The DOI matches its Crossref record; 23 of the 25 references it cites were found in a registry or an index.
Obesity in Patients with Craniopharyngioma: Assessment of Food Intake and Movement Counts Indicating Physical Activity
Abstract
Patients with childhood-onset craniopharyngioma (CP) often suffer from obesity. We evaluated two important etiological factors of obesity development, energy intake and physical activity. Energy intake was supposed to be high due to a disturbed hypothalamic regulation of appetite. We used a validated nutritional diary to determine the 1-wk food intake in 27 CP patients (12 with intrasellar tumors and 15 with hypothalamic tumors) and 1027 controls who were a representative sample of the 7- to 16-yr-old German population. In 2 accelerometry settings, we determined movement counts indicating physical activity. Nineteen CP patients were comparable to 26 controls for age and body mass index. One setting was a clinical one during weight reduction; the other was an out-patient setting. Daily energy intake was 1916 +/- 677 kcal (mean +/- SD) in intrasellar CP patients, 2075 +/- 877 kcal in hypothalamic CP patients, and 2476 +/- 815 kcal in non-CP controls. Patients suffering from CP showed fewer movement registrations [clinical setting, 228 vs. 298 cpm for obese controls (P = 0.01); out-patient setting, 228 vs. 282 cpm for controls (P = 0.08)]. Differences were most pronounced during leisure time (382 cpm in CP patients vs. 546 cpm in obese controls; P = 0.002; clinical setting). Our findings suggest that reduced physical activity, rather than increased energy intake, in CP patients is responsible for the obesity development noted in these subjects.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“others will gain weight even in the absence of changes in eating”
From Approach to the patient with acquired hypothalamic syndrome (2026) · cites this paper as [35]
In the citing paper
“Although some patients with hypothalamic obesity will endorse hyperphagia”
From Approach to the patient with acquired hypothalamic syndrome (2026) · cites this paper as [35]
In the citing paper
“a phenomenon attributable to a substantial decrease in metabolic rate (35)”
From Approach to the patient with acquired hypothalamic syndrome (2026) · cites this paper as [35]
In the citing paper
“Autonomic impairment may contribute to the fatigue, exercise intolerance, and decreased voluntary physical activity reported by many individuals with hypothalamic syndrome (35, 59, 60).”
From Approach to the patient with acquired hypothalamic syndrome (2026) · cites this paper as [35]
Citations
Cites
Body Mass Index variations: centiles from birth to 87 years.
Rolland‐Cachera, M., Cole, T. J., Sempe, M., Tichet, J., Rossignol, C., & Charraud, A.-M. (1991) · PubMed · Cited by 1,127
The descriptive epidemiology of craniopharyngioma.
Bunin, G., Surawicz, T., Witman, P., Preston-Martin, S., Davis, F., & Bruner, J. (1998) · Neurosurgical Focus · doi:10.3171/jns.1998.89.4.0547 · Cited by 621
The hypothalamus and the control of energy homeostasis
Williams, G., Bing, C., Cai, X., Harrold, J. A., King, P., & Liu, X. H. (2001) · Physiology & Behavior · doi:10.1016/s0031-9384(01)00612-6 · Cited by 573
Physical activity assessment with accelerometers
Westerterp, K. R. (1999) · International Journal of Obesity · doi:10.1038/sj.ijo.0800883 · Cited by 290
Müller, H., Bueb, K., Bartels, U., Roth, C., Harz, K., Graf, N., Korinthenberg, R., Bettendorf, M., Kühl, J., Gutjahr, P., et al. (2001) · Klinische Pädiatrie · doi:10.1055/s-2001-16855 · Cited by 273
Self-citationMelatonin secretion and increased daytime sleepiness in childhood craniopharyngioma patients.
Müller, H., Handwerker, G., Wollny, B., Faldum, A., & Sörensen, N. (2002) · Journal of Clinical Endocrinology and Metabolism · doi:10.1210/jcem.87.8.8751 · Cited by 189
Self-citationThe alphabet of weight control.
Friedman, J. M. (1997) · Nature · doi:10.1038/385119a0 · Cited by 180
Bray, G. A., Inoue, S., & Nishizawà, Y. (1981) · Diabetologia · doi:10.1007/bf00254505 · Cited by 170
Roth, C., Wilken, B., Hanefeld, F. A., Schröter, W., & Leonhardt, U. (1998) · European Journal of Endocrinology · doi:10.1530/eje.0.1380089 · Cited by 160
Self-citationSCHONFELD-WARDEN, N. A., & Warden, C. H. (1997) · Pediatric Clinics of North America · doi:10.1016/s0031-3955(05)70480-6 · Cited by 154
Brain Pathways Controlling Food Intake and Body Weight
Schwartz, M. W. (2001) · Experimental Biology and Medicine · doi:10.1177/153537020122601103 · Cited by 135
Mason, P., Krawiecki, N., & Meacham, L. (2002) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.156.9.887 · Cited by 134
Bucher, H. U., Zapf, J., Torresani, T., Prader, A., Froesch, E. R., & ILLIG, R. (1983) · New England Journal of Medicine · doi:10.1056/nejm198311103091902 · Cited by 121
Direct evidence for tonic sympathetic support of resting metabolic rate in healthy adult humans
Monroe, M. B., Seals, D. R., Manning, L. S., Bell, C., Johnson, D., & Jones, P. P. (2001) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.2001.280.5.e740 · Cited by 95
Hypothalamic Obesity: The Sixth Cranial Endocrinopathy
Lustig, R. H. (2002) · The Endocrinologist · doi:10.1097/00019616-200205000-00008 · Cited by 81
Phillip, M., Moran, O., & Lazar, L. (1986) · Trends in Pharmacological Sciences · doi:10.1016/0165-6147(86)90270-1 · Cited by 73
How the brain regulates food intake and body weight: the role of leptin.
