Evidence map›Paper›PMID 34204378›Full record

ArticleNutrients2021

A Three-Year Longitudinal Study Comparing Bone Mass, Density, and Geometry Measured by DXA, pQCT, and Bone Turnover Markers in Children with PKU Taking L-Amino Acid or Glycomacropeptide Protein Substitutes.

Anne Daly, Wolfgang Högler, Nicola Crabtree, Nick Shaw, Sharon Evans, Alex Pinto, Richard Jackson, Catherine Ashmore, Júlio C Rocha, Boyd J Strauss and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Creatine energy substrate increases bone density in the PahMolecular genetics and metabolism reports · 2023
    Article
  6. Article
  7. Review
  8. Article
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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

14 authors at 7 institutions in 4 countries.

Anne DalyBirmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham B4 6NH, UK.ORCID 0000-0003-2579-8699
Wolfgang HöglerDepartment of Paediatrics and Adolescent Medicine, Johannes Kepler University, Kepler University Hospital, Krankenhausstraße 26-30, 4020 Linz, Austria.ORCID 0000-0003-4328-6304
Nicola CrabtreeBirmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham B4 6NH, UK.
Nick ShawBirmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham B4 6NH, UK.
Sharon EvansBirmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham B4 6NH, UK.ORCID 0000-0002-7654-3621
Alex PintoBirmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham B4 6NH, UK.
Richard JacksonLiverpool Clinical Trials Centre, University of Liverpool, Brownlow Hill, Liverpool L69 3GL, UK.
Catherine AshmoreBirmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham B4 6NH, UK.
Júlio C RochaNutrition and Metabolism, NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal.ORCID 0000-0002-4977-8345
Boyd J StraussSchool of Medical Sciences, Faculty of Biology, Medicine and Health Sciences, University of Manchester, Manchester M13 9PL, UK.ORCID 0000-0002-5391-9681
Gisela WilcoxSchool of Medical Sciences, Faculty of Biology, Medicine and Health Sciences, University of Manchester, Manchester M13 9PL, UK.
William D FraserBioAnalytical Facility, BCRE Builiding University or East Anglia, Norwich NR4 7TJ, UK.
Jonathan C Y TangBioAnalytical Facility, BCRE Builiding University or East Anglia, Norwich NR4 7TJ, UK.
Anita MacDonaldBirmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham B4 6NH, UK.
Birmingham Women’s and Children’s NHS Foundation Trust · GBUniversity of East Anglia · GBCentre for Health Technology and Services Research · PTKepler Universitätsklinikum · ATSalford Royal NHS Foundation Trust · GBUniversity of Liverpool · GBUniversity of Manchester · GB

Funding

Vitaflo International Ltd 001
6 · The paper itself

Abstract

In patients with phenylketonuria (PKU), treated by diet therapy only, evidence suggests that areal bone mineral density (BMDa) is within the normal clinical reference range but is below the population norm.

aimsTo study longitudinal bone density, mass, and geometry over 36 months in children with PKU taking either amino acid (L-AA) or casein glycomacropeptide substitutes (CGMP-AA) as their main protein source. METHODOLOGY: A total of 48 subjects completed the study, 19 subjects in the L-AA group (median age 11.1, range 5-16 years) and 29 subjects in the CGMP-AA group (median age 8.3, range 5-16 years). The CGMP-AA was further divided into two groups, CGMP100 (median age 9.2, range 5-16 years) (

resultsNo statistically significant differences were found between the three groups for DXA outcome parameters, i.e., BMDa (L2-L4 BMDa g/cm

conclusionsBone density was clinically normal, although the median z scores were below the population mean. BTM showed active bone turnover and blood biochemistry was within the reference ranges. There appeared to be no advantage to bone density, mass, or geometry from taking a macropeptide-based protein substitute as compared with L-AAs.

Indexed as

Absorptiometry, PhotonBone RemodelingAdolescentAmino AcidsAnthropometryBiomarkersBone DensityCaseinsChildChild, PreschoolFemaleHumansLongitudinal StudiesMaleOsteoporosisPeptide FragmentsAmino AcidsBiomarkerscaseinomacropeptideCaseinsPeptide Fragmentsamino acid protein substituteblood biochemistrybone mineral densitybone turnover markerscasein glycomacropeptideosteoporosisPKU

Identifiers

PMID34204378
PMCPMC8233747
OpenAlexW3172822970

What OpenQuestion holds

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LicenceCC BY
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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.