Evidence map›Paper›PMID 19255872›Full record

ReviewJournal of inherited metabolic disease2009

Tolerance to fast: rational and practical evaluation in children with hypoketonaemia.

J H Walter

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of inherited metabolic disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03761693 (Fasting Tolerance in Patients With Medium-chain Acyl-CoA Dehydrogenase Deficiency), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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.

NCT03761693 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Fasting Tolerance in Patients With Medium-chain Acyl-CoA Dehydrogenase Deficiency (MCADD) in the First Six Months of Life: an Investigator-initiated Human Pilot-study

TypeinterventionalSponsorUniversity Medical Center GroningenRan2019 to 2024Enrolled20ConditionsMcad DeficiencyArmsFasting test
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Clinical manifestations and management of fatty acid oxidation disorders.Reviews in endocrine & metabolic disorders · 2020
    Review
  4. Article
  5. Article
  6. Article
  7. 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

1 author at 1 institution in 1 country.

J H WalterWillink Biochemical Genetics Unit, Royal Manchester Children's Hospital, Hospital Road, Manchester, M27 4HA, UK. jhwalter@doctors.org.uk
Royal Manchester Children's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prolonged fasting in children with disorder of fat oxidation or ketone body synthesis can lead not only to hypoglycaemia but also to the accumulation of toxic metabolites. The length of time such patients can be safely fasted is important information for caregivers. Most children with MCAD deficiency when well can tolerate 'normal' periods without food, but in more severe disorders such as LCHAD deficiency even these may be associated with acute or chronic damage. Guidelines have been published for safe fasting periods in MCAD but not in other conditions. In the absence of such recommendations, a rational approach must be based on an understanding of the normal physiology of fasting in children of different ages and the pathophysiology associated with the child's particular disorder. Intercurrent infections pose a particular risk and may significantly reduce fasting tolerance.

Indexed as

Acyl-CoA DehydrogenaseAcyl-CoA Dehydrogenase, Long-ChainChildDietary FatsFastingFatty AcidsHumansKetone BodiesLipid Metabolism, Inborn ErrorsOxidation-ReductionAcyl-CoA DehydrogenaseAcyl-CoA Dehydrogenase, Long-ChainDietary FatsFatty AcidsKetone Bodies

Identifiers

PMID19255872
OpenAlexW1968410806

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.