Evidence map›Paper›PMID 38308310›Full record

ArticleBMC sports science, medicine & rehabilitation2024

The phase angle cut-off point capable of discriminating hemodialysis patients with reduced exercise tolerance: a cross-sectional study.

Davi de Souza Francisco, Igor Gutierrez Moraes, Camila Porto Brito, Renato Fraga Righetti, Wellington Pereira Yamaguti

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03779126 (Efficacy of Combined Low- and High- Frequency Stimulation in Peripheral Muscle Function During Hemodialysis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT03779126 naunknown statusnot on this map

Efficacy of Combined Low- and High- Frequency Stimulation in Peripheral Muscle Function During Hemodialysis

TypeinterventionalSponsorHospital Sirio-LibanesRan2018 to 2025Enrolled56ConditionsChronic Kidney DiseasesArmsElectrical stimulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  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

5 authors.

Davi de Souza FranciscoHospital Sírio-Libanês, Rehabilitation Service, São Paulo, São Paulo, Brazil.
Igor Gutierrez MoraesHospital Sírio-Libanês, Rehabilitation Service, São Paulo, São Paulo, Brazil.
Camila Porto BritoHospital Sírio-Libanês, Rehabilitation Service, São Paulo, São Paulo, Brazil.
Renato Fraga RighettiHospital Sírio-Libanês, Rehabilitation Service, São Paulo, São Paulo, Brazil.
Wellington Pereira YamagutiHospital Sírio-Libanês, Rehabilitation Service, São Paulo, São Paulo, Brazil. wellington.psyamaguti@hsl.org.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhase angle (PhA) is a prognostic marker of all-cause mortality in chronic kidney disease. However, no study has investigated this marker as a predictor of exercise intolerance in hemodialysis (HD) patients. The aim of this study was to determine a cut-off point for the PhA capable of discriminating HD patients with reduced exercise tolerance.

methodsThirty-one patients (80.6% men, median age 69 years) were included. The evaluations were performed on three different days, before the HD session. The outcomes evaluated were: biochemical markers, inflammatory and nutritional status, body composition, peripheral muscle strength and exercise tolerance. Performance ≤50% of the predicted value in the six-minute step test (6MST) was defined as reduced exercise tolerance.

resultsPatients presented an average of 67.6 steps (50.5% of predicted) in the 6MST. Fifteen patients (48.4%) were classified with reduced exercise tolerance. The receiver operating characteristic curve indicated a cut-off point of 3.73° for the PhA (sensitivity = 87%, specificity = 81%, and area under the curve = 0.88 [95% CI: 0.76-1.00]; p < 0.001). Patients with reduced exercise tolerance had worse inflammatory and nutritional status, lower PhA and greater impairment of peripheral muscle strength.

conclusionThe cut-off point of 3.73° for the PhA is sensitive and specific to discriminate HD patients with reduced exercise tolerance.

trial registrationThis study was registered in the Clinical Trials database (no. NCT03779126, date of first registration 19/12/2018).

Indexed as

Chronic kidney diseaseElectric impedanceExercise testFunctional capacityPhase angleStep test

Identifiers

PMID38308310
PMCPMC10835815

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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.