Evidence map›Paper›PMID 38032994›Full record

ArticlePloS one2023

A pilot study to assess the feasibility of a remotely monitored high-intensity interval training program prior to allogeneic hematopoietic stem cell transplantation.

Ashley L Artese, Hilary M Winthrop, Lauren Bohannon, Meagan V Lew, Ernaya Johnson, Grace MacDonald, Yi Ren, Amy M Pastva, Katherine S Hall, Paul E Wischmeyer and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06953648 (Remotely Monitored, Mobile Health-supported, High Intensity Interval Training Before Hematopoietic Stem Cell Transplantation), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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.

NCT06953648 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Remotely Monitored, Mobile Health-supported, High Intensity Interval Training Before Hematopoietic Stem Cell Transplantation (REMM-HIIT-HCT)

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2025 to 2030Enrolled126ConditionsHematopoietic Stem Cell Transplantation, Cardiorespiratory FitnessArmsHigh Intensity Interval Training
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Effects of physical exercise in patients undergoing haematopoietic stem cell transplantation: systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Mobility Assessment Instruments.Seminars in oncology nursing · 2024
    Review
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

17 authors at 4 institutions in 2 countries.

Ashley L ArteseCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina, United States of America.
Hilary M WinthropDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.ORCID 0000-0002-5279-1153
Lauren BohannonDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.ORCID 0000-0002-9197-3830
Meagan V LewDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.
Ernaya JohnsonDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.ORCID 0000-0001-8249-6801
Grace MacDonaldDuke Molecular Physiology Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Yi RenDuke Cancer Institute Biostatistics Shared Resources, Duke University School of Medicine, Durham, North Carolina, United States of America.
Amy M PastvaCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina, United States of America.ORCID 0000-0002-0891-745X
Katherine S HallCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina, United States of America.
Paul E WischmeyerDuke University Hospital, Department of Anesthesiology and Surgery, Durham North Carolina, United States of America.ORCID 0000-0002-3369-7911
David MacleodHuman Pharmacology and Physiology Lab, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, United States of America.
Jeroen MolingerDuke University Hospital, Department of Anesthesiology and Surgery, Durham North Carolina, United States of America.ORCID 0000-0003-0608-3305
Stratton BarthDuke University Hospital, Department of Anesthesiology and Surgery, Durham North Carolina, United States of America.
Sin-Ho JungDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina, United States of America.
Harvey Jay CohenCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina, United States of America.
David B BartlettDivision of Medical Oncology, Duke University School of Medicine, Durham, North Carolina, United States of America.
Anthony D SungDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.ORCID 0000-0003-3765-641X
Duke Medical Center · USDuke University · USDuke University Hospital · USUniversity of Surrey · GB

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
NIA NIH HHS P30 AG028716NIA NIH HHS T32 AG000029
6 · The paper itself

Abstract

introductionAlthough allogeneic hematopoietic stem cell transplantation (HCT) can be a curative therapy for hematologic disorders, it is associated with treatment-related complications and losses in cardiorespiratory fitness and physical function. High-intensity interval training (HIIT) may be a practical way to rapidly improve cardiorespiratory fitness and physical function in the weeks prior to HCT. The primary aim of this study was to assess the feasibility of implementing a pre-HCT home-based HIIT intervention. The secondary aim was to evaluate pre to post changes in cardiorespiratory fitness and physical function following the intervention.

methodsThis was a single-arm pilot study with patients who were scheduled to undergo allogeneic HCT within six months. Patients were instructed to complete three 30-minute home-based HIIT sessions/week between the time of study enrollment and sign-off for HCT. Sessions consisted of a 5-minute warm-up, 10 high and low intervals performed for one minute each, and a 5-minute cool-down. Prescribed target heart rates (HR) for the high- and low-intensity intervals were 80-90% and 50-60% of HR reserve, respectively. Heart rates during HIIT were captured via an Apple Watch and were remotely monitored. Feasibility was assessed via retention, session adherence, and adherence to prescribed interval number and intensities. Paired t-tests were used to compare changes in fitness (VO2peak) and physical function [Short Physical Performance Battery (SPPB), 30-second sit to stand, and six-minute walk test (6MWT)] between baseline and sign-off. Pearson correlations were used to determine the relationship between intervention length and changes in cardiorespiratory fitness or functional measures.

resultsThirteen patients (58.8±11.6 years) participated in the study, and nine (69.2%) recorded their training sessions throughout the study. Median session adherence for those nine participants was 100% (IQR: 87-107). Adherence to intervals was 92% and participants met or exceeded prescribed high-intensity HR on 68.8±34.8% of intervals. VO2peak improved from baseline to sign-off (14.6±3.1 mL/kg/min to 17.9±3.3 mL/kg/min; p<0.001). 30-second sit to stand and SPPB chair stand scores significantly improved in adherent participants. Improvements in 30-second sit to stand (13.8±1.5 to 18.3±3.3 seconds) and 6MWT (514.4±43.2 to 564.6±19.3) exceeded minimal clinically important improvements established in other chronic disease populations, representing the minimum improvement considered meaningful to patients.

conclusionsFindings demonstrate that implementing a pre-HCT home-based remotely monitored HIIT program is feasible and may provide benefits to cardiorespiratory fitness and physical function.

Indexed as

Cardiorespiratory FitnessHematopoietic Stem Cell TransplantationHigh-Intensity Interval TrainingFeasibility StudiesHumansOxygen ConsumptionPilot Projects

Identifiers

PMID38032994
PMCPMC10688680
OpenAlexW4389161301

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.