Evidence map›Paper›PMID 20610154›Full record

ArticleNeuromuscular disorders : NMD2010

Adiposity is increased among high-functioning, non-ambulatory patients with spinal muscular atrophy.

Douglas M Sproule, Jacqueline Montes, Sally Dunaway, Megan Montgomery, Vanessa Battista, Dorcas Koenigsberger, Bill Martens, Wei Shen, Mark Punyanitya, Maryjane Benton and 7 more

Abstract read
In one paragraph

Article in Neuromuscular disorders : NMD, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 17% 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.

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

17 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Swallowing function in patients with spinal muscular atrophy before and after the introduction of new gene-based therapies: what has changed?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  5. Observational
  6. Article
  7. Article
  8. Growth patterns in children with spinal muscular atrophy.Orphanet journal of rare diseases · 2021
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Spinal Muscular Atrophy.Neurologic clinics · 2015
    Review
  15. Article
  16. Proximal spinal muscular atrophy: current orthopedic perspective.The application of clinical genetics · 2013
    Review
  17. 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

17 authors at 8 institutions in 2 countries.

Douglas M SprouleDivision of Pediatric Neurosciences, Department of Neurology, SMA Clinical Research Center, Columbia University Medical Center, New York, NY 10032-3791, USA. dsproule@neuro.columbia.edu
Jacqueline Montes
Sally Dunaway
Megan Montgomery
Vanessa Battista
Dorcas Koenigsberger
Bill Martens
Wei Shen
Mark Punyanitya
Maryjane Benton
Hailly Butler
Jayson Caracciolo
Eugenio Mercuri
Richard Finkel
Basil Darras
Darryl C De Vivo
Petra Kaufmann
Columbia University Irving Medical Center · USChildren's Hospital of Philadelphia · USColumbia University · USHarvard University · USBoston Children's Hospital · USSt. Luke's-Roosevelt Hospital Center · USUniversità Cattolica del Sacro Cuore · ITUniversity of Rochester · US

Funding

Neurological Sciences Academic Development Award (NSADA)K12NS001698 · NINDS · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI DE VIVO, DARRYL C · 1993 to 2009
$4.1M
NINDS NIH HHS K12 NS001698NINDS NIH HHS K12 NS01698
6 · The paper itself

Abstract

The relationship between body composition and function in spinal muscular atrophy (SMA) is poorly understood. 53 subjects with SMA were stratified by type and Hammersmith functional motor scale, expanded score into three cohorts: low-functioning non-ambulatory (type 2 with Hammersmith score < 12, n=19), high-functioning non-ambulatory (type 2 with Hammersmith score > or = 12 or non-ambulatory type 3, n=17), and Ambulatory (n=17). Lean and fat mass was estimated using dual-energy X-ray absorptiometry. Anthropometric data was incorporated to measure fat-free (lean mass in kg/stature in m(2)) and fat (fat mass in kg/stature in m(2)) mass indices, the latter compared to published age and sex norms. Feeding dysfunction among type 2 subjects was assessed by questionnaire. Fat mass index was increased in the high-functioning non-ambulatory cohort (10.4+/-4.5) compared with both the ambulatory (7.2+/-2.1, P=0.013) and low-functioning non-ambulatory (7.6+/-3.1, P=0.040) cohorts. 12 of 17 subjects (71%) in the high-functioning non-ambulatory cohort had fat mass index > 85th percentile for age and gender (connoting "at risk of overweight") versus 9 of 19 subjects (47%) in the low-functioning non-ambulatory cohort and 8 of 17 ambulatory subjects (47%). Despite differences in clinical function, a similar proportion of low functioning (7/18, 39%) and high functioning (2/7, 29%) type 2 subjects reported swallowing or feeding dysfunction. Non-ambulatory patients with relatively high clinical function may be at particular risk of excess adiposity, perhaps reflecting access to excess calories despite relative immobility, emphasizing the importance of individualized nutritional management in SMA.

Indexed as

Absorptiometry, PhotonAdiposityAdolescentAdultAge FactorsAnthropometryBody CompositionChildChild, PreschoolCohort StudiesDeglutition DisordersDisability EvaluationFemaleHumansMaleMuscular Atrophy, Spinal

Identifiers

PMID20610154
PMCPMC2902766
OpenAlexW2087788993

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.