Evidence map›Paper›PMID 26454573›Full record

ArticleThe Journal of pediatrics2015

Responses to Fasting and Glucose Loading in a Cohort of Well Children with Spinal Muscular Atrophy Type II.

Rebecca Hurst Davis, Elizabeth A Miller, Ren Zhe Zhang, Kathryn J Swoboda

Abstract 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Review
  2. Spinal muscular atrophy: Biology, pathogenesis, and therapeutic advances.Therapeutic advances in neurological disorders · 2026
    Review
  3. Observational
  4. Article
  5. Peripheral defects precede neuromuscular pathology in theJournal of neuromuscular diseases · 2024
    Article
  6. Article
  7. Article
  8. Mitochondrial Dysfunction in Spinal Muscular Atrophy.International journal of molecular sciences · 2022
    Review
  9. Article
  10. Review
  11. Metabolic Dysfunction in Spinal Muscular Atrophy.International journal of molecular sciences · 2021
    Review
  12. Revisiting the role of mitochondria in spinal muscular atrophy.Cellular and molecular life sciences : CMLS · 2021
    Review
  13. Spinal muscular atrophy: Broad disease spectrum and sex-specific phenotypes.Biochimica et biophysica acta. Molecular basis of disease · 2021
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Abnormal fatty acid metabolism is a core component of spinal muscular atrophy.Annals of clinical and translational neurology · 2019
    Article
  19. Article
  20. 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

4 authors.

Rebecca Hurst DavisPediatric Motor Disorders Research Program, Department of Neurology, University of Utah, Salt Lake City, UT; Division of Nutrition, University of Utah, Salt Lake City, UT. Electronic address: becky.hurst@utah.edu.
Elizabeth A MillerPediatric Motor Disorders Research Program, Department of Neurology, University of Utah, Salt Lake City, UT.
Ren Zhe ZhangPediatric Motor Disorders Research Program, Department of Neurology, University of Utah, Salt Lake City, UT.
Kathryn J SwobodaPediatric Motor Disorders Research Program, Department of Neurology, University of Utah, Salt Lake City, UT. Electronic address: kswoboda@mgh.harvard.edu.

Funding

Newborn screening for identification & prospective followup of infants with SMAR01HD069045 · NICHD · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 2011 to 2015
$4.3M
NICHD NIH HHS R01 HD069045NICHD NIH HHS R01-HD69045PHS HHS 1ULTR001067
6 · The paper itself

Abstract

objectiveTo examine the impact of fasting and glucose tolerance on selected metabolic variables in children with spinal muscular atrophy (SMA) type II in a well state, secondary to reports of glucose regulation abnormalities in SMA. STUDY

designIn this prospective pilot study, 6 children aged 7-11 years with SMA type II participated in an oral glucose tolerance test and a supervised medical fast during 2 overnight visits at the University of Utah. At baseline, a dual-energy x-ray absorptiometry scan was performed to determine body composition. Laboratory test results were obtained at baseline and in response to the respective interventions. Data analysis was descriptive. Prefasting and postfasting data were evaluated using the Wilcoxon signed-rank test.

resultsBased on the dual-energy x-ray absorptiometry scan, all 6 children were variably obese at baseline. All 6 exhibited hyperinsulinemia, and 3 of 6 met formal American Diabetes Association criteria for impaired glucose tolerance. According to homeostatic insulin resistance calculations, 5 of the 6 participants were insulin-resistant. All 6 participants tolerated a monitored fast for 20 hours without hypoglycemia (blood glucose <54 mg/dL). Free fatty acid levels increased significantly from prefasting to postfasting, whereas levels of several plasma amino acids decreased significantly during fasting.

conclusionChildren with SMA type II defined as obese using objective variables are at increased risk for impaired glucose tolerance regardless of whether or not they visually appear obese. Further studies are needed to determine the prevalence of impaired glucose tolerance and tolerance for fasting within the broader heterogeneous SMA population and to develop appropriate guidelines for intervention.

Indexed as

Absorptiometry, PhotonBlood GlucoseChildFastingFollow-Up StudiesGlucose Tolerance TestHumansInsulin ResistanceObesityPilot ProjectsProspective StudiesRisk FactorsSpinal Muscular Atrophies of ChildhoodBlood Glucose

Identifiers

PMID26454573
PMCPMC7599085

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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.