Evidence map›Paper›PMID 30704412›Full record

Trial reportBMC geriatrics2019

Load magnitude affects patellar tendon mechanical properties but not collagen or collagen cross-linking after long-term strength training in older adults.

Christian S Eriksen, Rene B Svensson, Anne T Gylling, Christian Couppé, S Peter Magnusson, Michael Kjaer

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02123641 (Physical Activity as Intervention Against Age-related Loss of Muscle Mass and Function), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT02123641 naactive not recruitingnot on this map

Physical Activity as Intervention Against Age-related Loss of Muscle Mass and Function

TypeinterventionalSponsorBispebjerg HospitalRan2014 to 2028Enrolled451ConditionsMuscle Weakness, Muscle Loss, Sarcopenia, Physical ActivityArmsHeavy resistance training, Moderate intensity training, Control
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Regulators of ECM structure enable functional adaptation to tensile loading in tendon explants.Matrix biology : journal of the International Society for Matrix Biology · 2026
    Article
  7. Article
  8. Review
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Christian S EriksenInstitute of Sports Medicine Copenhagen, Bispebjerg Hospital, Nielsine Nielsens Vej 11, building 8, 1st floor, DK-2400, Copenhagen, Denmark. Eriksen.christian@gmail.com.ORCID 0000-0003-0973-4708
Rene B SvenssonInstitute of Sports Medicine Copenhagen, Bispebjerg Hospital, Nielsine Nielsens Vej 11, building 8, 1st floor, DK-2400, Copenhagen, Denmark.
Anne T GyllingInstitute of Sports Medicine Copenhagen, Bispebjerg Hospital, Nielsine Nielsens Vej 11, building 8, 1st floor, DK-2400, Copenhagen, Denmark.
Christian CouppéInstitute of Sports Medicine Copenhagen, Bispebjerg Hospital, Nielsine Nielsens Vej 11, building 8, 1st floor, DK-2400, Copenhagen, Denmark.
S Peter MagnussonInstitute of Sports Medicine Copenhagen, Bispebjerg Hospital, Nielsine Nielsens Vej 11, building 8, 1st floor, DK-2400, Copenhagen, Denmark.
Michael KjaerInstitute of Sports Medicine Copenhagen, Bispebjerg Hospital, Nielsine Nielsens Vej 11, building 8, 1st floor, DK-2400, Copenhagen, Denmark.
Bispebjerg Hospital · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegular loading of tendons may counteract the negative effects of aging. However, the influence of strength training loading magnitude on tendon mechanical properties and its relation to matrix collagen content and collagen cross-linking is sparsely described in older adults. The purpose of the present study was to compare the effects of moderate or high load resistance training on tendon matrix and its mechanical properties.

methodsSeventeen women and 19 men, age 62-70 years, were recruited and randomly allocated to 12 months of heavy load resistance training (HRT), moderate load resistance training (MRT) or control (CON). Pre- and post-intervention testing comprised isometric quadriceps strength test (IsoMVC), ultrasound based testing of in vivo patellar tendon (PT) mechanical properties, MRI-based measurement of PT cross-sectional area (CSA), PT biopsies for assessment of fibril morphology, collagen content, enzymatic cross-links, and tendon fluorescence as a measure of advanced glycation end-products (AGEs).

resultsThirty three participants completed the intervention and were included in the data analysis. IsoMVC increased more after HRT (+ 21%) than MRT (+ 8%) and CON (+ 7%) (p < 0.05). Tendon stiffness (p < 0.05) and Young's modulus (p = 0.05) were also differently affected by training load with a reduction in CON and MRT but not in HRT. PT-CSA increased equally after both MRT and HRT. Collagen content, fibril morphology, enzymatic cross-links, and tendon fluorescence were unaffected by training.

conclusionDespite equal improvements in tendon size after moderate and heavy load resistance training, only heavy. load training seemed to maintain tendon mechanical properties in old age. The effect of load magnitude on tendon biomechanics was unrelated to changes of major load bearing matrix components in the tendon core. The study is a sub-study of the LISA study, which was registered at http://clinicaltrials.gov (NCT02123641) April 25th 2014.

Indexed as

AgedBiomechanical PhenomenaCollagenCross-Sectional StudiesElastic ModulusFemaleHumansMaleMiddle AgedMuscle StrengthPatellar LigamentResistance TrainingTime FactorsWeight-BearingCollagenAging.Collagen cross-links.Strength training.Tendon biomechanics

Identifiers

PMID30704412
PMCPMC6357404
OpenAlexW2916477487

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.