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Long-term nutritional and gastrointestinal aspects in patients with ataxia telangiectasia

Overview of attention for article published in Nutrition, August 2017
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Title
Long-term nutritional and gastrointestinal aspects in patients with ataxia telangiectasia
Published in
Nutrition, August 2017
DOI 10.1016/j.nut.2017.08.008
Pubmed ID
Authors

Alexander Krauthammer, Avishay Lahad, Yifat Sarouk, Raz Somech, Andreea Nissenkorn, Dalit Modan-Moses, Hila Levi-Kidron, Tal Sadeh-Kon, Batia Weiss

Abstract

Ataxia telangiectasia (A-T) is a rare genetic disease involving multiple organs, but, to our knowledge, data on long-term gastrointestinal and nutritional involvement are scarce. The aim of this study was to longitudinally review the nutritional and gastrointestinal aspects of A-T. This was a retrospective chart review of patients followed from 1986 to 2015 at one center. Demographic, laboratory, and nutritional data were retrieved. Body mass index (BMI) values were converted to BMI Z-score (BMI-Z). Caloric intake was estimated by food diaries and compared with estimated energy requirements for sex and age with a physical activity level factor for light physical activity. The study included 53 patients (28 males [53%], ages 14.6 ± 5.2 y). BMI-Z was inversely correlated with age (r = 0.48; P < 0.004). A decline below minimal BMI percentiles was observed after the age of 4 y in boys and 7 y in girls. The relative percentage of caloric intake decreased with age (r = -0.5; P < 0.002), and was positively correlated with BMI-Z (r = 0.35; P < 0.05). Presence of cough during meals was associated with recurrent lower respiratory tract infections (Fisher exact test, P < 0.01). Gastrostomy tubes were inserted in 12 patients, leading to improvement in BMI-Z from -5.1 ± 2.4 to -4 ± 2.9 (P < 0.05). There is a progressive growth failure and low nutritional intake with age in patients with A-T, starting in early childhood in males, and more prominent in patients with cough and choking during meals. A proactive approach and insertion of a percutaneous gastrostomy tube as soon as the BMI-Z starts to decrease should be considered.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 42 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 42 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 12%
Researcher 3 7%
Student > Ph. D. Student 3 7%
Other 2 5%
Student > Bachelor 2 5%
Other 4 10%
Unknown 23 55%
Readers by discipline Count As %
Medicine and Dentistry 10 24%
Nursing and Health Professions 3 7%
Sports and Recreations 2 5%
Social Sciences 2 5%
Immunology and Microbiology 1 2%
Other 3 7%
Unknown 21 50%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 October 2018.
All research outputs
#17,292,294
of 25,382,440 outputs
Outputs from Nutrition
#2,271
of 3,246 outputs
Outputs of similar age
#208,241
of 324,941 outputs
Outputs of similar age from Nutrition
#31
of 41 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,246 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.2. This one is in the 23rd percentile – i.e., 23% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 324,941 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 41 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.