Evidence map›Paper›PMID 29949128›Full record

ArticleEating and weight disorders : EWD2019

Associations between exercise, bone mineral density, and body composition in adolescents with anorexia nervosa.

Jason M Nagata, Jennifer L Carlson, Neville H Golden, Stuart B Murray, Jin Long, Mary B Leonard, Rebecka Peebles

Abstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Low bone mineral density in anorexia nervosa: Treatments and challenges.Clinical reviews in bone and mineral metabolism · 2019
    Article
  12. 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

7 authors.

Jason M NagataDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA. jasonmnagata@gmail.com.ORCID http://orcid.org/0000-0002-6541-0604
Jennifer L CarlsonDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Neville H GoldenDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Stuart B MurrayDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
Jin LongDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Mary B LeonardDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Rebecka PeeblesDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Pediatric Scientist Development Program (PSDP) [K12]K12HD000850 · NICHD · YALE UNIVERSITY · PI Sallie R. Permar · 1987 to 2026
$44.1M
Multi-center Randomized Controlled Trial of Refeeding in Anorexia NervosaR01HD082166 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GARBER, ANDREA K · 2015 to 2025
$5.7M
Fear Conditioning and Fear Extinction in Anorexia NervosaK23MH115184 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MURRAY, STUART B · 2017 to 2021
$990k
Weight gain and functional body composition in adolescents with anorexia nervosaK23DK100558 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI PEEBLES, REBECKA · 2015 to 2019
$900k
National Institute of Child Health and Human Development 5R01HD08216602NICHD NIH HHS K12 HD000850NICHD NIH HHS R01 HD082166NIDDK NIH HHS K23 DK100558NIDDK NIH HHS K23DK100558NIMH NIH HHS K23 MH115184
6 · The paper itself

Abstract

objectiveTo identify the effect of duration of weight-bearing exercise and team sports participation on bone mineral density (BMD) and body composition among adolescents with anorexia nervosa (AN).

methodWe retrospectively reviewed electronic medical records of all patients 9-20 years old with a DSM-5 diagnosis of AN evaluated by the Stanford Eating Disorders Program (1997-2011) who underwent dual-energy X-ray absorptiometry.

resultsA total of 188 adolescents with AN were included (178 females and 10 males). Using multivariate linear regression, duration of weight-bearing exercise (B = 0.15, p = 0.005) and participation in team sports (B = 0.53, p = 0.001) were associated with higher BMD at the hip and team sports (B = 0.39, p = 0.006) were associated with higher whole body BMC, controlling for covariates. Participation in team sports (B = - 1.06, p = 0.007) was associated with greater deficits in FMI Z-score. LBMI Z-score was positively associated with duration of weight-bearing exercise (B = 0.10, p = 0.018) and may explain the relationship between exercise and bone outcomes.

conclusionDuration of weight-bearing exercise and team sports participation may be protective of BMD at the hip and whole body BMC, while participation in team sports was associated with greater FMI deficits among adolescents with AN. LEVEL OF EVIDENCE: Level V, descriptive retrospective study.

Indexed as

Absorptiometry, PhotonAdolescentAnorexia NervosaBody CompositionBone DensityChildExerciseFemaleHumansMaleRetrospective StudiesWeight-BearingYoung AdultBody compositionBone densityBone healthDual-energy X-ray absorptiometryDXAEating disordersExerciseSports

Identifiers

PMID29949128
PMCPMC6286679

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.