Evidence map›Paper›PMID 20179554›Full record

ArticleJournal of pediatric orthopedics2010

Prevalence of vitamin D insufficiency in African American children with forearm fractures: a preliminary study.

Leticia Manning Ryan, Cinzia Brandoli, Robert J Freishtat, Joseph L Wright, Laura Tosi, James M Chamberlain

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of pediatric orthopedics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02805647 (Association Between Vitamin D Receptor Polymorphism and Serum Vitamin D Levels in Children With Low-Energy Fractures), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT02805647 completednot on this mapstarted 2011, after this paper: background citation

Association Between Vitamin D Receptor Polymorphism and Serum Vitamin D Levels in Children With Low-Energy Fractures

TypeobservationalSponsorMedical University of BialystokRan2011 to 2016Enrolled222ConditionsVitamin D Receptor Defect
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Traumatic fractures in China from 2012 to 2014: a National Survey of 512,187 individuals.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Low Vitamin D Levels in Children with Fractures: a Comparative Cohort Study.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2015
    Article
  8. Vitamin D and skeletal health in infancy and childhood.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Review
  9. The association between fracture rates and neighborhood characteristics in Washington, DC, children.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2013
    Article
  10. Article
  11. Article
  12. Vitamin D deficiency in children living in Jeddah, Saudi Arabia.Indian journal of endocrinology and metabolism · 2012
    Article
  13. 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

6 authors at 2 institutions in 1 country.

Leticia Manning RyanDivision of Emergency Medicine, Children's National Medical Center, George Washington University School of Medicine and Health Sciences, Washington, DC 20010, USA. lryan@cnmc.org
Cinzia Brandoli
Robert J Freishtat
Joseph L Wright
Laura Tosi
James M Chamberlain
Children's National · USGeorge Washington University · US

Funding

ZAP-70 EXPRESSION, CD38 EXPRESSION AND PROGNOSIS IN CHRONIC LYMPHOCYTIC LEUKEMIAM01RR020359 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI HINDS, PAMELA S · 2005 to 2010
$13.8M
DC-Baltimore Center to Improve Child Health DisparitiesP20MD000165 · NIMHD · CHILDREN'S NATIONAL MEDICAL CENTER · PI CORA-BRAMBLE, DENIS · 2002 to 2006
$4.0M
Analysis of Bone Health in African American Children with Forearm FracturesK23RR024467 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI RYAN, LETICIA · 2007 to 2011
$754k
NCRR NIH HHS K23 RR024467NCRR NIH HHS M01 RR020359NIMHD NIH HHS P20 MD000165
6 · The paper itself

Abstract

objectivesForearm fractures account for a significant proportion of childhood injuries and seem to be increasing in incidence. Poor vitamin D status increases overall fracture risk in infants with rickets and adults with osteoporosis. Children with vitamin D insufficiency (serum 25-hydroxy vitamin D level <20 ng/mL) have decreased bone mineral density (BMD) compared with children having normal vitamin D status. The relationship between vitamin D status and childhood forearm fracture has not been investigated.

methodsThis prospective study enrolled African American children, aged 5 to 9 years, with a forearm fracture. Bone health evaluation included measurement of serum 25-hydroxy vitamin D level and BMD by dual energy x-ray absorptiometry scan. Univariable analyses were used to test the associations between fracture status and the independent variables, serum vitamin D level and BMD.

resultsVitamin D levels were available for 17 cases. The mean (+/-SD) 25-hydroxy vitamin D level was 20.1 (+/-7.3) ng/mL with a range of 10 to 38 ng/mL. The mean of this group was at the cut point for vitamin D insufficiency. Ten cases (59%) were vitamin D insufficient. Dual energy x-ray absorptiometry scan results for these patients were consistent with normal bony mineralization for age.

conclusionsA significant proportion of African American children with fractures in our study have vitamin D insufficiency. Analysis of serum 25-hydroxy vitamin D levels and BMD in additional cases and controls will determine the significance of these findings. CLINICAL RELEVANCE: Vitamin D insufficiency may play a previously unrecognized role in childhood fractures. Strong consideration should be given to routine vitamin D testing in African American children with forearm fractures.

Indexed as

Absorptiometry, PhotonBlack or African AmericanBone DensityChildChild, PreschoolFemaleFractures, BoneHumansMaleProspective StudiesRadius FracturesUlna FracturesVitamin DVitamin D Deficiency25-hydroxyvitamin DVitamin D

Identifiers

PMID20179554
PMCPMC2847369
OpenAlexW2072416229

What OpenQuestion holds

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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.