Baskin, D. G., Blevins, J. E., & Schwartz, M. W. (2001) · PubMed · Cited by 56
Bénéfice, E., & Cames, C. (1999) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600826 · Cited by 56
Sympathoadrenal Counterregulation in Patients with Hypothalamic Craniopharyngioma
Schöfl, C., Schleth, A., Berger, D., Terkamp, C., Mühlen, A. V. Z., & Brabant, G. E. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.2.8193 · Cited by 47
Signalling in body-weight homeostasis: neuroendocrine efferent signals
Webber, J., & Macdonald, I. A. (2000) · Proceedings of The Nutrition Society · doi:10.1017/s0029665100000446 · Cited by 27
A Novel Tool to Quantify Physical Activities
Tulen, J. H. M., Bussmann, H., van Steenis, H. G., Pepplinkhuizen, L., & Veld, A. J. M. ʼ. (1997) · Journal of Clinical Psychopharmacology · doi:10.1097/00004714-199706000-00011 · Cited by 25
Myokarditis im Kindesalter - Forschungsergebnisse einer Dekade
SCHMALTZ, A. A., & Kandolf, R. (2001) · Klinische Pädiatrie · doi:10.1055/s-2001-11264 · Cited by 8
[Determinants and control of energy expenditure].
Ravussin, É., & Gautier, J. F. (2002) · PubMed · Cited by 8
Flagged first, then by citations
2 of the 25 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Karavitaki, N., Cudlip, S., Adams, C. B. T., & Wass, J. A. H. (2006) · Endocrine Reviews · doi:10.1210/er.2006-0002 · Cited by 514
Müller, H. (2014) · Endocrine reviews · doi:10.1210/er.2013-1115 · Cited by 233
Self-citationMortality in Patients with Pituitary Disease
Sherlock, M., Ayuk, J., Tomlinson, J. W., Toogood, A. A., Aragon-Alonso, A., Sheppard, M. C., Bates, A. S., & Stewart, P. M. (2010) · Endocrine Reviews · doi:10.1210/er.2009-0033 · Cited by 392
Muller, H. L., Gebhardt, U., Teske, C., Faldum, A., Zwiener, I., Warmuth‐Metz, M., Pietsch, T., Pöhl, F., Sørensen, N. S., & Calaminus, G. (2011) · European Journal of Endocrinology · doi:10.1530/eje-11-0158 · Cited by 303
Self-citationMüller, H., Emser, A., Faldum, A., Bruhnken, G., Etavard-Gorris, N., Gebhardt, U., Oeverink, R., Kolb, R., & Sörensen, N. (2004) · Journal of Clinical Endocrinology and Metabolism · doi:10.1210/jc.2003-031751 · Cited by 279
Self-citation
Metadata
- Authors
- Harz, K. J., Müller, H. L., Waldeck, E., Pudel, V., & Roth, C.
- Affiliations
- University Hospital Bonn (DE)
- Department of Pediatrics, Hospital of Oldenburg (H.L.M.), 26133 Oldenburg, Germany
- Berufsgenossenschaftliche Unfallklinik Murnau (DE)
- University of Göttingen (DE)
- ORCID
- Roth, Christian
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2003-11-01
- Volume
- 88
- Issue
- 11
- Pages
- 5227-5231
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W1998361862
- Cited by
- 214
- References
- 25
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 7 · 2023: 8 · 2022: 11 · 2021: 10 · 2020: 4 · 2019: 9 · 2018: 5 · 2017: 13 · 2016: 9 · 2015: 11 · 2014: 9 · 2013: 8 · 2012: 11
- FWCI
- 4.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- GRO (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- craniopharyngioma, childhood obesity, energy intake, physical activity, hypothalamic tumors, intrasellar tumor, accelerometry, appetite regulation, weight loss
- MeSH terms
- Adolescent, Adult, Child, Craniopharyngioma, Dietary Carbohydrates, Dietary Fats, Dietary Proteins, Eating, Female, Humans, Male, Motor Activity, Movement, Obesity, Morbid, Pituitary Neoplasms, Retrospective Studies, Diet Records
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review