Evidence mapPaperPMID 29948856Full record

ArticleSleep & breathing = Schlaf & Atmung2019

Diet associated with exercise improves baroreflex control of sympathetic nerve activity in metabolic syndrome and sleep apnea patients.

Edgar Toschi-Dias, Ivani C Trombetta, Valdo J D Silva, Cristiane Maki-Nunes, Felipe X Cepeda, Maria Janieire N N Alves, Glauce L Carvalho, Luciano F Drager, Geraldo Lorenzi-Filho, Carlos E Negrão and 1 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Sympathetic neural responses to sleep disorders and insufficiencies.American journal of physiology. Heart and circulatory physiology · 2022
    Review
  4. Review
  5. Article
  6. 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

11 authors at 3 institutions in 1 country.

Edgar Toschi-DiasHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil. edgardias@usp.br.ORCID http://orcid.org/0000-0002-5226-2956
Ivani C TrombettaUniversidade Nove de Julho, São Paulo, SP, Brazil.
Valdo J D SilvaBiological Sciences Institute, Triangulo Mineiro Federal University, Uberaba, MG, Brazil.
Cristiane Maki-NunesHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil.
Felipe X CepedaHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil.
Maria Janieire N N AlvesHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil.
Glauce L CarvalhoHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil.
Luciano F DragerHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil.
Geraldo Lorenzi-FilhoHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil.
Carlos E NegrãoHeart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil.
Maria Urbana P B RondonSchool of Physical Education and Sport, University of São Paulo, São Paulo, SP, Brazil.
Universidade de São Paulo · BRUniversidade Federal do Triângulo Mineiro · BRUniversidade Nove de Julho · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe tested the hypothesis that (i) diet associated with exercise would improve arterial baroreflex (ABR) control in metabolic syndrome (MetS) patients with and without obstructive sleep apnea (OSA) and (ii) the effects of this intervention would be more pronounced in patients with OSA.

methodsForty-six MetS patients without (noOSA) and with OSA (apnea-hypopnea index, AHI > 15 events/h) were allocated to no treatment (control, C) or hypocaloric diet (- 500 kcal/day) associated with exercise (40 min, bicycle exercise, 3 times/week) for 4 months (treatment, T), resulting in four groups: noOSA-C (n = 10), OSA-C (n = 12), noOSA-T (n = 13), and OSA-T (n = 11). Muscle sympathetic nerve activity (MSNA), beat-to-beat BP, and spontaneous arterial baroreflex function of MSNA (ABR

resultsNo significant changes occurred in C groups. In contrast, treatment in both patients with and without OSA led to a significant decrease in weight (P < 0.05) and the number of MetS factors (P = 0.03). AHI declined only in the OSA-T group (31 ± 5 to 17 ± 4 events/h, P < 0.05). Systolic BP decreased in both treatment groups, and diastolic BP decreased significantly only in the noOSA-T group. Treatment decreased MSNA in both groups. Compared with baseline, ABR

conclusionsDiet associated with exercise improves baroreflex control of sympathetic nerve activity and MetS components in patients with MetS regardless of OSA.

Indexed as

AdultBaroreflexCase-Control StudiesDiet, ReducingExerciseExercise TherapyFemaleHeart RateHumansMaleMetabolic SyndromeMiddle AgedSleep Apnea, ObstructiveSympathetic Nervous SystemTreatment OutcomeBaroreflex controlDietExerciseMetabolic syndromeObstructive sleep apneaSympathetic nervous system

Identifiers

PMID29948856
OpenAlexW2808332144

What Socratic holds

Textmetadata
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.