Evidence map›Paper›PMID 35346243›Full record

ArticlePediatric rheumatology online journal2022

Feasibility of the wingate anaerobic exercise test as a clinical measure in patients with juvenile dermatomyositis.

Saunya Dover, Samantha Stephens, Hayyah Clairman, Andrew Abesamis, Omidali Aghababaei Jazi, Stephanie Babij, Jo-Anne Marcuz, Natasha Naraidoo, Jing Pan, Eleanor Pullenayegum and 3 more

Open access · goldAbstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 97% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

13 authors at 5 institutions in 1 country.

Saunya DoverChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Samantha StephensNeurosciences and Mental Health, The Hospital for Sick Children, Toronto, ON, Canada.
Hayyah ClairmanChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Andrew AbesamisChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Omidali Aghababaei JaziChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Stephanie BabijChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Jo-Anne MarcuzDivision of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada.
Natasha NaraidooChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Jing PanChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Eleanor PullenayegumChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
Dax RumseyDivision of Rheumatology, University of Alberta, Edmonton, AB, Canada.
Kristi WhitneyNeurosciences and Mental Health, The Hospital for Sick Children, Toronto, ON, Canada.
Brian M FeldmanChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada. brian.feldman@sickkids.ca.
Hospital for Sick Children · CAInstitute for Clinical Evaluative Sciences · CAPublic Health Ontario · CASickKids Foundation · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCore sets, while widely adopted for clinical assessment in juvenile dermatomyositis (JDM), have some drawbacks - they are time consuming, were developed primarily for research, and require an experienced multidisciplinary team. We propose the Wingate Anaerobic Test, a 30-s all out test performed on a cycle ergometer, as a potential alternative; it is valid and reliable in this patient population. We aimed to determine the feasibility of performing the Wingate test as part of a typical clinic visit, and to determine if it is correlated to current measures of disease activity.

methodsPatients 5-18 years of age, with JDM, were recruited from the JDM clinic at a large Canadian academic children's hospital. Participants underwent a standard clinic assessment, then completed a Wingate test at the end of the visit.

resultsTwenty-six patients participated in the study, representing a recruitment rate of 81%; of those, 88% were able to complete the Wingate test. Patients liked the Wingate test and felt it should be included as a regular clinic test. Absolute peak power (watts) on the Wingate test was strongly correlated to the manual muscle test (MMT-8) and the timed squat test. Relative peak power (watts/kg) on the Wingate test was strongly correlated to the timed squat test and the Childhood Myositis Assessment Scale (CMAS). Exploratory principal components analysis revealed that Wingate relative average power explained almost 2/3 of the variance of the CMAS, MMT and timed squats combined.

conclusionThe Wingate test is a feasible test for children with JDM and correlates well with standard clinical assessments. Given its brevity, it has the potential to replace more standard measures of physical function currently used in clinical assessments for children with JDM. Future work should focus on how best to operationalize Wingate testing in clinic without the use of dedicated personnel.

Indexed as

DermatomyositisExercise TestAnaerobiosisCanadaChildFeasibility StudiesHumansFeasibilityJuvenile dermatomyositisWingate anaerobic test

Identifiers

PMID35346243
PMCPMC8962236
OpenAlexW4220662373

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.