Evidence map›Paper›PMID 27939877›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017

Effect of Exercise and Antidepressants on Skeletal Outcomes in Adolescent Girls With Anorexia Nervosa.

Amy D DiVasta, Henry A Feldman, Jennifer M O'Donnell, Jin Long, Mary B Leonard, Catherine M Gordon

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00310791 (Effects of Adrenal and Gonadal Hormone Replacement in Young Women With Anorexia Nervosa), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT00310791 phase2 / phase3completednot on this map

Effects of Adrenal and Gonadal Hormone Replacement in Young Women With Anorexia Nervosa

TypeinterventionalSponsorBoston Children's HospitalRan2004 to 2010Enrolled80ConditionsAnorexia NervosaArmsHormone replacement therapy (estrogen/progestin), Placebo (Sugar Pill), Dehydroepiandrosterone (DHEA)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Low bone mineral density in anorexia nervosa: Treatments and challenges.Clinical reviews in bone and mineral metabolism · 2019
    Article
  6. Review
  7. Review
  8. 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

6 authors at 5 institutions in 1 country.

Amy D DiVastaDivision of Adolescent Medicine, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts; Division of Gynecology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts. Electronic address: amy.divasta@childrens.harvard.edu.
Henry A FeldmanClinical Research Program, Boston Children's Hospital, Boston, Massachusetts; Division of Endocrinology, Boston Children's Hospital, Boston, Massachusetts.
Jennifer M O'DonnellRutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Jin LongDivision of Pediatric Nephrology, Stanford University School of Medicine, Palo Alto, California.
Mary B LeonardDivision of Pediatric Nephrology, Stanford University School of Medicine, Palo Alto, California.
Catherine M GordonDivision of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Stanford University · USBoston Children's Hospital · USCincinnati Children's Hospital Medical Center · USHarvard University · USRutgers, The State University of New Jersey · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Short Term Medical Student Training GrantT35DK060444 · NIDDK · UNIVERSITY OF CINCINNATI · PI JASON T BLACKARD · 2002 to 2026
$2.3M
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
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 AR060829NICHD NIH HHS K23 HD060066NIDDK NIH HHS T35 DK060444
6 · The paper itself

Abstract

purposeWe examined the relationships between malnutrition, lifestyle factors, and bone health in anorexia nervosa (AN) via dual-energy X-ray absorptiometry (DXA) and peripheral quantitative computed tomography (pQCT).

methodsSeventy adolescent girls with AN and 132 normal-weighted controls underwent pQCT tibial measures including trabecular volumetric bone mineral density (vBMD), cortical vBMD, and cortical thickness. Participants with AN underwent DXA measures of the axial skeleton. We assessed the association of DXA and pQCT measures with clinical and lifestyle variables.

resultsBody mass index Z-score and ideal body weight percentage were positively correlated with trabecular vBMD, cortical CSA, and section modulus (p < .04). Exercise was associated with all pQCT measures but only with hip BMD by DXA. In AN, the use of antidepressants was associated with lower pQCT measures (p < .03).

conclusionsAntidepressants may negatively, and exercise positively, influence BMD in adolescents with eating disorders. These findings offer a provocative look at two longstanding questions.

Indexed as

Absorptiometry, PhotonAdolescentAnorexia NervosaAntidepressive AgentsBone DensityCase-Control StudiesExerciseFemaleHumansTibiaAntidepressive AgentsAnorexia nervosaAntidepressantDXAExerciseMalnutritionPeripheral quantitative computed tomography

Identifiers

PMID27939877
PMCPMC5267944
OpenAlexW2560454713

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.