Evidence map›Paper›PMID 38402501›Full record

Trial reportClinical and experimental nephrology2024

A multi-center randomized controlled trial to investigate potential effects of exercise therapy on renal function stratified by renal disorders and renal pathology: beneficial or harmful effect in immunoglobulin a nephropathy.

Takahide Kimura, Naoki Washida, Shigeaki Ohtsuki, Kazuya Sugita, Kozi Hosoya, Kiyotaka Uchiyama

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Clinical and experimental nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 4 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. 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

6 authors at 3 institutions in 1 country.

Takahide KimuraDepartment of Nephrology, Mishima General Hospital, Mishima, Shizuoka, Japan.
Naoki WashidaDepartment of Nephrology, International University of Health and Welfare, Narita Hospital, 852, Hatakeda, Narita, Chiba, 286-8520, Japan. washida@iuhw.ac.jp.ORCID http://orcid.org/0000-0002-6477-4203
Shigeaki OhtsukiJapan Institute of Statistical Technology, Niiza, Saitama, Japan.
Kazuya SugitaDepartment of Nephrology, International University of Health and Welfare, Narita Hospital, 852, Hatakeda, Narita, Chiba, 286-8520, Japan.
Kozi HosoyaDepartment of Nephrology, International University of Health and Welfare, Narita Hospital, 852, Hatakeda, Narita, Chiba, 286-8520, Japan.
Kiyotaka UchiyamaDepartment of Nephrology, International University of Health and Welfare, Narita Hospital, 852, Hatakeda, Narita, Chiba, 286-8520, Japan.
International University of Health and Welfare · JPMizushima Central Hospital · JPThe Institute of Statistical Mathematics · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of exercise therapy (ET) on renal function in chronic kidney disease (CKD) remain unclear.

methodsIn a randomized controlled trial (UMIN-CTR number: UMIN000038415), we investigated whether ET affects renal function in CKD; eligible patients had undergone renal biopsy in the past 3 months. We stratified patients by disease (immunoglobulin A [IgA] nephropathy, n = 16; diabetic nephropathy, n = 4; benign nephrosclerosis, n = 13; and other CKD types, n = 13) and randomized them to 12 weeks' observation and 24 weeks' ET comprising home-based aerobic exercise 3×/week and resistance training 2×/week (intervention group) or usual care (non-intervention group). Primary endpoint was creatinine-based estimated glomerular filtration rate (eGFR) or serum cystatin C-based eGFR (eGFRcys). Secondary endpoints included urinary protein and exercise tolerance.

resultsSeventy patients were enrolled, 50 fulfilled the inclusion criteria, but 4 discontinued before randomization. No items significantly differed between week 0 to 24 in either group (intervention group, n = 23; non-intervention group, n = 23) or between groups at week 24 (intention-to-treat population) in the total study population. The eGFRcys slope showed no significant intergroup difference in the observation period, but eGFRcys improved significantly in IgA nephropathy patients (n = 16) in the intervention group (stratified comparison; week 0, 48.3 ± 18.2; week 24, 51.6 ± 17.6; p = 0.043). In these patients, urinary protein was significantly worse at week 24 in the non-intervention group (p = 0.046) and worsened significantly less in the intervention group (p = 0.039).

conclusionET did not improve renal function overall in CKD patients but might help maintain renal function in patients with IgA nephropathy.

Indexed as

Glomerular Filtration RateGlomerulonephritis, IGAKidneyAdultAgedCreatinineCystatin CExercise TherapyExercise ToleranceFemaleHumansMaleMiddle AgedProteinuriaRenal Insufficiency, ChronicResistance TrainingCreatinineCystatin CChronic kidney diseaseeGFRExerciseImmunoglobulin a nephropathy

Identifiers

PMID38402501
OpenAlexW4392143748

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.