Evidence map›Paper›PMID 31197218›Full record

Trial reportEuropean journal of clinical nutrition2020

Vitamin D supplementation has no effects on progression of motor dysfunction in amyotrophic lateral sclerosis (ALS).

Francesca Trojsi, Mattia Siciliano, Carla Passaniti, Alvino Bisecco, Antonio Russo, Luigi Lavorgna, Sabrina Esposito, Dario Ricciardi, Maria Rosaria Monsurrò, Gioacchino Tedeschi and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  8. Article
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  12. Article
  13. Vitamin D in Neurological Diseases.International journal of molecular sciences · 2022
    Review
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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

11 authors at 1 institution in 1 country.

Francesca TrojsiDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy. francesca.trojsi@unicampania.it.ORCID http://orcid.org/0000-0002-3790-8018
Mattia SicilianoDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Carla PassanitiDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Alvino BiseccoDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Antonio RussoDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Luigi LavorgnaDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Sabrina EspositoDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Dario RicciardiDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID http://orcid.org/0000-0003-4862-4165
Maria Rosaria MonsurròDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Gioacchino TedeschiDepartment of Advanced Medical and Surgical Sciences; MRI Research Centre "SUN-FISM", University of Campania "Luigi Vanvitelli", Naples, Italy.
Gabriella SantangeloDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
University of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the effects of cholecalciferol supplementation on the progression of motor disability in a cohort of amyotrophic lateral sclerosis (ALS) patients with low blood 25-hydroxyvitamin D3 [25(OH)D] levels, on the basis of the hypothesis of potential neuroprotective effects of vitamin D supplementation.

methodsForty-eight ALS patients, 34 with deficient (<20 ng/mL) and 14 with insufficient (20-29 ng/mL) serum levels of 25(OH)D, were randomized and treated by 3 different doses of cholecalciferol [50.000, 75.000 and 100.000 international units (IU) /month] and evaluated after 6-months. Assessment of motor dysfunction at baseline and after 6 months included ALS Functional Rating Scale-Revised (ALFRS-R) and upper motor neuron (UMN) scores and blood samples for 25(OH)D levels.

resultsClinical data of 33 patients were available after 6 months. Analysis of Covariance (ANCOVA), with pre-treatment measurements included as covariate, did not show statistically significant differences in the ALSFRS-R (p > 0.05) and UMN (p > 0.05) among the patient groups who underwent 3 different doses of cholecalciferol. Conversely, the treatment with 75.000 IU/month or 100.000 IU/month induced a significant increase in serum levels of 25(OH)D in comparison with the supplementation with 50.000 IU/month; no significant differences were found between 75.000 IU/month and 100.000 IU/month.

conclusionsOur findings highlighted that 6-month supplementation of vitamin D in ALS patients had no significant effects on motor dysfunction. However, it is recommended to prevent medical complications of vitamin D deficiency in ALS patients as well as in other populations of neurodegenerative patients, characterized by low mobility and decreased sun exposure.

Indexed as

Amyotrophic Lateral SclerosisMotor DisordersPersons with DisabilitiesVitamin D DeficiencyCholecalciferolDietary SupplementsHumansVitamin DCholecalciferolVitamin D

Identifiers

PMID31197218
OpenAlexW2951427963

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.