Evidence map›Paper›PMID 25863660›Full record

ArticleThe Journal of pediatrics2015

The effect of psychostimulants on skeletal health in boys co-treated with risperidone.

Chadi A Calarge, Janet A Schlechte, Trudy L Burns, Babette S Zemel

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Bone Mass in Boys with Autism Spectrum Disorder.Journal of autism and developmental disorders · 2017
    Pooled it
  2. Trial
  3. Stimulant Medications and Bone Health.Current osteoporosis reports · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Review
  9. CHRNA7 Deletions are Enriched in Risperidone-Treated Children and Adolescents.Journal of child and adolescent psychopharmacology · 2017
    Observational
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

4 authors at 3 institutions in 1 country.

Chadi A CalargeMenninger Department of Psychiatry and Behavioral Sciences and Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX. Electronic address: chadi.calarge@bcm.edu.
Janet A SchlechteDepartment of Internal Medicine, The University of Iowa College of Public Health, Iowa City, IA.
Trudy L BurnsDepartment of Epidemiology, The University of Iowa College of Public Health, Iowa City, IA.
Babette S ZemelDepartment of Pediatrics, The University of Pennsylvania, Philadelphia, PA.
University of Iowa · USTexas Children's Hospital · USUniversity of Pennsylvania · US

Funding

UNIVERSITY OF IOWA CTSA FOR PEDIATRIC RESEARCHUL1RR024979 · NCRR · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2007 to 2011
$31.8M
Counteracting Risperidone-Induced Hyperprolactinemia in YouthsK23MH085005 · NIMH · UNIVERSITY OF IOWA · PI CALARGE, CHADI A. · 2009 to 2013
$866k
Long-Term Safety and Genetic Risk Factors of Risperdone Treatment in YouthR21MH080968 · NIMH · UNIVERSITY OF IOWA · PI CALARGE, CHADI A. · 2008 to 2010
$400k
NCRR NIH HHS RR024979NCRR NIH HHS UL1 RR024979NIMH NIH HHS K23 MH085005NIMH NIH HHS K23MH085005NIMH NIH HHS R21 MH080968NIMH NIH HHS R21MH080968
6 · The paper itself

Abstract

objectivesTo examine the skeletal effects of chronic psychostimulant treatment in children and adolescents. STUDY

designMedically healthy 5- to 17-year-old males from 4 different clinic-based studies were combined for this analysis. They were divided by psychostimulant use into 3 groups: none to negligible, intermittent, and continuous use. Most (95%) had also received risperidone for 6 months or more. Treatment history was extracted from medical and pharmacy records. Anthropometric and bone measurements, using dual-energy x-ray absorptiometry and peripheral quantitative computed tomography, were obtained at each research visit. Multivariable linear regression analysis models examined whether age-sex-specific height Z-score and skeletal outcomes differed among the 3 psychostimulant-use groups.

resultsThe sample consisted of 194 males with a mean age of 11.7 ± 2.8 years at study entry. The majority had an externalizing disorder. There was no significant difference across the 3 treatment groups in height Z-score or in skeletal outcomes at the radius, lumbar spine, or whole body. One hundred forty-four boys had valid follow-up skeletal data 1.4 ± 0.7 years after study entry. Again, neither height Z-score nor the skeletal outcomes were different among those who remained on psychostimulants between the 2 visits, started psychostimulants anew, or had not taken psychostimulants.

conclusionsFollowing chronic treatment, psychostimulants did not appear to significantly affect bone mass accrual in children and adolescents taking risperidone. There was a small, but statistically not significant, negative impact on longitudinal growth.

Indexed as

Absorptiometry, PhotonAdolescentBone and BonesChildChild, PreschoolCross-Sectional StudiesDrug Therapy, CombinationHumansMaleMental DisordersPsychotropic DrugsRisperidoneSerotonin AntagonistsTomography, X-Ray ComputedPsychotropic DrugsRisperidoneSerotonin Antagonists

Identifiers

PMID25863660
PMCPMC4446198
OpenAlexW2007140420

What OpenQuestion holds

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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.