Evidence map›Paper›PMID 28451918›Full record

Observational studyJournal of inherited metabolic disease2017

Risk factors for poor bone health in primary mitochondrial disease.

Shifa S Gandhi, Colleen Muraresku, Elizabeth M McCormick, Marni J Falk, Shana E McCormack

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of inherited metabolic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05483738 (The Impact of Mitochondrial Dysfunction on Human Bone Cell Metabolism and Remodelling), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-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.

NCT05483738 naactive not recruitingnot on this mapstarted 2020, after this paper: background citation

The Impact of Mitochondrial Dysfunction on Human Bone Cell Metabolism and Remodelling

TypeinterventionalSponsorAalborg University HospitalRan2020 to 2026Enrolled30ConditionsMitochondrial Diseases, Bone Remodeling DisorderArmsClinical assessment, blood samples, bone marrow and bone biopsy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Red Flags in Primary Mitochondrial Diseases: What Should We Recognize?International journal of molecular sciences · 2023
    Review
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Dental Pulp-Derived Mesenchymal Stem Cells for Modeling Genetic Disorders.International journal of molecular sciences · 2021
    Review
  13. Article
  14. Overview of Atypical Diabetes.Endocrinology and metabolism clinics of North America · 2020
    Review
  15. Review
  16. Height as a Clinical Biomarker of Disease Burden in Adult Mitochondrial Disease.The Journal of clinical endocrinology and metabolism · 2019
    Article
  17. Article
  18. Article
  19. 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

5 authors at 3 institutions in 1 country.

Shifa S GandhiRobert Wood Johnson Medical School, Piscataway Township, NJ, USA.
Colleen MurareskuDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Elizabeth M McCormickDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Marni J FalkDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Shana E McCormackDepartment of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. mccormacks1@email.chop.edu.
Children's Hospital of Philadelphia · USJohnson University · USUniversity of Pennsylvania · US

Funding

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
Translational investigation of abnormal fat metabolism in mitochondrial diseaseK23DK102659 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MCCORMACK, SHANA ERIN · 2015 to 2017
$515k
k23 NIH K23DK102659NIDDK NIH HHS K12 DK094723NIDDK NIH HHS K23 DK102659
6 · The paper itself

Abstract

introductionPrimary mitochondrial disease is caused by either mitochondrial or nuclear DNA mutations that impact the function of the mitochondrial respiratory chain. Individuals with mitochondrial disorders have comorbid conditions that may increase their risk for poor bone health. The objective of this retrospective electronic medical record (EMR) review was to examine risk factors for poor bone health in children and adults with primary mitochondrial disease.

methodsEighty individuals with confirmed clinical and genetic diagnoses of primary mitochondrial disease at the Children's Hospital of Philadelphia (CHOP) were included in this study. Risk factors and bone health outcomes were collected systematically, including: anthropometrics (low BMI), risk-conferring co-morbidities and medications, vitamin D status, nutrition, immobility, fracture history, and, where available, dual energy x-ray absorptiometry (DXA) bone mineral density (BMD) results.

resultsOf patients 73% (n = 58) had at least one risk factor and 30% (n = 24) had four or more risk factors for poor bone health. The median number of risk factors per participant was 2, with an interquartile interval (IQI 0-4). In the subset of the cohort who were known to have sustained any lifetime fracture (n = 11), a total of 16 fractures were reported, six of which were fragility fractures, indicative of a clinically significant decrease in bone strength.

conclusionsThe prevalence of risk factors for poor bone health in primary mitochondrial disease is high. As part of supportive care, practitioners should address modifiable risk factors to optimize bone health, and have a low threshold to evaluate clinical symptoms that could suggest occult fragility fracture.

Indexed as

AdolescentAdultAgedBone and BonesBone DensityBone DiseasesChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleMiddle AgedMitochondrial DiseasesBone mineral densityDual energy x-ray absorptiometryFractureMitochondrial diseasesOsteopeniaOsteoporosis

Identifiers

PMID28451918
PMCPMC5659975
OpenAlexW2608103067

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.