Evidence map›Paper›PMID 37517653›Full record

Observational studyThe Journal of pediatrics2023

Measurement of Physical Activity by Actigraphy in Infants and Young Children with Pulmonary Arterial Hypertension.

Catherine M Avitabile, Delphine Yung, Stephanie Handler, Rachel K Hopper, Jeff Fineman, Grace Freire, Nidhy Varghese, Mary P Mullen, Usha S Krishnan, Eric Austin and 2 more

Open access · greenAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in The Journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Pulmonary Hypertension in Children.Clinics in chest medicine · 2024
    Review
  5. 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

12 authors at 11 institutions in 1 country.

Catherine M AvitabileDivision of Cardiology, Children's Hospital of Philadelphia, Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Electronic address: avitabilec@chop.edu.
Delphine YungDivision of Cardiology, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.
Stephanie HandlerDivision of Cardiology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Rachel K HopperDivision of Cardiology, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA.
Jeff FinemanDivision of Critical Care Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, CA.
Grace FreireDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins All Children's Hospital, St. Petersburg, FL.
Nidhy VargheseDivision of Pulmonology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Mary P MullenDepartment of Cardiology, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, MA.
Usha S KrishnanPediatric Cardiology, Columbia University Irving Medical Center, New York, NY.
Eric AustinDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.
Lori SilveiraSection of Cardiology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
D Dunbar IvySection of Cardiology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
University of Colorado Denver · USBaylor College of Medicine · USBoston Children's Hospital · USChildren's Hospital of Philadelphia · USColumbia University Irving Medical Center · USJohns Hopkins University · USMedical College of Wisconsin · USStanford University · USUniversity of California, San Francisco · USUniversity of Washington · USVanderbilt University Medical Center · US

Funding

Understanding the Barriers to Physical Activity in Pediatric Pulmonary Hypertension in Order to Design Effective Home-based Exercise ProgramsK23HL150337 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI AVITABILE, CATHERINE M. · 2021 to 2025
$818k
NHLBI NIH HHS K23 HL150337
6 · The paper itself

Abstract

objectiveTo evaluate the feasibility, tolerability, and adherence with wearable actigraphy devices among infants and children with pulmonary arterial hypertension (PAH). STUDY

designThis multicenter, prospective, observational study included children ages 0-6 years with and without PAH. Participants wore the ActiGraph wGT3X-BT on the hip and FitBit Inspire on the wrist during waking hours for 14 days. Steps, vector magnitude counts per minute, activity intensity, heart rate, and heart rate variability were compared between groups.

resultsForty-seven participants (18 PAH, 29 control) were enrolled from 10 North American sites. PAH patients were mostly functional class II (n = 16, 89%) and treated with oral medications at the time of enrollment. The number of wear days was not significantly different between the groups (ActiGraph: 10 [95% CI: 5.5, 12.2] in PAH vs 8 [4, 12] in control, P = .20; FitBit 13 [10, 13.8] in PAH vs 12 [8, 14] in control, P = .87). Complete data were obtained in 81% of eligible ActiGraph participants and 72% of FitBit participants. PAH participants demonstrated fewer steps, lower vector magnitude counts per minute, more sedentary activity, and less intense physical activity at all levels compared with control participants. No statistically significant differences in heart rate variability were demonstrated between the 2 groups.

conclusionsMeasurement of physical activity and other end points using wearable actigraphy devices was feasible in young children with PAH. Larger studies should determine associations between physical activity and disease severity in young patients with PAH to identify relevant end points for pediatric clinical trials.

Indexed as

ActigraphyPulmonary Arterial HypertensionChildChild, PreschoolExerciseFamilial Primary Pulmonary HypertensionHumansInfantProspective Studies6-minute walk testclinical trialswearables

Identifiers

PMID37517653
PMCPMC11164018
OpenAlexW4385337659

What OpenQuestion holds

Textmetadata
LicenceTDM
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.