Evidence map›Paper›PMID 27909781›Full record

Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2017

The ability of low-magnitude mechanical signals to normalize bone turnover in adolescents hospitalized for anorexia nervosa.

A D DiVasta, H A Feldman, C T Rubin, J S Gallagher, N Stokes, D P Kiel, B D Snyder, C M Gordon

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Physical Fitness-Not Physical Activity Levels-Influence Quality of Life in Anorexia Nervosa.International journal of environmental research and public health · 2022
    Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. 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

8 authors at 6 institutions in 1 country.

A D DiVastaDivision of Adolescent Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA. amy.divasta@childrens.harvard.edu.
H A FeldmanClinical Research Program, Boston Children's Hospital, Boston, MA, USA.
C T RubinDepartment of Biomedical Engineering, State University of New York Stony Brook, Stony Brook, NY, USA.
J S GallagherDivision of Adolescent Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA, 02115, USA.
N StokesDepartment of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
D P KielInstitute for Aging Research, Hebrew SeniorLife, Roslindale, MA, USA.
B D SnyderDepartment of Orthopedic Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
C M GordonDivision of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Boston Children's Hospital · USHarvard University · USHebrew SeniorLife · USState University of New York · USUniversity of Cincinnati · USUniversity of Pennsylvania · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Low Magnitude Mechanical Stimulation to Improve BMDR01AG025489 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI KIEL, DOUGLAS P. · 2006 to 2012
$6.3M
Effect of Adrenal and Gonadal Hormones on Bone Marrow and Appendicular BMDR01AR060829 · NIAMS · RHODE ISLAND HOSPITAL · PI GORDON, CATHERINE M. · 2011 to 2015
$1.4M
Pediatrician-Scientist Training ProgramT32HD043034 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI FLEISHER, GARY ROBERT · 2003 to 2007
$1.1M
Biomechanical Stimulation & Skeletal Health in Adolescents with Anorexia NervosaK23HD060066 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DIVASTA, AMY D · 2009 to 2013
$656k
NCRR NIH HHS UL1 RR025758NIAMS NIH HHS R01 AR060829NIA NIH HHS R01 AG025489NICHD NIH HHS K23 HD060066NICHD NIH HHS T32 HD043034
6 · The paper itself

Abstract

We sought to determine whether low-magnitude mechanical stimulation (LMMS) normalizes bone turnover among adolescents hospitalized for anorexia nervosa (AN). Brief, daily LMMS prevents the decline in bone turnover typically seen during bed rest in AN. LMMS may have application for patients with AN in the inpatient setting to protect bone health.

introductionMalnourished adolescents with AN requiring medical hospitalization are at high risk for rapid reduction in skeletal quality. Even short-term bed rest can suppress normal patterns of bone turnover. We sought to determine whether LMMS normalizes bone turnover among adolescents hospitalized for complications of AN.

methodsIn this randomized, double-blind trial, we prospectively enrolled adolescent females (n = 41) with AN, age 16.3 ± 1.9 years (mean ± SD) and BMI 15.6 ± 1.7 kg/m

resultsBSAP decreased by 2.8% per day in the placebo arm (p = 0.03) but remained stable in the LMMS group (p = 0.51, p

conclusionsBed rest during hospitalization for patients with AN is associated with a suppression of bone turnover, which may contribute to diminished bone quality. Brief, daily LMMS prevents a decline in bone turnover during bed rest in AN. Protocols prescribing strict bed rest may not be appropriate for protecting bone health for these patients. LMMS may have application for these patients in the inpatient setting.

Indexed as

AdolescentAnorexia NervosaBed RestBiomarkersBone RemodelingDouble-Blind MethodFemaleHospitalizationHumansOsteoporosisPhysical StimulationVibrationYoung AdultBiomarkersAnorexia nervosaBed restBone formationBone resorptionBone turnoverMechanical stimulationMetabolic disordersOsteoporosis

Identifiers

PMID27909781
PMCPMC9769086
OpenAlexW2558018998

What OpenQuestion holds

Textmetadata
LicenceTDM
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.