Evidence map›Paper›PMID 34959834›Full record

Trial reportNutrients2021

Lactate Threshold Training Program on Patients with Multiple Sclerosis: A Multidisciplinary Approach.

Alessandra Amato, Paolo Ragonese, Sonia Ingoglia, Gabriella Schiera, Giuseppe Schirò, Carlo Maria Di Liegro, Giuseppe Salemi, Italia Di Liegro, Patrizia Proia

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. CrossFitJournal of functional morphology and kinesiology · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. A new road to improve vitamin D and balance through TaopatchEuropean journal of translational myology · 2022
    Article
  16. Review
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 at 1 institution in 1 country.

Alessandra AmatoDepartment of Psychology, Educational Science and Human Movement, Research Unit, University of Palermo, 90100 Palermo, Italy.
Paolo RagoneseDepartment of Biomedicine, Neurosciences and Advanced Diagnostics (Bi.N.D.), University of Palermo, 90100 Palermo, Italy.
Sonia IngogliaDepartment of Psychology, Educational Science and Human Movement, Research Unit, University of Palermo, 90100 Palermo, Italy.
Gabriella SchieraDepartment of Biological, Chemical and Pharmaceutical Sciences and Technologies (STEBICEF), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-8638-6455
Giuseppe SchiròDepartment of Biomedicine, Neurosciences and Advanced Diagnostics (Bi.N.D.), University of Palermo, 90100 Palermo, Italy.
Carlo Maria Di LiegroDepartment of Biological, Chemical and Pharmaceutical Sciences and Technologies (STEBICEF), University of Palermo, 90100 Palermo, Italy.
Giuseppe SalemiDepartment of Biomedicine, Neurosciences and Advanced Diagnostics (Bi.N.D.), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-3756-4323
Italia Di LiegroDepartment of Biomedicine, Neurosciences and Advanced Diagnostics (Bi.N.D.), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-0546-1274
Patrizia ProiaDepartment of Psychology, Educational Science and Human Movement, Research Unit, University of Palermo, 90100 Palermo, Italy.
University of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physical activity could play a key role in improving the quality of life, particularly in patients with nervous system diseases such as multiple sclerosis (MS). Through lactacid anaerobic training, this study aims to investigate the effects at a bio-psycho-physical level to counteract the chronic fatigue associated with the pathology, and to improve mental health at a psychological and neurotrophic level. Eight subjects (age: 34.88 ± 4.45 years) affected by multiple sclerosis were involved. A lactate threshold training program was administered biweekly for 12 weeks at the beginning of the study (T0), at the end of the study (T1) and at 9 months after the end of the study (T2), with physical, psychological and hematochemicals parameters, and dietary habits being tested. The results obtained confirmed that lactacid exercise can influence brain-derived neurotrophic factor (BDNF) levels as well as dehydroepiandrosterone sulfate (DHEAS) levels. In addition, levels of baseline lactate, which could be best used as an energy substrate, showed a decrease after the protocol training. Self-efficacy regarding worries and concerns management significantly increased from T0 to T1. The eating attitudes test (EAT-26) did not highlight any eating disease in the patients with a normal diet enrolled in our study. Physical exercise also greatly influenced the patients psychologically and emotionally, increasing their self-esteem. Lactate threshold training, together with dietary habits, appears to exert synergic positive effects on inflammation, neural plasticity and neuroprotection, producing preventive effects on MS symptoms and progression.

Indexed as

AdultBiomarkersBrain-Derived Neurotrophic FactorDehydroepiandrosteroneExerciseExercise TherapyFatigueFeeding BehaviorFemaleHumansLactic AcidMaleMiddle AgedMotivationMultiple SclerosisNeuronal PlasticityBDNF protein, humanBiomarkersBrain-Derived Neurotrophic FactorDehydroepiandrosteroneLactic AcidBDNFDHEASdiet habitsmultiple sclerosisneurotrophinsphysical activity

Identifiers

PMID34959834
PMCPMC8704660
OpenAlexW3215971064

What Socratic holds

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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.