Evidence map›Paper›PMID 29634648›Full record

Trial reportThe Journal of cardiovascular nursing

Does Lifestyle Exercise After a Cardiac Event Improve Metabolic Syndrome Profile in Older Adults?

Kathy D Wright, Laura Moore-Schiltz, Abdus Sattar, Richard Josephson, Shirley M Moore

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 32% of its field
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, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Factors Influencing the Impact of Depressive Symptoms on Physical Functional Capacity After Cardiac Rehabilitation.Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · 2020
    Article
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 at 1 institution in 1 country.

Kathy D WrightKathy D. Wright, PhD, RN, GCNS-BC, PMHCNS-BC Assistant Professor, Chief Diversity Officer College of Nursing, Discovery Theme Traumatic Brain, The Ohio State University, Columbus, Ohio. Laura Moore-Schiltz, PhD, RDN, LD Consultant, Moore-Schiltz Consulting. Abdus Sattar, PhD Associate Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, Ohio. Richard Josephson, MD, FACC, FAHA, FACP, FAACVPR Professor of Medicine, School of Medicine, Case Western Reserve University, and Director of Cardiac Intensive Care and of Cardiovascular and Pulmonary Rehabilitation, Division of Cardiovascular Medicine, Harrington Heart & Vascular Institute, University Hospitals Health System, Cleveland, Ohio. Shirley M. Moore, PhD, RN, FAAN Edward J. and Louise Mellen Professor of Nursing, Associate Dean for Research, and Director of SMART Center, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. The authors have no conflicts of interest to disclose.
Laura Moore-Schiltz
Abdus Sattar
Richard Josephson
Shirley M Moore
Biostatistical Consulting (United States) · US

Funding

Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
SMART Center II Brain Behavior Connections in Self Management ScienceP30NR015326 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MOORE, SHIRLEY M · 2014 to 2018
$2.8M
Improving Long Term Exercise in Older Cardiac PatientsR01HL084767 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI MOORE, SHIRLEY M · 2006 to 2009
$2.6M
NCATS NIH HHS KL2 TR000440NHLBI NIH HHS R01 HL084767NINR NIH HHS P30 NR015326
6 · The paper itself

Abstract

backgroundExercise is a common recommendation to reduce the risk factors of metabolic syndrome, yet there are limited data on the influence of lifestyle exercise after cardiac events on metabolic syndrome factors.

objectiveThe purpose of this study was to determine whether lifestyle exercise improves metabolic syndrome profile in older adults after a cardiac event.

methodsParticipants were from a post-cardiac-event lifestyle exercise study. Five metabolic syndrome factors were assessed: waist circumference, triglycerides, high-density lipids, glucose, and systolic and diastolic blood pressure. Objective measures of exercise were obtained from heart rate monitors over a year. Logistic regression was used to determine whether participants who engaged in the minimum recommendation of 130 hours of exercise or greater during the 12-month period improved their metabolic syndrome profile by improving at least 1 metabolic syndrome factor.

resultsIn the sample of 116 participants (74% men; average age, 67.5 years), 43% exercised at the recommended amount (≥130 h/y) and 28% (n = 33) improved their metabolic syndrome profile. After controlling for confounding factors of age, gender, race, diabetes, functional ability, and employment, subjects who exercised at least 130 hours a year were 3.6 times more likely to improve at least 1 metabolic syndrome factor (95% confidence interval, 1.24-10.49). Of the 28% who improved their metabolic syndrome profile, 72% increased their high-density lipoprotein and 60.6% reduced their waist circumference and glucose.

conclusionsAfter a cardiac event, older patients who engage in lifestyle exercise at the recommended amount have improvement in their metabolic syndrome profile.

Indexed as

ExerciseLife StyleAgedAged, 80 and overAngioplasty, Balloon, CoronaryBlood GlucoseCoronary Artery BypassFemaleHumansLipoproteins, HDLMaleMetabolic SyndromeMiddle AgedMyocardial InfarctionWaist CircumferenceBlood GlucoseLipoproteins, HDL

Identifiers

PMID29634648
PMCPMC5922456
OpenAlexW2796987961

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.