Evidence mapPaperPMID 32444343Full record

Trial reportJournal of sport and health science2021

The effect of acute aerobic exercise on central arterial stiffness, wave reflections, and hemodynamics in adults with diabetes: A randomized cross-over design.

Kimberley L Way, Angela S Lee, Stephen M Twigg, Nathan A Johnson

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of sport and health science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Vascular ageing: moving from bench towards bedside.European journal of preventive cardiology · 2023
    Article
  9. Acute Effects of the Interval and Duration of Intermittent Exercise on Arterial Stiffness in Young Men.International journal of environmental research and public health · 2022
    Article
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Kimberley L WayFaculty of Medicine and Health, Discipline of Exercise and Sports Science, University of Sydney, Lidcombe, NSW 2141, Australia; Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006, Australia; Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Camperdown, NSW 2006, Australia. Electronic address: KWay@ottawaheart.ca.
Angela S LeeCharles Perkins Centre, University of Sydney, Camperdown, NSW 2006, Australia; Faculty of Medicine and Health, Central Clinical School, University of Sydney, Camperdown, NSW 2006, Australia; Department of Endocrinology, Diabetes Centre, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia.
Stephen M TwiggCharles Perkins Centre, University of Sydney, Camperdown, NSW 2006, Australia; Faculty of Medicine and Health, Central Clinical School, University of Sydney, Camperdown, NSW 2006, Australia; Department of Endocrinology, Diabetes Centre, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia.
Nathan A JohnsonFaculty of Medicine and Health, Discipline of Exercise and Sports Science, University of Sydney, Lidcombe, NSW 2141, Australia; Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006, Australia; Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Camperdown, NSW 2006, Australia.
University of Sydney · AURoyal Prince Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with diabetes have greater central arterial stiffness, wave reflections, and hemodynamics, all of which promote the accelerated cardiovascular pathology seen in this population. Acute aerobic exercise has been shown to be an effective strategy for reducing central arterial stiffness, wave reflections, and hemodynamics in healthy individuals; however, the effects of acute aerobic exercise in reducing these outcomes is not well established in people with diabetes. Recently, implementation of high-intensity interval exercise (HIIE) has shown superior improvements in cardiovascular health outcomes when compared to traditional aerobic exercise. Yet, the effect of HIIE on the aforementioned outcomes in people with diabetes is not known. The purpose of this study was to (i) describe the central arterial stiffness, wave reflections, and hemodynamic responses to a bout of HIIE and moderate-intensity continuous exercise (MICE) in adults with diabetes; and (ii) compare the effects of HIIE and MICE on the aforementioned outcomes.

methodsA total of 24 adult men and women (aged 29-59 years old) with type 1 (n = 12) and type 2 (n = 12) diabetes participated in a randomized cross-over study. All participants completed the following protocols: (i) HIIE: cycling for 4 × 4 min at 85%-95% of heart rate peak (HR

resultsA significant group × time effect was found for changes in central systolic blood pressure (F = 3.20, p = 0.01) with a transient reduction for the HIIE group but not for the MICE or CON groups. There was a significant group × time effect for changes in augmentation index at a heart rate of 75 beats/min (F = 2.32, p = 0.04) with a decrease following for HIIE and MICE but not for CON. For all other measures of central arterial stiffness and hemodynamics, no significant changes were observed (p > 0.05).

conclusionA bout of HIIE appears to lead to a greater transient reduction in central systolic blood pressure than the reduction observed following MICE; however, both HIIE and MICE improved augmentation index at a heart rate of 75 beats/min in people with diabetes. There was no significant difference in response to HIIE and MICE in all outcomes. This provides preliminary evidence on the role of HIIE on such outcomes in people with diabetes.

Indexed as

AdultCross-Over StudiesDiabetes MellitusExerciseFemaleHemodynamicsHigh-Intensity Interval TrainingHumansMaleMiddle AgedVascular StiffnessAugmentation indexCentral systolic blood pressureDiabetesHigh-intensity interval exercise

Identifiers

PMID32444343
PMCPMC8343005
OpenAlexW3009586569

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.