Evidence map›Paper›PMID 23433104›Full record

ArticleRadiation oncology (London, England)2013

Cranial radiotherapy predisposes to abdominal adiposity in survivors of childhood acute lymphocytic leukemia.

Adriana Aparecida Siviero-Miachon, Angela Maria Spinola-Castro, Maria Lúcia de Martino Lee, Solange Andreoni, Bruno Geloneze, Henrique Lederman, Gil Guerra-Junior

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 21 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Adriana Aparecida Siviero-MiachonUNIFESP/EPM, Department of Pediatrics, Division of Pediatric Endocrinology, Federal University of Sao Paulo, Sao Paulo, Brazil.
Angela Maria Spinola-Castro
Maria Lúcia de Martino Lee
Solange Andreoni
Bruno Geloneze
Henrique Lederman
Gil Guerra-Junior
Universidade Federal de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRSupport group for adolescents and children with cancer · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvances in treatment of acute lymphocytic leukemia increased the likelihood of developing late treatment-associated effects, such as abdominal adiposity, increasing the risk of cardiovascular disease in this population. Cranial radiotherapy is one of the factors that might be involved in this process. The aim of this study was to determine the effect of cranial radiotherapy on adiposity indexes in survivors of acute lymphocytic leukemia.

methodsA comparative cross-sectional study of 56 acute lymphocytic leukemia survivors, chronological age between 15 and 24 years, assigned into two groups according to the exposure to cranial radiotherapy (25 irradiated and 31 non-irradiated), assessed according to body fat (dual energy X-ray absorptiometry), computed tomography scan-derived abdominal adipose tissue, lipid profile, and insulin resistance.

resultsCranial radiotherapy increased body fat and abdominal adipose tissue and altered lipid panel. Yet, lipids showed no clinical relevance so far. There were significantly more obese patients among those who received cranial radiotherapy (52% irradiated versus 22.6% non-irradiated), based on dual energy X-ray absorptiometry body fat measurements. Nonetheless, no association was observed between cranial radiotherapy and body mass index, waist circumference, waist-to-height ratio or insulin resistance.

conclusionsAdolescent and young adult survivors of childhood acute lymphocytic leukemia showed an increase in body fat and an alteration of fat distribution, which were related to cranial radiotherapy. Fat compartment modifications possibly indicate a disease of adipose tissue, and cranial radiotherapy imports in this process.

Indexed as

AbdomenAbdominal FatAdiposityAdolescentBody Mass IndexCranial IrradiationCross-Sectional StudiesFemaleHumansInsulin ResistanceMalePrecursor Cell Lymphoblastic Leukemia-LymphomaSurvivorsWaist CircumferenceYoung Adult

Identifiers

PMID23433104
PMCPMC3627619
OpenAlexW2118388218

What OpenQuestion holds

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LicenceCC BY
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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.