Evidence map›Paper›PMID 36986211›Full record

Trial reportNutrients2023

Serum Fibroblast Growth Factor 21 Is Markedly Decreased following Exercise Training in Patients with Biopsy-Proven Nonalcoholic Steatohepatitis.

Jonathan G Stine, Jaclyn E Welles, Shelley Keating, Zeba Hussaini, Christopher Soriano, J Wes Heinle, Nathaniel Geyer, Vernon M Chinchilli, Rohit Loomba, Scot R Kimball

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

Trial report in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06682663 (Evaluation of the Effect of Live Streaming Exercise on the Improvement of Hepatic Steatosis and Fibrosis in Pregnant Women with MASLD and Its Study Based on the Liver-gut Axis Mechanism.), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.0field-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.

NCT06682663 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation of the Effect of Live Streaming Exercise on the Improvement of Hepatic Steatosis and Fibrosis in Pregnant Women with MASLD and Its Study Based on the Liver-gut Axis Mechanism.

TypeinterventionalSponsorPeking UniversityRan2024 to 2026Enrolled220ConditionsMetabolic Dysfunction-associated Steatotic Liver DiseaseArmsLive Streaming Exercise
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. 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

10 authors at 4 institutions in 2 countries.

Jonathan G StineDivision of Gastroenterology and Hepatology, Department of Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA 17033, USA.ORCID 0000-0002-3352-6928
Jaclyn E WellesDepartment of Cellular and Molecular Physiology, College of Medicine, The Pennsylvania State University, Hershey, PA 17033, USA.ORCID 0000-0001-7787-2825
Shelley KeatingSchool of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, QLD 4072, Australia.ORCID 0000-0001-5357-2721
Zeba HussainiDivision of Gastroenterology and Hepatology, Department of Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Christopher SorianoDivision of Gastroenterology and Hepatology, Department of Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
J Wes HeinleDivision of Gastroenterology and Hepatology, Department of Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Nathaniel GeyerDepartment of Public Health Sciences, College of Medicine, The Pennsylvania State University, Hershey, PA 17033, USA.ORCID 0000-0003-0965-3123
Vernon M ChinchilliDepartment of Public Health Sciences, College of Medicine, The Pennsylvania State University, Hershey, PA 17033, USA.
Rohit LoombaDivision of Gastroenterology and Hepatology, Department of Medicine, University of California San Diego, San Diego, CA 92093, USA.
Scot R KimballDepartment of Cellular and Molecular Physiology, College of Medicine, The Pennsylvania State University, Hershey, PA 17033, USA.ORCID 0000-0002-2149-7189
Pennsylvania State University · USPenn State Milton S. Hershey Medical Center · USThe University of Queensland · AUUniversity of California San Diego · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
REGULATION OF LIVER GROWTH AND FUNCTIONR01DK013499 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KIMBALL, SCOT R · 1995 to 2018
$8.0M
Establishing the mechanism of benefit and dose of exercise required to improve liver histology in patients with nonalcoholic steatohepatitisK23DK131290 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI STINE, JONATHAN G · 2022 to 2025
$801k
NCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR002014NIDDK NIH HHS K23 DK131290NIDDK NIH HHS L30 DK118601NIDDK NIH HHS R01 DK013499
6 · The paper itself

Abstract

BACKGROUND AND

aimsExercise remains a key component of nonalcoholic fatty liver disease (NAFLD) treatment. However, mechanisms underpinning the improvements in NAFLD seen with exercise are unclear. Exercise improved liver fat and serum biomarkers of liver fibrosis in the NASHFit trial. We investigated exercise's mechanism of benefit by conducting a post hoc analysis of these data to determine the relationship between serum fibroblast growth factor (FGF) 21, which is implicated in NAFLD development, and exercise.

methodsIn the 20 wk NASHFit trial, patients with nonalcoholic steatohepatitis (NASH) were randomized to receive moderate-intensity aerobic exercise training or standard clinical care. Mediterranean-informed dietary counseling was provided to each group. Change in serum FGF21 was measured after an overnight fast.

resultsThere was a significant improvement in serum FGF21 with exercise training compared to standard clinical care (

conclusionsSerum FGF21 is markedly decreased in response to aerobic exercise training, offering a novel mechanism to explain the observed reduction in liver fat and improvement in serum biomarkers of liver fibrosis in patients with NASH who do exercise.

Indexed as

Non-alcoholic Fatty Liver DiseaseBiomarkersBiopsyExerciseFibroblast Growth FactorsHumansLiverLiver CirrhosisBiomarkersfibroblast growth factor 21Fibroblast Growth Factorsbiomarkercardiorespiratory fitnessfatty livernonalcoholic fatty liver diseasephysical activity

Identifiers

PMID36986211
PMCPMC10056327
OpenAlexW4327969902

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.