Evidence map›Paper›PMID 33487053›Full record

ArticleGlobal spine journal2022

Association Between Vitamin A Intake and Disease Severity in Early-Onset Heterotopic Ossification of the Posterior Longitudinal Ligament of the Spine.

Tsutomu Endo, Shiro Imagama, Satoshi Kato, Takashi Kaito, Hiroaki Sakai, Shiro Ikegawa, Yoshiharu Kawaguchi, Masahiro Kanayama, Yuichiro Hisada, Yoshinao Koike and 7 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

17 authors at 10 institutions in 1 country.

Tsutomu EndoDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
Shiro ImagamaDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Showa Ward, Nagoya, Aichi, Japan.ORCID 0000-0003-1721-9626
Satoshi KatoDepartment of Orthopedic Surgery, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Ishikawa, Japan.
Takashi KaitoDepartment of Orthopedic Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Hiroaki SakaiDepartment of Orthopedic Surgery, Japan Organization of Occupational Health and Safety, Spinal Injuries Center, Iizuka, Fukuoka, Japan.
Shiro IkegawaLaboratory for Bone and Joint Diseases, Center for Integrative Medical Sciences, RIKEN, Minato-ku, Tokyo, Japan.
Yoshiharu KawaguchiDepartment of Orthopedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan.
Masahiro KanayamaDepartment of Orthopedics, Hakodate Central General Hospital, Hakodate, Hokkaido, Japan.
Yuichiro HisadaDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
Yoshinao KoikeDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
Kei AndoDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Showa Ward, Nagoya, Aichi, Japan.
Kazuyoshi KobayashiDepartment of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Showa Ward, Nagoya, Aichi, Japan.ORCID 0000-0003-1533-3476
Itaru OdaDepartment of Spine Surgery, Hokkaido Orthopedic Memorial Hospital, Toyohira-ku, Sapporo, Hokkaido, Japan.
Kazufumi OkadaClinical Research and Medical Innovation Center, Hokkaido University Hospital, Kita-ku, Sapporo, Hokkaido, Japan.
Ryo TakagiClinical Research and Medical Innovation Center, Hokkaido University Hospital, Kita-ku, Sapporo, Hokkaido, Japan.
Norimasa IwasakiDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
Masahiko TakahataDepartment of Orthopedic Surgery, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.ORCID 0000-0002-2436-2175
Hokkaido University · JPNagoya University · JPHokkaido University Hospital · JPHakodate Central General Hospital · JPHokkaido Orthopedic Surgery Memorial Hospital · JPKanazawa University · JPRIKEN Center for Integrative Medical Sciences · JPSpinal Injuries Center · JPThe University of Osaka · JPUniversity of Toyama · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA sex- and age-matched case-control study and a cross-sectional study.

objectiveIn our previous study, patients with early-onset (<50 years of age) ossification of the posterior longitudinal ligament (OPLL) had distinct features such as morbid obesity, a high prevalence of lifestyle-related diseases, and diffuse ossified lesions mainly affecting the thoracic spine. Our goals were to determine whether early-onset OPLL patients have unbalanced dietary habits and to identify nutritional factors associated with OPLL exacerbation.

methodsIn Study 1, the simple brief-type self-administered diet history questionnaire (BDHQ) was used to compare nutrient intake levels of early-onset OPLL patients (n = 13) with those of sex- and age-matched non-OPLL controls (n = 39) or with those of common OPLL (onset age ≥ 50 years, n = 62). In Study 2, serological validation was conducted for thoracic OPLL patients (n = 77) and non-OPLL controls (n = 101) in a nationwide multicenter study in Japan.

resultsThe BDHQ showed that the early-onset OPLL patients had significantly lower intakes of vitamins A and B6 than non-OPLL controls. These results were validated by lower serum vitamins A and B6 levels in the early-onset thoracic OPLL patients. The severity of OPLL negatively correlated with serum vitamin A levels in male early-onset OPLL patients. The multiple regression analysis revealed that the severity of thoracic OPLL had an association with onset age and serum vitamin A level.

conclusionsVitamin A deficiency resulting from unbalanced dietary habits is associated with exacerbation of male early-onset OPLL.

Indexed as

dietary habitsearly-onset OPLLheterotopic ossificationsevere obesityvitamin Avitamin B6

Identifiers

PMID33487053
PMCPMC9609524
OpenAlexW3121765254

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.