Evidence map›Paper›PMID 27775751›Full record

ArticleJAMA neurology2016

Association Between Dietary Intake and Function in Amyotrophic Lateral Sclerosis.

Jeri W Nieves, Chris Gennings, Pam Factor-Litvak, Jonathan Hupf, Jessica Singleton, Valerie Sharf, Björn Oskarsson, J Americo M Fernandes Filho, Eric J Sorenson, Emanuele D'Amico and 3 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in JAMA neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Interplay between B vitamins, fiber, andFrontiers in microbiology · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Gut Symptoms, Gut Dysbiosis and Gut-Derived Toxins in ALS.International journal of molecular sciences · 2024
    Review
  14. Article
  15. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Jeri W NievesDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York2Clinical Research Center, Helen Hayes Hospital, West Haverstraw, New York.
Chris GenningsDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Pam Factor-LitvakDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.
Jonathan HupfDepartment of Neurology, Columbia University, New York, New York.
Jessica SingletonDepartment of Neurology, Columbia University, New York, New York.
Valerie SharfDepartment of Neurology, Columbia University, New York, New York.
Björn OskarssonDepartment of Neurology, University of California-Davis, Sacramento.
J Americo M Fernandes FilhoDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha.
Eric J SorensonDepartment of Neurology, Mayo Clinic, Rochester, Minnesota.
Emanuele D'AmicoNeurological Institute, Catania, Italy.
Ray GoetzDepartment of Psychiatry, New York State Psychiatric Institute, New York.
Hiroshi MitsumotoDepartment of Neurology, Columbia University, New York, New York.
Amyotrophic Lateral Sclerosis Multicenter Cohort Study of Oxidative Stress (ALS COSMOS) Study Group
Columbia University · USIcahn School of Medicine at Mount Sinai · USInstitute of Neurological Sciences · ITMayo Clinic · USNew York Psychoanalytic Society and Institute · USUniversity of California, Davis · USUniversity of Nebraska Medical Center · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2014 to 2026
$21.3M
Multicenter ALS Cohort Study of Oxidative Stress and Disease ProgressionR01ES016348 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MITSUMOTO, HIROSHI · 2009 to 2013
$3.5M
NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P30 ES023515NIEHS NIH HHS R01 ES016348
6 · The paper itself

Abstract

importanceThere is growing interest in the role of nutrition in the pathogenesis and progression of amyotrophic lateral sclerosis (ALS).

objectiveTo evaluate the associations between nutrients, individually and in groups, and ALS function and respiratory function at diagnosis. DESIGN, SETTING, AND

participantsA cross-sectional baseline analysis of the Amyotrophic Lateral Sclerosis Multicenter Cohort Study of Oxidative Stress study was conducted from March 14, 2008, to February 27, 2013, at 16 ALS clinics throughout the United States among 302 patients with ALS symptom duration of 18 months or less. EXPOSURES: Nutrient intake, measured using a modified Block Food Frequency Questionnaire (FFQ). MAIN OUTCOMES AND MEASURES: Amyotrophic lateral sclerosis function, measured using the ALS Functional Rating Scale-Revised (ALSFRS-R), and respiratory function, measured using percentage of predicted forced vital capacity (FVC).

resultsBaseline data were available on 302 patients with ALS (median age, 63.2 years [interquartile range, 55.5-68.0 years]; 178 men and 124 women). Regression analysis of nutrients found that higher intakes of antioxidants and carotenes from vegetables were associated with higher ALSFRS-R scores or percentage FVC. Empirically weighted indices using the weighted quantile sum regression method of "good" micronutrients and "good" food groups were positively associated with ALSFRS-R scores (β [SE], 2.7 [0.69] and 2.9 [0.9], respectively) and percentage FVC (β [SE], 12.1 [2.8] and 11.5 [3.4], respectively) (all P < .001). Positive and significant associations with ALSFRS-R scores (β [SE], 1.5 [0.61]; P = .02) and percentage FVC (β [SE], 5.2 [2.2]; P = .02) for selected vitamins were found in exploratory analyses. CONCLUSIONS AND RELEVANCE: Antioxidants, carotenes, fruits, and vegetables were associated with higher ALS function at baseline by regression of nutrient indices and weighted quantile sum regression analysis. We also demonstrated the usefulness of the weighted quantile sum regression method in the evaluation of diet. Those responsible for nutritional care of the patient with ALS should consider promoting fruit and vegetable intake since they are high in antioxidants and carotenes.

Indexed as

AntioxidantsCarotenoidsDietFoodFruitVegetablesAgedAmyotrophic Lateral SclerosisCross-Sectional StudiesFemaleHumansMaleMiddle AgedAntioxidantsCarotenoids

Identifiers

PMID27775751
PMCPMC5370581
OpenAlexW2536722064

What OpenQuestion holds

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Registered trials

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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.