Evidence mapPaperPMID 39592159Full record

ArticleBMJ open2024

Impact of exercise training in combination with dapagliflozin on physical function in adults with type 2 diabetes mellitus: study protocol for the Dapagliflozin, Exercise Training and physicAl function (DETA) randomised controlled trial.

Jack A Sargeant, Ehtasham Ahmad, Emily James, Luke Baker, Joanna M Bilak, Nicole A Coull, Gaurav Singh Gulsin, James A King, Kamlesh Khunti, Emma Redman and 6 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Jack A SargeantLeicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK jack.sargeant@uhl-tr.nhs.uk.
Ehtasham AhmadLeicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
Emily JamesNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0002-3032-9662
Luke BakerNIHR Leicester Biomedical Research Centre, Leicester, UK.
Joanna M BilakNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0003-4169-2288
Nicole A CoullNIHR Leicester Biomedical Research Centre, Leicester, UK.
Gaurav Singh GulsinNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0002-1740-9270
James A KingNIHR Leicester Biomedical Research Centre, Leicester, UK.
Kamlesh KhuntiNIHR Leicester Biomedical Research Centre, Leicester, UK.
Emma RedmanLeicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
Alex RowlandsNIHR Leicester Biomedical Research Centre, Leicester, UK.
Emma WatsonNIHR Leicester Biomedical Research Centre, Leicester, UK.
Joanne V WormleightonNIHR Leicester Biomedical Research Centre, Leicester, UK.
Gerry P McCannNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0002-5542-8448
Thomas YatesNIHR Leicester Biomedical Research Centre, Leicester, UK.
Melanie J DaviesNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0002-9987-9371

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSodium-glucose co-transporter 2 inhibitors (SGLT2i) are associated with weight loss, diverse cardiorenal benefits and improved glycaemic control. However, the effects of SGLT2i on physical function and fitness are uncertain. The Dapagliflozin, Exercise Training and physicAl function trial investigates whether the SGLT2i dapagliflozin, alone or in combination with structured exercise training, improves physical function compared with diet-induced weight loss in adults with type 2 diabetes mellitus (T2DM), overweight/obesity and impaired physical function. METHODS AND ANALYSIS: This single-centre randomised controlled trial will assign 1:1:1, 135 adults with T2DM and low physical function to receive one of three treatments: (1) dapagliflozin (10 mg once-daily) alone, (2) dapagliflozin (10 mg once-daily) plus structured exercise training or (3) diet control (where participants are supported to achieve 3% weight loss, equivalent to estimated weight loss with dapagliflozin treatment). Primary and secondary outcomes will be assessed at baseline, 12 and 24 weeks. The primary outcome is the difference in physical function, assessed using the modified Physical Performance Test, between the treatment groups and diet control at 24 weeks. Secondary outcomes include MRI-measured cardiac structure and function, maximal aerobic capacity, resting metabolic rate, device-measured physical activity and sleep, body composition, haemoglobin A1c and cardiovascular risk markers. ETHICS AND DISSEMINATION: The Heath Research Authority (HRA) and the Medicines and Healthcare Products Regulatory Authority (MHRA) Research Ethics Committee have approved the study. The findings of the study will be published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: ISRCTN11459997. EUDRACT NUMBER: 2019-004586-41.

Indexed as

Benzhydryl CompoundsDiabetes Mellitus, Type 2Exercise TherapyGlucosidesSodium-Glucose Transporter 2 InhibitorsAdultCombined Modality TherapyExerciseFemaleHumansMaleMiddle AgedObesityPhysical Functional PerformanceRandomized Controlled Trials as TopicWeight LossBenzhydryl CompoundsdapagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsCLINICAL PHARMACOLOGYDIABETES & ENDOCRINOLOGYFrailtyRandomized Controlled Trial

Identifiers

PMID39592159
PMCPMC11590848

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.