Evidence map›Paper›PMID 20547400›Full record

ArticleThe Journal of pediatrics2010

Relationship between chronic transfusion therapy and body composition in subjects with thalassemia.

Ellen B Fung, Yan Xu, Janet L Kwiatkowski, Maria G Vogiatzi, Ellis Neufeld, Nancy Olivieri, Elliott P Vichinsky, Patricia J Giardina, Thalassemia Clinical Research Network

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07204015 (Body Composition in Pediatric Patients With Thalassemia Major Attending Assiut University Children's Hospital), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–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.

NCT07204015 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Body Composition in Pediatric Patients With Thalassemia Major Attending Assiut University Children's Hospital

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled115ConditionsBody Composition in Thalassemia Major
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Thalassemia-associated osteoporosis: a systematic review on treatment and brief overview of the disease.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Pooled it
  2. Guideline
  3. Article
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  7. Review
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  11. Body Composition in Adult Patients with Thalassemia Major.International journal of endocrinology · 2016
    Article
  12. Article
  13. The effect of gonadal status on body composition and bone mineral density in transfusion-dependent thalassemia.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Article
  14. Inadequate dietary intake in patients with thalassemia.Journal of the Academy of Nutrition and Dietetics · 2012
    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

9 authors.

Ellen B FungDepartment of Hematology, Children's Hospital & Research Center, Oakland, CA, USA.
Yan Xu
Janet L Kwiatkowski
Maria G Vogiatzi
Ellis Neufeld
Nancy Olivieri
Elliott P Vichinsky
Patricia J Giardina
Thalassemia Clinical Research Network

Funding

ZIDOVUDINE &LAMIVUDINE &NEVIRAPINE COMBINATION THERAPY IN HIV 1 INFM01RR001271 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KESSLER, DAVID A · 1985 to 2006
$22.7M
WIRELESS CAPSULE ENDOSCOPY TO EVALUATE THE SMALL INTESTINE M01RR002172 · NCRR · CHILDREN'S HOSPITAL BOSTON · PI GRAND, RICHARD J · 1985 to 2008
$16.0M
Thalassemia Network - RegistryU01HL065238 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, SONJA M · 2000 to 2009
$13.3M
Thalassemia Clinical Research NetworkU01HL065239 · NHLBI · CHILDREN'S HOSPITAL &RES CTR AT OAKLAND · PI VICHINSKY, ELLIOTT P · 2000 to 2009
$2.7M
Thalassemia Clinical Research Network, CanadaU01HL065233 · NHLBI · UNIVERSITY HEALTH NETWORK · PI OLIVIERI, NANCY F · 2000 to 2009
$2.6M
Thalassemia Clinical Research NetworkU01HL065244 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI GIARDINA, PATRICIA J · 2000 to 2009
$2.3M
THE MID-ATLANTIC THALASSEMIA CONSORTIUMU01HL065232 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KWIATKOWSKI, JANET L · 2000 to 2009
$2.0M
THALASSEMIA CLINICAL RESEARCH NETWORKU01HL065260 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEUFELD, ELLIS J · 2000 to 2009
$2.0M
Patient-Oriented Research in Pediatric HematologyK24HL004184 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEUFELD, ELLIS J · 1999 to 2010
$1.3M
NCRR NIH HHS M01 RR001271NCRR NIH HHS M01 RR002172NCRR NIH HHS M01-RR01271NCRR NIH HHS M01-RR02172NHLBI NIH HHS K24 HL004184NHLBI NIH HHS K24HL004184NHLBI NIH HHS U01 HL065260NHLBI NIH HHS U01-HL-65232NHLBI NIH HHS U01-HL-65233NHLBI NIH HHS U01-HL-65238NHLBI NIH HHS U01-HL-65239NHLBI NIH HHS U01-HL-65244NHLBI NIH HHS U01-HL-65260
6 · The paper itself

Abstract

objectiveTo measure body composition in patients with thalassemia and explore its relationship to abnormal growth and bone mass. STUDY

designWe conducted a cross-sectional, multicenter study. Fat, lean, and bone mineral density (BMD) were assessed with dual-energy x-ray absorptiometry. Medical history, food frequency, and physical activity questionnaires were conducted in 257 transfused patients with thalassemia (age, 23.7+/-11 years [mean+/-SD]; 51% male) compared with 113 non-transfused patients (21.3+/-13 years; 44% male).

resultsSubjects with thalassemia were leaner compared with healthy American subjects from National Health and Nutrition Examination Survey III data. Transfused subjects had a higher percentage of body fat compared with non-transfused subjects after controlling for age, sex, and ethnicity; 11.8% of non-transfused pediatric subjects were considered underweight, significantly lower than National Health and Nutrition Examination Survey data (P=.03). Hemoglobin level was positively related to lean mass (P=.008). Body fat and lean mass were positive predictors for both height and BMD z-scores after adjustment for transfusion status, age, sex, ethnicity, calcium intake, and physical activity (all P<.001).

conclusionAlthough most adult patients with thalassemia had healthy body composition with rare obesity, young non-transfused patients appear at risk for being underweight. Optimizing physical activity and appropriate use of transfusion therapy may improve growth and bone health in these patients who are at-risk for being underweight.

Indexed as

Body CompositionBody HeightBone DensityAdolescentAdultAge FactorsBlood TransfusionCalcium, DietaryChildComorbidityCross-Sectional StudiesFemaleHealth StatusHumansHypogonadismIronCalcium, DietaryIronVitamin D

Identifiers

PMID20547400
PMCPMC2936667

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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.