Evidence mapPaperPMID 30779806Full record

ArticlePloS one2019

Association between physical activity and change in renal function in patients after acute myocardial infarction.

Toshimi Sato, Masahiro Kohzuki, Masahiro Ono, Mitsuru Muto, Taku Osugi, Keiichi Kawamura, Wakako Naganuma, Masayuki Sato, Namiko Shishito

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Observational
  6. Observational
  7. Renal Rehabilitation: Present and Future Perspectives.Journal of clinical medicine · 2024
    Review
  8. Onset of the COVID-19 pandemic reduced active time in patients with implanted cardiac devices.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2022
    Article
  9. Article
  10. Article
  11. 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

9 authors.

Toshimi SatoDepartment of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID 0000-0003-0586-9402
Masahiro KohzukiDepartment of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Sendai, Japan.
Masahiro OnoDepartment of Cardiology, Southern Tohoku General Hospital, Koriyama, Japan.
Mitsuru MutoDepartment of Cardiology, Southern Tohoku General Hospital, Koriyama, Japan.
Taku OsugiDepartment of Cardiology, Southern Tohoku General Hospital, Koriyama, Japan.
Keiichi KawamuraDepartment of Cardiology, Southern Tohoku General Hospital, Koriyama, Japan.
Wakako NaganumaDepartment of Cardiology, Southern Tohoku General Hospital, Koriyama, Japan.
Masayuki SatoDepartment of Cardiology, Ohara General Hospital, Fukushima, Japan.
Namiko ShishitoDepartment of Cardiology, Southern Tohoku General Hospital, Koriyama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCombined renal dysfunction worsens the subsequent prognosis in patients after acute myocardial infarction (AMI). Therefore, establishing a therapeutic modality to maintain or improve renal function in AMI patients is necessary. This study aimed to elucidate the association between physical activity level and change in renal function in such patients.

designProspective and observational study.

methodsWe enrolled 41 patients (35 men; average age, 67.5 ± 12.6 years) after AMI onset. Blood biochemistry, urinalysis, and physical function tests were conducted at discharge and 3 months after discharge. Renal function was evaluated based on cystatin C based-estimated glomerular filtration rate (eGFRcys). The number of steps was recorded for 3 months post-discharge. Generalized estimating equations (GEE) was used to test the association between physical activity level and within-patient changes in eGFRcys.

resultsPatients were stratified into low (n = 21; number of steps, 2335 ± 1219 steps/day) and high groups (n = 20; number of steps, 7102 ± 2365 steps/day). eGFRcys significantly increased from baseline to after 3 months in the high group (76.5 ± 13.8 to 83.2 ± 16.0 mL/min/1.73 m2, q = 0.004), whereas no significant change was observed in the low group (65.1 ± 15.9 to 62.2 ± 20.2 mL/min/1.73 m2, q = 0.125). Result of GEE adjusted for potential confounding variables showed a significant positive association between physical activity level and within-patient changes in eGFRcys (p = 0.003). Changes in eGFRcys was -2.9 mL/min/1.73 m2 among low group versus +6.7 mL/min/1.73 m2 among high group.

conclusionsPhysical activity level was positively associated with changes in renal function, demonstrating that high physical activity may suppress renal function decline in patients after AMI.

Indexed as

ExerciseAcute DiseaseAgedCystatin CFemaleGlomerular Filtration RateHumansKidneyMaleMiddle AgedMyocardial InfarctionCystatin C

Identifiers

PMID30779806
PMCPMC6380627

What Socratic holds

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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 Socratic graph.