Evidence map›Paper›PMID 22551675›Full record

ArticleJournal of the Academy of Nutrition and Dietetics2012

Inadequate dietary intake in patients with thalassemia.

Ellen B Fung, Yan Xu, Felicia Trachtenberg, Isaac Odame, Janet L Kwiatkowski, Ellis J Neufeld, Alexis A Thompson, Jeanne Boudreaux, Charles T Quinn, Elliott P Vichinsky and 1 more

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of the Academy of Nutrition and Dietetics, 2012. 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

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, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Association of healthy eating behaviours and comorbidity on quality of life among adults with beta-thalassemia major: a moderation analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
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  13. Review
  14. 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

11 authors at 1 institution in 1 country.

Ellen B FungDepartment of Hematology, Children’s Hospital and Research Center Oakland, 5700 Martin Luther King Jr Way, Oakland, CA 94609, USA. efung@mail.cho.org
Yan Xu
Felicia Trachtenberg
Isaac Odame
Janet L Kwiatkowski
Ellis J Neufeld
Alexis A Thompson
Jeanne Boudreaux
Charles T Quinn
Elliott P Vichinsky
Thalassemia Clinical Research Network
Martin Luther King, Jr. Multi-Service Ambulatory Care Center · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024996 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2007 to 2011
$49.6M
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
Transfusion Medicine/Hemostasis Clinical Trials NetworkU01HL072291 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEUFELD, ELLIS J · 2002 to 2011
$2.6M
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
NCRR NIH HHS U-01RR025758NCRR NIH HHS UL1-RR024131NCRR NIH HHS UL1-RR024134NCRR NIH HHS UL1-RR024996NCRR NIH HHS UL1 RR025758NHLBI NIH HHS U01 HL065239NHLBI NIH HHS U01 HL065260NHLBI NIH HHS U01-HL65232NHLBI NIH HHS U01-HL65233NHLBI NIH HHS U01-HL65238NHLBI NIH HHS U01-HL65239NHLBI NIH HHS U01-HL65244NHLBI NIH HHS U01-HL72291
6 · The paper itself

Abstract

backgroundPatients with thalassemia have low circulating levels of many nutrients, but the contribution of dietary intake has not been assessed.

objectiveOur objective was to assess dietary intake in a large contemporary sample of subjects with thalassemia.

designA prospective, longitudinal cohort study using a validated food frequency questionnaire was conducted. PARTICIPANTS/

settingTwo hundred and twenty-one subjects (19.7±11.3 years, 106 were female) were categorized into the following age groups: young children (3 to 7.9 years), older children/adolescents (8 to 18.9 years), and adults (19 years or older); 78.8% had β-thalassemia and 90% were chronically transfused. This study took place at 10 hematology outpatient clinics in the United States and Canada.

main outcome measuresWe conducted a comparison of intake with US Dietary Reference Intakes and correlated dietary intake of vitamin D with serum 25-OH vitamin D and dietary iron with total body iron stores. STATISTICAL ANALYSES PERFORMED: Intake was defined as inadequate if it was less than the estimated average requirement. χ(2), Fisher's exact, and Student's t test were used to compare intake between age categories and logistic regression analysis to test the relationship between intake and outcomes, controlling for age, sex, and race.

resultsMore than 30% of subjects consumed inadequate levels of vitamin A, D, E, K, folate, calcium, and magnesium. The only nutrients for which >90% of subjects consumed adequate amounts were riboflavin, vitamin B-12, and selenium. Dietary inadequacy increased with increasing age group (P<0.01) for vitamins A, C, E, B-6, folate, thiamin, calcium, magnesium, and zinc. More than half of the sample took additional supplements of calcium and vitamin D, although circulating levels of 25-OH vitamin D remained insufficient in 61% of subjects. Dietary iron intake was not related to total body iron stores.

conclusionsSubjects with thalassemia have reduced intake of many key nutrients. These preliminary findings of dietary inadequacy are concerning and support the need for nutritional monitoring to determine which subjects are at greatest risk for nutritional deficiency. Future research should focus on the effect of dietary quality and nutritional status on health outcomes in thalassemia.

Indexed as

Nutritional StatusAdolescentAdultAge FactorsBlood TransfusionChildChild, PreschoolCohort StudiesDietFemaleHumansIronIron, DietaryLongitudinal StudiesMaleNutritional RequirementsIronIron, DietaryVitamin DVitamins

Identifiers

PMID22551675
PMCPMC3419338
OpenAlexW2097297670

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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.