Evidence map›Paper›PMID 26223805›Full record

ArticleJournal of neurology2015

Elevated body temperature is linked to fatigue in an Italian sample of relapsing-remitting multiple sclerosis patients.

V M Leavitt, E De Meo, G Riccitelli, M A Rocca, G Comi, M Filippi, J F Sumowski

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In one paragraph

Article in Journal of neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 11% 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, 23 citations in OpenAlex.

  1. Trial
  2. Review
  3. The importance of body core temperature evaluation in balneotherapy.International journal of biometeorology · 2022
    Review
  4. Article
  5. Article
  6. Review
  7. Diuretic-sensitive electroneutral NaThe Journal of physiology · 2017
    Article
  8. Article
  9. 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 3 institutions in 2 countries.

V M LeavittDepartment of Neurology, Multiple Sclerosis Clinical Care and Research Center, Columbia University Medical Center, 630 W. 168th Street, PH 18-330, P&S Box 16, New York, NY, 10032, USA. VL2337@cumc.columbia.edu.
E De MeoNeuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
G RiccitelliNeuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
M A RoccaNeuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
G ComiDepartment of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
M FilippiNeuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
J F SumowskiNeuropsychology and Neuroscience Laboratory, Kessler Foundation Research Center, West Orange, NJ, USA.
Vita-Salute San Raffaele University · ITColumbia University Irving Medical Center · USKessler Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated body temperature was recently reported for the first time in patients with relapsing-remitting multiple sclerosis (RRMS) relative to healthy controls. In addition, warmer body temperature was associated with worse fatigue. These findings are highly novel, may indicate a novel pathophysiology for MS fatigue, and therefore warrant replication in a geographically separate sample. Here, we investigated body temperature and its association to fatigue in an Italian sample of 44 RRMS patients and 44 age- and sex-matched healthy controls. Consistent with our original report, we found elevated body temperature in the RRMS sample compared to healthy controls. Warmer body temperature was associated with worse fatigue, thereby supporting the notion of endogenous temperature elevations in patients with RRMS as a novel pathophysiological factor underlying fatigue. Our findings highlight a paradigm shift in our understanding of the effect of heat in RRMS, from exogenous (i.e., Uhthoff's phenomenon) to endogenous. Although randomized controlled trials of cooling treatments (i.e., aspirin, cooling garments) to reduce fatigue in RRMS have been successful, consideration of endogenously elevated body temperature as the underlying target will enhance our development of novel treatments.

Indexed as

AdultBody TemperatureFatigueFemaleHumansItalyMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingFatigueMultiple sclerosisTemperature

Identifiers

PMID26223805
OpenAlexW1019224892

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.