Baltimore, Md.) · 2026
    Review
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  7. Metabolic Reprogramming in Heart Failure: From Energy Starvation to Therapeutic Targets.Current treatment options in cardiovascular medicine · 2025
    Review
  8. Review
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  10. Article
  11. Article
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  14. Review
  15. IGF-1 boosts mitochondrial function by a CaFrontiers in physiology · 2023
    Article
  16. Review
  17. Review
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  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Kirsten T NijholtDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-4979-5698
Pablo I Sánchez-AguileraDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0001-9207-2500
Suzanne N VoorripsDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-6604-6349
Rudolf A de BoerDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-4775-9140
B Daan WestenbrinkDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-1362-7019
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Impaired exercise capacity is the key symptom of heart failure (HF) and is associated with reduced quality of life and higher mortality rates. Unfortunately, current therapies, although generally lifesaving, have only small or marginal effects on exercise capacity. Specific strategies to alleviate exercise intolerance may improve quality of life, while possibly improving prognosis as well. There is overwhelming evidence that physical exercise improves performance in cardiac and skeletal muscles in health and disease. Unravelling the mechanistic underpinnings of exercise-induced improvements in muscle function could provide targets that will allow us to boost exercise performance in HF. With the current review we discuss: (i) recently discovered signalling pathways that govern physiological muscle growth as well as mitochondrial quality control mechanisms that underlie metabolic adaptations to exercise; (ii) the mechanistic underpinnings of exercise intolerance in HF and the benefits of exercise in HF patients on molecular, functional and prognostic levels; and (iii) potential molecular therapeutics to improve exercise performance in HF. We propose that novel molecular therapies to boost adaptive muscle growth and mitochondrial quality control in HF should always be combined with some form of exercise training.

Indexed as

Heart FailureQuality of LifeExerciseExercise TherapyExercise ToleranceHumansMuscle, SkeletalCardiac and skeletal muscleExercise intoleranceExercise trainingHeart failureMitochondrial adaptationPhysiological muscle hypertrophy

Identifiers

PMID34957643
PMCPMC9302125
OpenAlexW4200334053

What OpenQuestion holds

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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.