Evidence map›Paper›PMID 40885998›Full record

ArticleBMC sports science, medicine & rehabilitation2025

Effects of aerobic combined with resistance exercise on cardiopulmonary function in patients with coronary heart disease: a bayesian meta-analysis based on dose-response, baseline status, and other moderators.

Jianbo Zhang, Fang Zhang, Jingjing Tao, May Teo Xin Yu, Frank Teo Li Wen

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2025. 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. Trial
  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

5 authors.

Jianbo ZhangCollege of Athletics and Physical Education, Beijing Sport University, No. 48 Information Road, Haidian District, Beijing, China. bsuzjb@163.com.
Fang ZhangEducation Bureau of Fengnan District, Tangshan, Hebei, China.
Jingjing TaoZhongguancun Third Primary School Science Park Branch, Beijing, China. tjj214913568kk@126.com.
May Teo Xin YuDepartment of Physical Education, Peking University, Beijing, China.
Frank Teo Li WenDivision of Sport Science and Physical Education, Tsinghua University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery disease (CHD) is one of the major public health problems worldwide. International guidelines recommend ongoing management of metabolic abnormalities and improved prognosis through combined aerobic and resistance exercise (CE), and the aim of this study was to investigate the effects of CE and exercise dose on cardiorespiratory fitness, as measured by maximum oxygen uptake (VO2max), in patients with CHD.

methodsWe conducted a systematic search of PubMed, Embase, the Cochrane Library, and Web of Science, with the search limited to the date of the inception of the database to January 2025 to identify randomized controlled trials (RCTs). Pairwise and regression meta-analyses of these results were conducted using Bayesian stratified models based on random effects.

resultsThe 12 RCTs included a total of 697 patients. The results show that CE significantly increased the VO2max of coronary heart disease patients compared with the control group that did not exercise (MD = 3.1 ml/kg/min; 95%CrI: 2.57, 3.64; GRADE: Low). In addition, there is a nonlinear positive correlation between the weekly CE dose and the level of improvement in VO2max, with a minimum dose of 310 METs-min/week. The magnitude of VO2max improvement is more pronounced in patients with lower baseline cardiorespiratory fitness and gradually decreases with age.

conclusionCE showed significant benefit in improving cardiorespiratory function in patients with CHD. In addition, even lower doses of CE (≥ 310 MET-min/week) improved cardiorespiratory fitness, and the gain was progressively apparent before reaching a critical threshold. The findings suggest that clinical practice should tailor exercise regimens to patient age and baseline VO2max.

Identifiers

PMID40885998
PMCPMC12398111

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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.