Evidence map›Paper›PMID 39904658›Full record

ArticleClinical therapeutics2025

Sex Differences in Response to a 12-Week Resistance Training Exercise Intervention After Cardiac Surgery: A Proof-of-Concept Intervention Trial.

Basmah Safdar, Angela F Jarman, Tracy E Madsen, Lauren E DeLamielleure, Bin Zhou, Robert Axtell, Arnar Geirsson, Abeel A Mangi

Abstract readControlled Clinical Trial
In one paragraph

Article in Clinical therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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.

Basmah SafdarDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut. Electronic address: basmah.safdar@yale.edu.
Angela F JarmanDepartment of Emergency Medicine, University of California-Davis, Sacramento, California.
Tracy E MadsenDepartment of Emergency Medicine, University of Vermont, Burlington, Vermont.
Lauren E DeLamielleureDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
Bin ZhouYale Center of Analytics Sciences, Yale School of Public Health, New Haven, Connecticut.
Robert AxtellDepartment of Health and Movement Science, Southern Connecticut State University, New Haven, Connecticut.
Arnar GeirssonSection of Cardiac Surgery, Department of Surgery, Columbia University, New York, New York.
Abeel A MangiDepartment of Cardiac Surgery, Nuvance Health, Poughkeepsie, New York.

Funding

Building Interdisciplinary Research Careers in Womens Health at UC Davis - Administrative SupplementK12HD051958 · NICHD · UNIVERSITY OF CALIFORNIA DAVIS · PI LANE, NANCY E · 2005 to 2023
$9.6M
Building Interdisciplinary Research Careers in Women's Health at UC DavisK12AR084220 · NIAMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Nancy E Lane · 2023 to 2026
$3.0M
NIAMS NIH HHS K12 AR084220NICHD NIH HHS K12 HD051958
6 · The paper itself

Abstract

purposeCardiopulmonary rehabilitation, which often follows major acute cardiac events, is traditionally focused on aerobic exercise and has been associated with decreased morbidity and mortality. Its benefit among cardiac surgery patients is less clear, as is the role of resistance-based exercise programs and their sex-specific effects. This study seeks to evaluate the safety and feasibility of a 12-week resistance training program in patients post cardiac surgery through a sex-specific lens.

methodsWe conducted a nonrandomized feasibility trial with a 12-week strength training exercise intervention. The primary outcome was safety and feasibility. Secondary outcomes included changes in strength, endurance, and functional capacity; and sex differences among these. Adult participants post open-heart surgery who had completed traditional cardiac rehabilitation were consented. Both patients who completed (cases) or did not complete (controls) a tailored 12-week resistance training program underwent comprehensive assessment of physiologic and physical fitness measures pre- and postintervention.

findingsNine participants enrolled in the trial, including 6 in the intervention arm (median age 61 years; 67% male) and 3 in the control arm (median age 66 years; 67% male). No serious adverse events were noted, indicating safety of the intervention. Participants completed a mean of 34.8/36 (96.7%) of sessions, indicating the feasibility of the program. Although not powered for statistical significance, patients experienced positive trends of improvement in measures of hand grip strength, endurance, and functional capacity with the intervention. When stratified, females experienced greater gains than males in these measures. IMPLICATIONS: This proof-of-concept study found that resistance-based exercise after cardiac surgery is well tolerated and feasible. Although all patients experienced improvements in exercise parameters, females reported greater relative improvement than males.

Indexed as

Cardiac RehabilitationCardiac Surgical ProceduresResistance TrainingAgedFeasibility StudiesFemaleHumansMaleMiddle AgedProof of Concept StudySex FactorsCardiac rehabilitation (CR)Cardiac surgeryCardiovascular disease (CVD)Resistance strength trainingSafety and feasibilitySex differences

Identifiers

PMID39904658
PMCPMC12744884

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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.