Evidence map›Paper›PMID 39895162›Full record

Trial reportJournal of cachexia, sarcopenia and muscle2025

The Effect of Exercise on Spexin and Follistatin in Elderly Individuals.

Elif Yıldırım Ayaz, Berna Dincer, Gülser Cinbaz, Esra Karacan, Reyhan Kaygusuz Benli, Emel Mete, Hilal Bilgiç, Banu Mesci

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05251597 (Comparison of the Effects of Green Exercise Programs Including Resistance Exercises and Aerobic Exercises on Metabolic Syndrome Parameters in Elderly Individuals), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT05251597 naunknown statusnot on this map

Comparison of the Effects of Green Exercise Programs Including Resistance Exercises and Aerobic Exercises on Metabolic Syndrome Parameters in Elderly Individuals

TypeinterventionalSponsorIstanbul Medeniyet UniversityRan2022 to 2022Enrolled120ConditionsMetabolic SyndromeArmsgreen exercise with aerobic exercise
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Emerging roles of spexin in cardiovascular homeostasis.Frontiers in cardiovascular medicine · 2026
    Review
  5. Physical Activity, Exerkines, and Their Role in Cancer Cachexia.International journal of molecular sciences · 2025
    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

8 authors.

Elif Yıldırım AyazInternal Medicine Clinic, Sultan 2. Abdülhamid Han Training and Research Hospital, University of Health Sciences, Üsküdar, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-2404-8784
Berna DincerDepartment of Internal Medicine Nursing, Faculty of Health Sciences, Istanbul Medeniyet University, Kartal, İstanbul, Turkey.
Gülser CinbazDepartment of Internal Medicine Nursing, Faculty of Health Sciences, Istanbul Medeniyet University, Kartal, İstanbul, Turkey.
Esra KaracanDepartment of Physiothetapy and Rehabilitation, Health Science Faculty, Yeditepe University, Ataşehir, İstanbul, Turkey.
Reyhan Kaygusuz BenliDepartment of Physiothetapy and Rehabilitation, Health Science Faculty, Demiroglu Science University, Şişli, İstanbul, Turkey.
Emel MeteDepartment of Internal Medicine Nursing, Faculty of Health Sciences, Istanbul Medeniyet University, Kartal, İstanbul, Turkey.
Hilal Bilgiçİnternal Medicine Clinic, Bagcılar Education and Research Hospital, Bağcılar, İstanbul, Turkey.
Banu MesciInternal Medicine Clinic, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul Medeniyet University, Kadıköy, İstanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn adipose tissue-muscle crosstalk mechanisms, the interaction of adipokines and myokines is known to be critical for maintaining the body's metabolic balance in age-related metabolic disorders. The aim of the study investigate the effects of 12 weeks of aerobic and resistance exercise training on spexin and follistatin and their relationship with each other.

methodsThis study was a multicentre, randomized controlled study conducted at two assisted living facilities with participants aged ≥ 65. Among the 66 subjects, 33 were allocated to the exercise group (E) and 33 to the control group (C). The exercise group was administered 50 min of exercise by expert physiotherapists 1 day a week for 12 weeks. Participants in the intervention groups performed exercise assignments two extra days a week, tailored to their specific circumstances and supervised by the institution's physiotherapists. Spexin, follistatin and measurements of metabolic syndrome parameters were performed at the beginning and after 12 weeks.

resultsThe mean age of the 62 participants who completed the study (E n = 31, C n = 31) was 73.25 ± 6.44 years, and 62.9% were female. While spexin (E = 1090.94 ± 533.66, C = 1142.91 ± 550.68 pg/mL, p > 0.05) and follistatin (E = 50.52 ± 24.35, C = 50.00 ± 23.52 ng/mL, p > 0.05) values were similar in the two groups at baseline, the values of spexin (E = 1311.32 ± 513.66, C = 1033.27 ± 486.48, p < 0.0001; η

conclusionsIt was found that spexin, which provides metabolic homeostasis, and follistatin, which expresses the increase in muscle mass, increased with the implementation of a 12-week aerobic and resistance exercise program in elderly individuals, and these increases were found to be associated with each other.

trial registrationClinicalTrials.gov identifier: NCT05251597.

Indexed as

ExerciseFollistatinPeptide HormonesAgedAged, 80 and overFemaleHumansMaleResistance TrainingFollistatinPeptide Hormoneselderly individualsexercisefollistatinmetabolic syndromespexin

Identifiers

PMID39895162
PMCPMC11788494

What OpenQuestion holds

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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.