Evidence map›Paper›PMID 39267115›Full record

Trial reportBMC medicine2024

The impact of an exercise and sport intervention on cognitive function and pain among forcibly displaced individuals at risk for PTSD: a secondary analysis of the SALEEM randomized controlled trial.

Florian Knappe, Konstantinia Filippou, Antonis Hatzigeorgiadis, Ioannis D Morres, Sebastian Ludyga, Harald Seelig, Emmanouil Tzormpatzakis, Elsa Havas, Yannis Theodorakis, Roland von Känel and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

12 authors.

Florian KnappeDepartment of Sport, Exercise and Health, University of Basel, Grosse Alle 6, 4052, Basel, Switzerland. florian.knappe@unibas.ch.
Konstantinia FilippouDepartment of Physical Education and Sport Sciences, University of Thessaly, 42100, Trikala, Greece.
Antonis HatzigeorgiadisDepartment of Physical Education and Sport Sciences, University of Thessaly, 42100, Trikala, Greece.
Ioannis D MorresDepartment of Nutrition and Dietetics, University of Thessaly, 42132, Trikala, Greece.
Sebastian LudygaDepartment of Sport, Exercise and Health, University of Basel, Grosse Alle 6, 4052, Basel, Switzerland.
Harald SeeligDepartment of Sport, Exercise and Health, University of Basel, Grosse Alle 6, 4052, Basel, Switzerland.
Emmanouil TzormpatzakisDepartment of Physical Education and Sport Sciences, University of Thessaly, 42100, Trikala, Greece.
Elsa HavasDepartment of Physical Education and Sport Sciences, University of Thessaly, 42100, Trikala, Greece.
Yannis TheodorakisDepartment of Physical Education and Sport Sciences, University of Thessaly, 42100, Trikala, Greece.
Roland von KänelDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, 8091, Zurich, Switzerland.
Uwe PühseDepartment of Sport, Exercise and Health, University of Basel, Grosse Alle 6, 4052, Basel, Switzerland.
Markus GerberDepartment of Sport, Exercise and Health, University of Basel, Grosse Alle 6, 4052, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn response to the global scope of forced displacement, international organizations highlight the need of scalable solutions to support individuals' health and integration into host societies. Exposure to high mental and physical stress perceived before, during, and after displacement can impair functional capabilities, essential for adapting to a new environment. This secondary analysis examined the impact of an exercise and sport intervention on cognitive function and pain severity among individuals living in a refugee camp in Greece.

methodsWe implemented a randomized controlled trial involving n = 142 (52.8% women) forcibly displaced individuals from Southwest Asia and Sub-Saharan Africa. Participants were randomly assigned to a waitlist or a 10-week co-designed exercise and sport intervention with a 1:1 allocation rate between groups and sexes. Assessments at baseline and follow-up included the Flanker task, the Oddball paradigm, pain severity via visual analog scales, and the Åstrand-Rhyming indirect test of maximal oxygen uptake. We analyzed the intervention effects using structural equation modeling.

resultsOur findings did not indicate a direct intervention effect on cognitive function or pain (p ≥ .332). However, the intervention group significantly improved cardiorespiratory fitness, ß = .17, p = .010, which was associated with faster reaction times in cognitive tasks, ß =  - .22, p = .004. Moreover, there was some evidence that adherence might be linked to reduced pain severity, ß =  - .14, p = .065.

conclusionsExercise and sport did not directly impact cognitive function and pain severity among a sociodemographically diverse sample living in a refugee camp, suggesting the need for complementary measures. Nevertheless, our results indicate that improvements in cardiorespiratory fitness benefit aspects of attention.

trial registrationThe study was approved by the local ethics committee of the University of Thessaly (no. 39) and registered prospectively on February 8, 2021 at the ISRCTN registry (no. 16291983).

Indexed as

CognitionRefugeesStress Disorders, Post-TraumaticAdultExerciseExercise TherapyFemaleGreeceHumansMaleMiddle AgedPainSportsYoung AdultExecutive functionFitnessMigrantPhysical activityPublic healthRefugee camp

Identifiers

PMID39267115
PMCPMC11396323

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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.