Evidence map›Paper›PMID 36321729›Full record

ArticleMuscle & nerve2023

Body mass index associates with amyotrophic lateral sclerosis survival and metabolomic profiles.

Stephen A Goutman, Jonathan Boss, Gayatri Iyer, Hani Habra, Masha G Savelieff, Alla Karnovsky, Bhramar Mukherjee, Eva L Feldman

Open access · hybridAbstract read
In one paragraph

Article in Muscle & nerve, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Review
  3. Changes in body composition in genetic C9orf72 carriers: The role of the hypothalamus and thalamus.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Article
  5. Article
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  8. A Validated Model to Predict Severe Weight Loss in Amyotrophic Lateral Sclerosis.Annals of clinical and translational neurology · 2025
    Article
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  12. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Stephen A GoutmanDepartment of Neurology, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-8780-6637
Jonathan BossDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-5285-3038
Gayatri IyerDepartment of Computational Medicine & Bioinformatics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-8100-0832
Hani HabraDepartment of Computational Medicine & Bioinformatics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-4838-0105
Masha G SavelieffNeuroNetwork for Emerging Therapies, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-5575-2494
Alla KarnovskyDepartment of Computational Medicine & Bioinformatics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-7388-8520
Bhramar MukherjeeDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-0118-4561
Eva L FeldmanDepartment of Neurology, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-9162-2694
University of Michigan · US

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Proteogenomics of Cancer Training ProgramT32CA140044 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RAO, ARVIND, SARTOR, MAUREEN AGNES · 2010 to 2024
$3.9M
Mapping the ALS Exposome to Gain New Insights into Disease Risk and PathogenesisR01ES030049 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BATTERMAN, STUART A, FELDMAN, EVA LUCILLE · 2020 to 2024
$3.5M
Developing novel strategies for personalized treatment and prevention of ALS: Leveraging the global exposome, genome, epigenome, metabolome, and inflammasome with data science in a case/control cohortR01NS127188 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BATTERMAN, STUART A, FELDMAN, EVA LUCILLE · 2021 to 2024
$3.4M
Metabolomic Signatures Linking ALS to Persistent Organic Pollutant ExposuresR01TS000289 · TS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FELDMAN, EVA LUCILLE · 2018 to 2020
$1.5M
Impact of Geospatial Factors and Environmental Pollutants on Amyotrophic Lateral Sclerosis in the State of MichiganK23ES027221 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOUTMAN, STEPHEN · 2017 to 2021
$1.0M
ACL HHS R01TS000289ATSDR CDC HHS R01 TS000289CDC HHS 200-2013-56856NCATS NIH HHS UL1 TR002240NCI NIH HHS T32 CA140044NIEHS NIH HHS K23 ES027221NIEHS NIH HHS R01 ES030049NINDS NIH HHS R01 NS127188
6 · The paper itself

Abstract

INTRODUCTION/

aimsBody mass index (BMI) is linked to amyotrophic lateral sclerosis (ALS) risk and prognosis, but additional research is needed. The aim of this study was to identify whether and when historical changes in BMI occurred in ALS participants, how these longer term trajectories associated with survival, and whether metabolomic profiles provided insight into potential mechanisms.

methodsALS and control participants self-reported body height and weight 10 (reference) and 5 years earlier, and at study entry (diagnosis for ALS participants). Generalized estimating equations evaluated differences in BMI trajectories between cases and controls. ALS survival was evaluated by BMI trajectory group using accelerated failure time models. BMI trajectories and survival associations were explored using published metabolomic profiling and correlation networks.

resultsTen-year BMI trends differed between ALS and controls, with BMI loss in the 5 years before diagnosis despite BMI gains 10 to 5 years beforehand in both groups. An overall 10-year drop in BMI associated with a 27.1% decrease in ALS survival (P = .010). Metabolomic networks in ALS participants showed dysregulation in sphingomyelin, bile acid, and plasmalogen subpathways. DISCUSSION: ALS participants lost weight in the 5-year period before enrollment. BMI trajectories had three distinct groups and the group with significant weight loss in the past 10 years had the worst survival. Participants with a high BMI and increase in weight in the 10 years before symptom onset also had shorter survival. Certain metabolomics profiles were associated with the BMI trajectories. Replicating these findings in prospective cohorts is warranted.

Indexed as

Amyotrophic Lateral SclerosisBody Mass IndexHumansMetabolomicsPrognosisProspective Studiesamyotrophic lateral sclerosisbody mass indexmetabolismprognosissurvival

Identifiers

PMID36321729
PMCPMC9957813
OpenAlexW4307921448

What OpenQuestion holds

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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.