Evidence map›Paper›PMID 35005205›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2021

Aerobic exercise in older people with subclinical sporadic cerebral small vessel disease: A randomized clinical trial.

Adrian Wong, Bonnie Yin Ka Lam, Margaret Kit Yi Mak, Linda Chiu Wa Lam, Lisa Wing Chi Au, Brian Ka Fung Yiu, Chun Wong, Hor Yee Tong, Sin Ki Yeung, Winnie Chiu Wing Chu and 8 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. 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

18 authors at 3 institutions in 2 countries.

Adrian WongDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Bonnie Yin Ka LamDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Margaret Kit Yi MakDepartment of Rehabilitation Sciences The Hong Kong Polytechnic University Hong Kong SAR China.
Linda Chiu Wa LamDepartment of Psychiatry Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Lisa Wing Chi AuDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Brian Ka Fung YiuDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Chun WongDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Hor Yee TongDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Sin Ki YeungDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Winnie Chiu Wing ChuDepartment of Imaging and Interventional Radiology Faculty of Medicine The Chinese University of Hong Kong Shatin, New Territories Hong Kong SAR China.
Lin ShiDepartment of Imaging and Interventional Radiology Faculty of Medicine The Chinese University of Hong Kong Shatin, New Territories Hong Kong SAR China.
Thomas Wai Hong LeungDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Yannie Oi Yan SooDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Alexander Yuk Lun LauDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Bonaventure Yiu Ming IpDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Timothy Chi Yui KwokDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Ho KoDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Vincent Chung Tong MokDivision of Neurology Department of Medicine and Therapeutics Faculty of Medicine The Chinese University of Hong Kong Hong Kong SAR China.
Chinese University of Hong Kong · CNHKUST Shenzhen Research Institute · CNHong Kong Polytechnic University · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe benefit and risk of aerobic exercise among older people harboring advanced cerebral small vessel disease (CSVD) upon cognition, mood, and motor functions are unknown.

methodsThis rater-blind randomized trial examined effects of a 24-week aerobic exercise training (60 min/session, twice/week) upon clinical (cognition, mood, motor functions) and hemodynamic (pulse pressure [PP], blood pressure [BP], pulsatility index) measures in older people harboring moderate to severe CSVD, as evidenced by confluent white matter hyperintensity and/or ≥2 lacunes on magnetic resonance imaging. We further investigated interactions between treatment conditions and hemodynamics measures.

resultsFifty-three and 54 subjects were randomized into the active and control group, respectively. There was no between-group difference in any of the clinical outcomes. The active group had a greater between-group reduction in systolic BP and PP than the control group. Within-group comparison showed that global cognition of the active group remained similar at end of the study compared to baseline, whereas it declined significantly in the control group. We observed "diverging" interaction effects in that greater reduction in systolic BP/PP was associated with greater improvement in memory functions and global cognition but worsening in processing speed in the active group. Side effects were comparable between the two groups. DISCUSSION: Future study should investigate the mechanisms of the diverging impacts of aerobic exercise upon different cognitive domains so that the benefit-risk ratio of aerobic exercise in older people harboring more advanced CSVD can be better defined.

Indexed as

aerobic exercisecerebral small vessel diseasecognitive impairmentrandomized controlled trial

Identifiers

PMID35005205
PMCPMC8719349
OpenAlexW4206540064

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.