Evidence map›Paper›PMID 23653430›Full record

ArticleThe Journal of clinical endocrinology and metabolism2013

Hip structural analysis in adolescent boys with anorexia nervosa and controls.

Madhusmita Misra, Debra K Katzman, Hannah Clarke, Deirdre Snelgrove, Kathryn Brigham, Karen K Miller, Anne Klibanski

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. State of the art systematic review of bone disease in anorexia nervosa.The International journal of eating disorders · 2016
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Hip Structural Analysis Reveals Impaired Hip Geometry in Girls With Type 1 Diabetes.The Journal of clinical endocrinology and metabolism · 2020
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Anorexia Nervosa and Bone.Current opinion in endocrine and metabolic research · 2018
    Article
  14. Review
  15. Assessment of Sex Differences in Fracture Risk Among Patients With Anorexia Nervosa: A Population-Based Cohort Study Using The Health Improvement Network.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Article
  16. Assessment of Sex Differences in Body Composition Among Adolescents With Anorexia Nervosa.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
    Article
  17. Article
  18. Skeletal complications of eating disorders.Metabolism: clinical and experimental · 2015
    Review
  19. Article
  20. Review
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 4 institutions in 2 countries.

Madhusmita MisraNeuroendocrine and Pediatric Endocrine Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA. mmisra@partners.org
Debra K Katzman
Hannah Clarke
Deirdre Snelgrove
Kathryn Brigham
Karen K Miller
Anne Klibanski
Endocrine Society · USHarvard University · USHospital for Sick Children · CAUniversity of Toronto · CA

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
Effects of Anorexia Nervosa on Peak Bone MassR01DK062249 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI KLIBANSKI, ANNE · 2003 to 2015
$7.2M
Bone Metabolism and Body Composition in Young AthletesK24HD071843 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI MISRA, MADHUSMITA · 2013 to 2017
$930k
NCRR NIH HHS 1 UL1 RR025758-01NCRR NIH HHS UL1 RR025758NICHD NIH HHS 1 K24 HD071843-01A1NICHD NIH HHS K24 HD071843NIDDK NIH HHS 2 RO1 DK062249NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R01 DK062249
6 · The paper itself

Abstract

contextWe have reported lower hip bone mineral density (BMD) in adolescent boys with anorexia nervosa (AN) compared with controls. Although studies have described bone structure in girls with AN, these data are not available for boys. Hip structural analysis (HSA) using dual-energy x-ray absorptiometry is a validated technique to assess hip geometry and strength while avoiding radiation associated with quantitative computed tomography.

objectiveWe hypothesized that boys with AN would have impaired hip structure/strength (assessed by HSA) compared with controls. DESIGN AND

settingWe conducted a cross-sectional study at a clinical research center. SUBJECTS AND

interventionWe used HSA techniques on hip dual-energy x-ray absorptiometry scans in 31 previously enrolled boys, 15 with AN and 16 normal-weight controls, 12 to 19 years old.

resultsAN boys had lower body mass index SD score (P < .0001), testosterone (P = .0005), and estradiol (P = .006) than controls. A larger proportion of AN boys had BMD Z-scores <-1 at the femoral neck (60% vs 12.5%, P = 0008). Using HSA, at the narrow neck and trochanter region, boys with AN had lower cross-sectional area (P = .03, 0.02) and cortical thickness (P = .02, 0.03). Buckling ratio at the trochanter region was higher in AN (P = .008). After controlling for age and height, subperiosteal width at the femoral shaft, cross-sectional moment of inertia (narrow neck and femoral shaft), and section modulus (all sites) were lower in AN. The strongest associations of HSA measures were observed with lean mass, testosterone, and estradiol. On multivariate analysis, lean mass remained associated with most HSA measures.

conclusionsBoys with AN have impaired hip geometric parameters, associated with lower lean mass.

Indexed as

Adolescent DevelopmentBone DevelopmentAbsorptiometry, PhotonAdolescentAnorexia NervosaBody Mass IndexBone DensityBone Diseases, MetabolicChildEstradiolFemurHipHip JointHumansImage Processing, Computer-AssistedInsulin-Like Growth Factor IEstradiolIGF1 protein, humanInsulin-Like Growth Factor ITestosterone

Identifiers

PMID23653430
PMCPMC3701273
OpenAlexW2115431990

What OpenQuestion holds

Textmetadata
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.