Evidence map›Paper›PMID 27419386›Full record

ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2017

Relative Skeletal Maturation and Population Ancestry in Nonobese Children and Adolescents.

Shana E McCormack, Alessandra Chesi, Jonathan A Mitchell, Sani M Roy, Diana L Cousminer, Heidi J Kalkwarf, Joan M Lappe, Vicente Gilsanz, Sharon E Oberfield, John A Shepherd and 5 more

Open access · greenAbstract read
In one paragraph

Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Peak bone mass development in U.S. females with varied physical activity patterns: a longitudinal view using three maturational clocks.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  3. Ancestry estimation: Methodological evolution and forensic implications.Forensic science, medicine, and pathology · 2026
    Review
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Early Maturity as the New Normal: A Century-long Study of Bone Age.Clinical orthopaedics and related research · 2018
    Observational
  14. Article
  15. 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

15 authors at 7 institutions in 1 country.

Shana E McCormackDivision of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Alessandra ChesiDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jonathan A MitchellDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Sani M RoyDivision of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Diana L CousminerDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Heidi J KalkwarfDivision of Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Joan M LappeDivision of Endocrinology, Department of Medicine, Creighton University, Omaha, NE, USA.
Vicente GilsanzDepartment of Radiology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Sharon E OberfieldDivision of Pediatric Endocrinology, Diabetes, and Metabolism, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA.
John A ShepherdDepartment of Radiology, University of California San Francisco, San Francisco, CA, USA.
Soroosh MahboubiDepartment of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Karen K WinerPediatric Growth and Nutrition Branch (PGNB), Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.
Andrea KellyDivision of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Struan Fa GrantDivision of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Babette S ZemelDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Children's Hospital of Philadelphia · USChildren's Hospital of Los Angeles · USCincinnati Children's Hospital Medical Center · USColumbia University Irving Medical Center · USCreighton University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USUniversity of California, San Francisco · US

Funding

Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI LEE ARMISTEAD DENSON · 2007 to 2026
$24.4M
UCSF Nutrition Obesity Research CenterP30DK098722 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTIAN VAISSE · 2015 to 2026
$14.6M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
Translational Research Training in Pediatric Diabetes & EndocrinologyT32DK063688 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI LORRAINE E LEVITT KATZ, ANDREA Bridget KELLY · 2002 to 2026
$5.4M
Bone Mineral Accretion in Young ChildrenR01HD076321 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI KALKWARF, HEIDI J, ZEMEL, BABETTE S · 2013 to 2017
$5.1M
Training Grant in Pediatric Endocrinology, Diabetes and MetabolismT32DK065522 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHARON E. OBERFIELD · 2005 to 2026
$4.6M
Career Development Program in Pediatric Diabetes Research (K12) at CHOPK12DK094723 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI WILLI, STEVEN M · 2011 to 2020
$3.6M
Genome Wide Association Study of Bone Mineral Accretion During ChildhoodR01HD058886 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI GRANT, STRUAN F A, ZEMEL, BABETTE S · 2010 to 2013
$3.1M
Translational investigation of abnormal fat metabolism in mitochondrial diseaseK23DK102659 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MCCORMACK, SHANA ERIN · 2015 to 2017
$515k
NCATS NIH HHS UL1 TR000077NICHD NIH HHS R01 HD058886NICHD NIH HHS R01 HD076321NIDDK NIH HHS K12 DK094723NIDDK NIH HHS K23 DK102659NIDDK NIH HHS P30 DK078392NIDDK NIH HHS P30 DK098722NIDDK NIH HHS T32 DK063688NIDDK NIH HHS T32 DK065522
6 · The paper itself

Abstract

More rapid skeletal maturation in African-American (AA) children is recognized and generally attributed to an increased prevalence of obesity. The objective of the present study was to evaluate the effects of population ancestry on relative skeletal maturation in healthy, non-obese children and adolescents, accounting for body composition and sexual maturation. To do this, we leveraged a multiethnic, mixed-longitudinal study with annual assessments for up to 7 years (The Bone Mineral Density in Childhood Study and its ancillary cohort) conducted at five US clinical centers. Participants included 1592 children, skeletally immature (45% females, 19% AA) who were aged 5 to 17 years at study entry. The primary outcome measure was relative skeletal maturation as assessed by hand-wrist radiograph. Additional covariates measured included anthropometrics, body composition by dual-energy X-ray absorptiometry (DXA), and Tanner stage of sexual maturation. Using mixed effects longitudinal models, without covariates, advancement in relative skeletal maturation was noted in self-reported AA girls (∼0.33 years, p < 0.001) and boys (∼0.43 years, p < 0.001). Boys and girls of all ancestry groups showed independent positive associations of height, lean mass, fat mass, and puberty with relative skeletal maturation. The effect of ancestry was attenuated but persistent after accounting for covariates: for girls, 0.19 years (ancestry by self-report, p = 0.02) or 0.29 years (ancestry by admixture, p = 0.004); and for boys, 0.20 years (ancestry by self-report, p = 0.004), or 0.29 years (ancestry by admixture, p = 0.004). In summary, we conclude that advancement in relative skeletal maturation was associated with AA ancestry in healthy, non-obese children, independent of growth, body composition, and puberty. Further research into the mechanisms underlying this observation may provide insights into the regulation of skeletal maturation. © 2016 American Society for Bone and Mineral Research.

Indexed as

Bone DevelopmentRacial GroupsAdolescentAge Determination by SkeletonAge DistributionBody CompositionBody HeightBody Mass IndexChildChild, PreschoolFemaleGenetics, PopulationHumansMaleObesityRegression AnalysisBONE AGEGROWTHPEDIATRIC ENDOCRINOLOGYPOPULATION ANCESTRYSKELETAL MATURATION

Identifiers

PMID27419386
PMCPMC5257250
OpenAlexW2512732648

What OpenQuestion holds

Textmetadata
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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.