Evidence map›Paper›PMID 37238437›Full record

ArticleChildren (Basel, Switzerland)2023

Home-Based Exercise Training in the Recovery of Multisystem Inflammatory Syndrome in Children: A Case Series Study.

Camilla Astley, Gabriela Nunes Leal, Saulo Gil, Priscila Suguita, Thais Fink, Vera Bain, Maria Fernanda Badue Pereira, Heloisa Helena Marques, Sofia Sieczkowska, Danilo Prado and 5 more

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

15 authors at 1 institution in 1 country.

Camilla AstleyApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of Sao Paulo, Sao Paulo 01246-903, Brazil.
Gabriela Nunes LealChildren and Adolescent Institute, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Saulo GilApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of Sao Paulo, Sao Paulo 01246-903, Brazil.ORCID 0000-0001-9050-0073
Priscila SuguitaChildren and Adolescent Institute, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Thais FinkChildren and Adolescent Institute, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Vera BainChildren and Adolescent Institute, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Maria Fernanda Badue PereiraChildren and Adolescent Institute, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Heloisa Helena MarquesChildren and Adolescent Institute, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Sofia SieczkowskaApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of Sao Paulo, Sao Paulo 01246-903, Brazil.
Danilo PradoApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of Sao Paulo, Sao Paulo 01246-903, Brazil.
Marcos Santos LimaDepartment of Radiology and Oncology, Nuclear Medicine Division, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-911, Brazil.
Camila G CarneiroDepartment of Radiology and Oncology, Nuclear Medicine Division, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-911, Brazil.ORCID 0000-0002-6547-398X
Carlos Alberto BuchpiguelDepartment of Radiology and Oncology, Nuclear Medicine Division, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-911, Brazil.
Clovis Artur SilvaChildren and Adolescent Institute, Clinical Hospital, School of Medicine, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Bruno GualanoApplied Physiology and Nutrition Research Group, School of Physical Education and Sport, University of Sao Paulo, Sao Paulo 01246-903, Brazil.
Universidade de São Paulo · BR

Funding

National Council for Scientific and Technological Development #303422/2015-7 to C.A.S.São Paulo Research Foundation grants #2021/02742-0 to C.A., #2015/03756-4 to C.A.S, #2019/15231-4 to S.M.S. and #2017/13552-2 to B.G
6 · The paper itself

Abstract

objectiveTo assess the potential therapeutic role of exercise on health-related quality of life, assessed by the Pediatric Outcomes Data Collection Instrument (PODCI), coronary flow reserve (CFR), cardiac function, cardiorespiratory fitness, and inflammatory and cardiac blood markers in multisystemic inflammatory syndrome in children (MIS-C) patients.

methodsThis is a case series study of a 12-wk, home-based exercise intervention in children and adolescents after MIS-C diagnosis. From 16 MIS-C patients followed at our clinic, 6 were included (age: 7-16 years; 3 females). Three of them withdrew before the intervention and served as controls. The primary outcome was health-related quality of life, assessed PODCI. Secondary outcomes were CFR assessed by 13N-ammonia PET-CT imaging, cardiac function by echocardiography, cardiorespiratory fitness, and inflammatory and cardiac blood markers.

resultsIn general, patients showed poor health-related quality of life, which seemed to be improved with exercise. Additionally, exercised patients showed improvements in coronary flow reserve, cardiac function, and aerobic conditioning. Non-exercised patients exhibited a slower pattern of recovery, particularly in relation to health-related quality of life and aerobic conditioning.

conclusionsOur results suggest that exercise may play a therapeutic role in the treatment of post-discharge MIS-C patients. As our design does not allow inferring causality, randomized controlled trials are necessary to confirm these preliminary findings.

Indexed as

cardiovascular imagingCOVID-19exercise trainingmicrovasculaturepediatric multisystem inflammatory disease

Identifiers

PMID37238437
PMCPMC10217147
OpenAlexW4377164145

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.