Evidence map›Paper›PMID 29718224›Full record

Observational studyInflammatory bowel diseases2018

The Association of Diet and Exercise With Body Composition in Pediatric Crohn's Disease.

Dale Lee, James D Lewis, Justine Shults, Robert N Baldassano, Jin Long, Rita Herskovitz, Babette Zemel, Mary B Leonard

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Inflammatory bowel diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Body Composition in Inflammatory Bowel Disease.Archives of Iranian medicine · 2023
    Review
  3. Review
  4. Observational
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.

Dale LeeDepartment of Pediatrics, Seattle Children's Hospital, Seattle, Washington.
James D LewisDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Justine ShultsDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Robert N BaldassanoDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jin LongDepartment of Medicine, Stanford University, Stanford, California.
Rita HerskovitzDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Babette ZemelDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Mary B LeonardDepartment of Medicine, Stanford University, Stanford, California.
Children's Hospital of Philadelphia · USStanford University · USUniversity of Pennsylvania · USSeattle Children's Hospital · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
CLINICAL EPIDEMIOLOGY TRAINING IN GASTROENTEROLOGYT32DK007740 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI James D Lewis · 1997 to 2026
$9.2M
Bone Health in Pediatric Crohn Disease: A Low Magnitude Mechanical Stimulus TrialR01DK073946 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI LEONARD, MARY BETH · 2006 to 2010
$2.9M
Patient Oriented Research in Vitamin D Deficiency in CKDK24DK076808 · NIDDK · STANFORD UNIVERSITY · PI LEONARD, MARY BETH · 2007 to 2016
$1.7M
Behavioral Treatment of Nonadherence in Pediatric Inflammatory Bowel DiseaseK23DK079037 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI HOMMEL, KEVIN · 2007 to 2011
$618k
NCATS NIH HHS UL1 TR000003NCRR NIH HHS UL1 RR024134NIDDK NIH HHS K23 DK079037NIDDK NIH HHS K24 DK076808NIDDK NIH HHS R01 DK073946NIDDK NIH HHS T32 DK007740
6 · The paper itself

Abstract

Background: In pediatric Crohn's disease, fat mass improves over time with treatment, but lean mass deficits persist. This observational study of the associations of physical activity and dietary intake with lean mass and muscle strength in children with Crohn's disease was ancillary to a previously reported randomized clinical trial of an intervention to improve bone health. Methods: In this study, 138 participants were followed at baseline and at 6, 12, and 24 months with evaluation of lean and fat mass using DXA, muscle strength (peak torque), Crohn's characteristics, dietary intake, time in moderate to vigorous physical activity (MVPA), and serum insulin-like growth factor-1 (IGF-1) and tumor necrosis factor-alpha (TNF-α). Race- and sex-specific Z-scores for leg lean mass and whole body fat mass were generated. Quasi least square regression evaluated determinants of changes in body composition and muscle strength. Results: Leg lean mass and muscle strength were positively associated with time in MVPA (P < 0.05) and negatively associated with increasing clinical disease activity (P < 0.05). Both leg lean mass and strength were positively associated with IGF-1 Z-score (P ≤ 0.03) but negatively associated with serum TNF-α (P ≤ 0.04). Neither lean mass nor muscle strength was associated with caloric or protein intake. Conclusions: Persistence of lean mass deficits was related to ongoing Crohn's disease activity but improved with greater time spent in moderate to vigorous physical activity. Future trials are needed to evaluate the efficacy of physical activity in improving lean mass in pediatric Crohn's disease.

Indexed as

Body CompositionDietExerciseAbsorptiometry, PhotonAdolescentChildCrohn DiseaseEnergy IntakeFemaleHumansInsulin-Like Growth Factor IMaleMuscle StrengthPhiladelphiaRandomized Controlled Trials as TopicTumor Necrosis Factor-alphaInsulin-Like Growth Factor ITumor Necrosis Factor-alpha

Identifiers

PMID29718224
PMCPMC6093194
OpenAlexW2265085495

What OpenQuestion holds

Textmetadata
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.