Evidence map›Paper›PMID 29496516›Full record

Trial reportBone2018

Magnetic resonance imaging and spectroscopy evidence of efficacy for adrenal and gonadal hormone replacement therapy in anorexia nervosa.

Sridhar Vajapeyam, Kirsten Ecklund, Robert V Mulkern, Henry A Feldman, Jennifer M O'Donnell, Amy D DiVasta, Clifford J Rosen, Catherine M Gordon

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Bone, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% 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)
NCT04508088 recruitingnot on this mapstarted 2020, after this paper: background citation

Skeletal Health and Bone Marrow Composition in Newly Diagnosed Adolescents With Crohn Disease

TypeobservationalSponsorMassachusetts General HospitalRan2020 to 2026Enrolled92ConditionsInflammatory Bowel Disease, Crohn DiseaseArmsCoronal T1 weighted spin echo images, Spin-lattice relaxation (T1), Magnetic resonance spectroscopy, Blood Draw
NCT06216704 recruitingnot on this mapstarted 2024, after this paper: background citation

Skeletal Health and Bone Marrow Composition in Adolescents With Cystic Fibrosis

TypeobservationalSponsorMassachusetts General HospitalRan2024 to 2029Enrolled36ConditionsCystic FibrosisArmsMagnetic resonance relaxometry, Magnetic resonance spectroscopy, Blood Draw, DXA, pQCT
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Impact of Adrenal Hormone Supplementation on Bone Geometry in Growing Teens With Anorexia Nervosa.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019
    Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. 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 4 institutions in 1 country.

Sridhar VajapeyamDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.
Kirsten EcklundDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.
Robert V MulkernDepartment of Radiology, Boston Children's Hospital, Boston, MA, USA.
Henry A FeldmanInstitutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA, USA.
Jennifer M O'DonnellRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Amy D DiVastaDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA.
Clifford J RosenMaine Medical Center Research Institute, Scarborough, ME, USA.
Catherine M GordonDivision of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: catherine.gordon@cchmc.org.
Boston Children's Hospital · USCincinnati Children's Hospital Medical Center · USJohnson University · USMaine Medical Center · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Understanding Factors Influencing COVID-19 Testing and Vaccination in Immigrant Low-income and Homeless Populations and Testing Targeted InterventionsU54GM115516 · NIGMS · MAINEHEALTH · PI Frances E. Carr · 2017 to 2026
$51.6M
LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
Interdisciplinary Study of Marrow Adiposity, Mineral Metabolism & Energy BalanceR24DK092759 · NIDDK · MAINEHEALTH · PI HOROWITZ, MARK C, MACDOUGALD, ORMOND A · 2011 to 2019
$13.0M
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
NCATS NIH HHS UL1 TR001425NCRR NIH HHS UL1 RR025758NIAMS NIH HHS R01 AR060829NIDDK NIH HHS R24 DK092759NIDDK NIH HHS T35 DK060444NIGMS NIH HHS U54 GM115516
6 · The paper itself

Abstract

purposeDehydroepiandrosterone (DHEA)+estrogen/progestin therapy for adolescent girls with anorexia nervosa (AN) has the potential to arrest bone loss. The primary aim of this study was to test the effects of DHEA+estrogen/progestin therapy in adolescent girls with AN on bone marrow in the distal femur using magnetic resonance imaging (MRI) and spectroscopy.

methodsSeventy adolescent girls with AN were enrolled in a double blind, randomized, placebo-controlled trial at two urban hospital-based programs.

interventionSeventy-six girls were randomly assigned to receive 12months of either oral micronized DHEA or placebo. DHEA was administered with conjugated equine estrogens (0.3mg daily) for 3months, then an oral contraceptive (20μg ethinyl estradiol/ 0.1mg levonorgestrel) for 9months. The primary outcome measure was bone marrow fat by MRI and magnetic resonance spectroscopy (MRS).

resultsT2 of the water resonance dropped significantly less in the active vs. placebo group over 12months at both the medial and lateral distal femur (p=0.02). Body mass index (BMI) was a significant effect modifier for T1 and for T2 of unsaturated (T2

conclusionsThese findings suggest treatment with oral DHEA+estrogen/progestin arrests the age- and disease-related changes in marrow fat composition in the lateral distal femur reported previously in this population.

Indexed as

Administration, OralAdolescentAnorexia NervosaDehydroepiandrosteroneDouble-Blind MethodDrug CombinationsEstrogens, Conjugated (USP)Ethinyl EstradiolFemaleHormone Replacement TherapyHumansLevonorgestrelMagnetic Resonance ImagingDehydroepiandrosteroneDrug CombinationsEstrogens, Conjugated (USP)Ethinyl Estradiolethinyl estradiol, levonorgestrel drug combinationLevonorgestrelAdolescenceBone marrowDehydroepiandrosteroneEating disordersHormone replacement therapy

Identifiers

PMID29496516
PMCPMC5879439
OpenAlexW2790842074

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.