Evidence map›Paper›PMID 42335161›Full record

Trial reportPloS one2026

Effect of high-intensity interval training in patients with chronic hepatitis B and hepatic steatosis: A randomised controlled trial.

Sofie Jespersen, Asmita Fritt-Rasmussen, Cody Garett Durrer, Eva Fallentin, Ellen Sloth Andersen, Peter Thielsen, Thomas Bandholm, Sten Madsbad, Bente Klarlund Pedersen, Christian Ritz and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Sofie JespersenCenter for Physical Activity Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0001-5747-1581
Asmita Fritt-RasmussenCenter for Physical Activity Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Cody Garett DurrerCenter for Physical Activity Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Eva FallentinDepartment of Radiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Ellen Sloth AndersenDepartment of Medicine, Unit of Infectious Diseases, Copenhagen University Hospitals Herlev and Gentofte, Herlev and Gentofte, Denmark.
Peter ThielsenDepartment of Gastroenterology and Hepatology, Copenhagen University Hospital Herlev, Herlev, Denmark.
Thomas BandholmDepartment of Physical and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Denmark.
Sten MadsbadDepartment of Endocrinology, Copenhagen University Hospital, Hvidovre, Denmark.
Bente Klarlund PedersenCenter for Physical Activity Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Christian RitzNational Institute of Public Health, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-5095-0624
Nina WeisDepartment of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark.ORCID https://orcid.org/0000-0002-3133-2724
Rikke Krogh-MadsenCenter for Physical Activity Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsHaving both chronic hepatitis B and hepatic steatosis increases the risk of liver-related morbidity and mortality. We aimed to investigate if high-intensity interval training could decrease the liver fat-fraction and improve liver status, body composition, lipid- and glucose metabolism, and blood pressure in patients with chronic hepatitis B and hepatic steatosis.

methodsIn a randomised, controlled trial, patients with chronic hepatitis B and hepatic steatosis were randomised 1:1 to high-intensity interval training over 12 weeks or no intervention. The primary outcome was reduction in liver fat-fraction (≥ 2.8%), assessed by magnetic resonance imaging. Secondary outcomes were body composition, indices of glucose metabolism, blood lipids, blood pressure, alanine aminotransferase, physical fitness assessed by maximal oxygen consumption (VO2max), and self-assessed health. The trial was discontinued before reaching the planned sample size due to slow recruitment.

resultsNineteen patients were included, and 14 completed the trial (seven per group). Changes in liver fat-fraction showed a between-group difference of -2.03% [95% CI: -5.5 to 1.4; p = 0.22]. Exercising patients improved VO2max by 5.6 mL/kg/min [1.7 to 9.5; p < 0.05] and emotional well-being by 18.07 points [6.6 to 29.6; p < 0.05]. The exercise intervention did not affect total body fat -0.35% [-2.8 to 2.1] or lean body mass 0.6 kg [-0.7 to 1.9]. Changes in glucose tolerance, insulin secretion, Matsuda index -0.89 [-2.5 to 0.5; p = 0.18], cholesterol 0.29 mmol/L [-0.3 to 0.9; p = 0.32] and systolic blood pressure 6.36 mmHg [-6.4 to 19.1; p = 0.29] did not differ significantly between groups.

conclusionsWe did not observe a significant effect of high-intensity interval training on liver fat-fraction in patients with chronic hepatitis B and hepatic steatosis. Due to premature discontinuation and the resulting limited sample size, the study was underpowered, and the findings should be interpreted as exploratory. Nevertheless, the intervention improved physical fitness and emotional well-being.

Indexed as

Fatty LiverHepatitis B, ChronicHigh-Intensity Interval TrainingAdultBlood PressureBody CompositionFemaleHumansLipid MetabolismLiverMagnetic Resonance ImagingMaleMiddle AgedOxygen Consumption

Identifiers

PMID42335161
PMCPMC13289930

What Socratic holds

Textmetadata
LicenceCC BY
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.