Evidence map›Paper›PMID 36585494›Full record

Trial reportInternational journal of obesity (2005)2023

Exercise modifies hypothalamic connectivity and brain functional networks in women after bariatric surgery: a randomized clinical trial.

Carlos A A Merege-Filho, Saulo S Gil, John P Kirwan, Igor H Murai, Wagner S Dantas, Mariana P Nucci, Bruno Pastorello, Alisson Padilha de Lima, Paulo R Bazán, Rosa M R Pereira and 9 more

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

Trial report in International journal of obesity (2005), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02441361 (Effects of Exercise in Bariatric Patients), which is not on this 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
0.7field-weighted citation impact, top 32% 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.

NCT02441361 naunknown statusnot on this map

Effects of Exercise in Bariatric Patients: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2015 to 2017Enrolled60ConditionsObesityArmsExercise training
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  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

19 authors at 3 institutions in 2 countries.

Carlos A A Merege-FilhoApplied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Saulo S GilApplied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.ORCID 0000-0001-9050-0073
John P KirwanIntegrated Physiology and Molecular Medicine Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA, USA.
Igor H MuraiApplied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Wagner S DantasIntegrated Physiology and Molecular Medicine Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA, USA.
Mariana P NucciLaboratory of Magnetic Resonance Imaging in Neuroradiology (LIM-44), Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil.
Bruno PastorelloLaboratory of Magnetic Resonance Imaging in Neuroradiology (LIM-44), Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0001-5642-541X
Alisson Padilha de LimaApplied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Paulo R BazánLaboratory of Magnetic Resonance Imaging in Neuroradiology (LIM-44), Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil.
Rosa M R PereiraRheumatology Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Ana L de Sá-PintoRheumatology Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Fernanda R LimaRheumatology Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Sonia M D BruckiCognitive and Behavioral Neurology Unit, Department of Neurology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Roberto de ClevaGastroenterology Department, Digestive Surgery Division Department of Digestive Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Marco A SantoGastroenterology Department, Digestive Surgery Division Department of Digestive Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Claudia da Costa LeiteLaboratory of Magnetic Resonance Imaging in Neuroradiology (LIM-44), Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0002-1168-0780
Maria Concepción García OtaduyLaboratory of Magnetic Resonance Imaging in Neuroradiology (LIM-44), Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0003-2515-1131
Hamilton RoschelApplied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Bruno GualanoApplied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil. gualano@usp.br.ORCID 0000-0001-7100-8681
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BRPennington Biomedical Research Center · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Peter Todd Katzmarzyk · 2012 to 2026
$69.1M
Mentoring Obesity and Diabetes Research in LouisianaP20GM103528 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI GETTYS, THOMAS W · 2012 to 2015
$8.8M
NIGMS NIH HHS P20 GM103528NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundObesity is a disease that may involve disrupted connectivity of brain networks. Bariatric surgery is an effective treatment for obesity, and the positive effects on obesity-related conditions may be enhanced by exercise. Herein, we aimed to investigate the possible synergistic effects of Roux-en-Y Gastric Bypass (RYGB) and exercise training on brain functional networks.

methodsThirty women eligible for bariatric surgery were randomly assigned to a Roux-en-Y gastric bypass (RYGB: n = 15, age = 41.0 ± 7.3 years) or RYGB plus Exercise Training (RYGB + ET: n = 15, age = 41.9 ± 7.2 years). Clinical, laboratory, and brain functional connectivity parameters were assessed at baseline, and 3 (POST3) and 9 months (POST9) after surgery. The 6-month, three-times-a-week, exercise intervention (resistance plus aerobic exercise) was initiated 3 months post-surgery (for RYGB + ET).

resultsExercise superimposed on bariatric surgery (RYGB + ET) increased connectivity between hypothalamus and sensorial regions (seed-to-voxel analyses of hypothalamic connectivity), and decreased default mode network (DMN) and posterior salience (pSAL) network connectivity (ROI-to-ROI analyses of brain networks connectivity) when compared to RYGB alone (all p-FDR < 0.05). Increases in basal ganglia (BG) network connectivity were only observed in the exercised training group (within-group analyses).

conclusionExercise training is an important component in the management of post-bariatric patients and may improve the hypothalamic connectivity and brain functional networks that are involved in controlling food intake.

trial registrationClinicaltrial.gov: NCT02441361.

Indexed as

Bariatric SurgeryGastric BypassObesity, MorbidAdultBrainExerciseFemaleHumansHypothalamusMiddle AgedObesity

Identifiers

PMID36585494
PMCPMC10134041
OpenAlexW4313319490

What Socratic holds

Textmetadata
LicenceTDM
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.