Evidence map›Paper›PMID 40637819›Full record

ArticleEndocrine2025

Benefits of a 12 weeks-individually tailored physical activity program in patients with Cushing's disease in remission and controlled acromegaly.

Luciana Martel-Duguech, Helena Bascuñana, Víctor Priego Corredor, Oriol González-Viñuela, Judith Vinyals Ribé, Toni Caparrós Pons, Susan M Webb, Elena Valassi

Abstract readClinical Study
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In one paragraph

Article in Endocrine, 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. Acromegaly complications: an update.The Journal of clinical endocrinology and metabolism · 2026
    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.

Luciana Martel-DuguechDepartment of Endocrinology, Hospital S Pau, Research Center for Pituitary Diseases, Institut de Recerca Sant Pau (IIB-Sant Pau), Barcelona, Spain.
Helena BascuñanaRehabilitation unit, Hospital Sant Pau, Barcelona, Spain.
Víctor Priego CorredorInstituto Nacional de Educación Física de Cataluña (INEFC), Barcelona, Spain.
Oriol González-ViñuelaInstituto Nacional de Educación Física de Cataluña (INEFC), Barcelona, Spain.
Judith Vinyals RibéInstituto Nacional de Educación Física de Cataluña (INEFC), Barcelona, Spain.
Toni Caparrós PonsInstituto Nacional de Educación Física de Cataluña (INEFC), Barcelona, Spain.
Susan M WebbDepartment of Endocrinology, Hospital S Pau, Research Center for Pituitary Diseases, Institut de Recerca Sant Pau (IIB-Sant Pau), Barcelona, Spain.
Elena ValassiGermans Trias i Pujol Hospital and Research Institute, Badalona (Barcelona), Spain. evalassi@igtp.cat.ORCID 0000-0002-3864-0105

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with controlled Cushing's disease (CD) and acromegaly (ACRO) often experience persistent musculoskeletal dysfunction and impaired quality of life (QoL) despite biochemical normalization. Although undergoing supervised physical activity is a clear unmet need of pituitary patients, evidence on the effectiveness of individually tailored exercise programs in these populations is scanty.

objectiveThe aim of this pilot study was to evaluate the effectiveness of a 12-week individually tailored and supervised exercise program on muscle function and patient-reported outcomes (PROMs) in patients with biochemically controlled CD and ACRO.

methodsTwenty patients (10 women with CD in remission, 10 men with controlled ACRO) participated in a structured program combining aerobic and resistance exercises, supervised by professional trainers, three times a week over 12 weeks. Outcomes assessed at baseline and post-intervention included, grip strength and physical performance on gait speed, timed up-and-go, chair stand test, muscle structure and quality on ultrasound examination and QoL, as evaluated using disease-specific (CushingQoL, AcroQoL) and generic (SF-12, PANAS, PHQ-9, and GAD-7) questionnaires.

resultsAfter the 12-week intervention, significant improvements were observed in physical performance tests (p < 0.05 for all parameters vs. baseline) in both CD and ACRO patients. Ultrasound-measured muscle thickness increased CD patients after completion of the program (p < 0.05), while a decreased echogenicity was found in ACRO patients (p < 0.05) CD patients demonstrated significant improvements in waist circumference, diastolic blood pressure (p < 0.05). No significant changes were observed in PROMs in either group after the intervention.

conclusionAn individually tailored, supervised, 12-week exercise intervention significantly enhanced muscle structure and physical performance in patients with controlled CD and ACRO. Further randomized controlled studies are required to confirm the clinical effectiveness of incorporating supervised exercise programs into multidisciplinary management for pituitary disease patients.

Indexed as

AcromegalyCushing SyndromeExerciseExercise TherapyPrecision MedicineAdultExercise TestFemaleHand StrengthHumansMaleMiddle AgedMuscle, SkeletalPathologic Complete ResponsePatient Reported Outcome MeasuresPhysical Functional PerformanceAcromegalyCushing’s diseaseExercise interventionMuscle qualityPhysical performanceQuality of life

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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.