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Nat Rev Neurology engagement report

@NatRevNeurol - 47K followers on X

Measured over 34 original posts from a 30-day window, last computed on October 24, 2026.

Engagement

Bottom quarter for its size
Per follower
0.045%
of 47K followers
Per impression
1.30%
1.7K views on a typical post
Reach
3.50%
of its followers see a post
Typical post
22
interactions (median)
Saved
0.363%
6 bookmarks on a typical post
Posting rate
1.57/day
active 57% of days
Peak time
12:00 UTC
Thursday

A typical post picks up 22 interactions against 47K followers, an engagement rate of 0.045%. Measured over 34 original posts, its engagement rate beats 24% of 21,185 tracked accounts of a similar size. That is a reason to look at how the audience behaves - reply depth, saves, whether the followers are recent - rather than a conclusion about it on its own. Posts are seen about 1.7K times each, and 1.30% of those impressions turn into an interaction. That is about 3.50% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.6 posts a day over the last 30 days, with activity on roughly 57% of days. Most posts go out around 12:00 UTC, and Thursday is the busiest day of the week. Of the 34 posts sampled, 26% carry an image or video and 82% link out. The account's strongest tracked post pulled 163 interactions, about 7.4x its own typical post.

Measured over 34 original posts from a 30-day window, last computed on October 24, 2026. Recurring tag: #seta.

Compared with accounts its own size

Nat Rev Neurology's engagement rate beats 24% of the tracked X accounts closest to it in follower count (21,185 accounts, accounts of similar size (decile 4 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.

On engagement per impression rather than per follower it beats 38% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.

Where this sits in the catalog

At 0.045%, Nat Rev Neurology sits above the 25th percentile of the 212,925 accounts in this comparison. That places it in the below the median band, which runs 0.025% to 0.146%.

p100.004%
p250.025%
p50 (median)0.146%
p750.698%
p902.61%
p9983.0%
Engagement rate as a share of followers, across the 212,925 accounts we have scanned enough to measure. The axis is logarithmic, because the top and bottom of this population are about 22,436 times apart and a linear axis would flatten everything below the median into a single point.
Show the percentile table
Engagement rate percentiles
PercentileEngagement rate
10th percentile0.004%
25th percentile0.025%
50th percentile0.146%
75th percentile0.698%
90th percentile2.61%
99th percentile83.0%

This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built

Posting timing

This account posts most often around 12:00 UTC, and Thursday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.

Engagement by hour posted, UTCTwenty-four bars, one per UTC hour. Each bar shows how posts published in that hour compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest hour: 12:00 UTC.
0003060912151821
Above the authors' own mediansBelowScale: plus or minus 111%Busiest hour: 12:00 UTC
Show engagement by hour posted, utc as a table
Engagement by hour posted, UTC
Hour (UTC)Vs author medianPosts
00:00 UTC-1%89K
01:00 UTC-2%90K
02:00 UTC-3%88K
03:00 UTC-4%94K
04:00 UTC-5%76K
05:00 UTC-4%75K
06:00 UTC-5%86K
07:00 UTC-5%93K
08:00 UTC-4%108K
09:00 UTC-4%124K
10:00 UTC-3%129K
11:00 UTC-3%141K
12:00 UTC-3%154K
13:00 UTC-3%167K
14:00 UTC-4%173K
15:00 UTC-2%176K
16:00 UTC-3%171K
17:00 UTC-3%159K
18:00 UTC-2%149K
19:00 UTC-2%141K
20:00 UTC-1%131K
21:00 UTC0%116K
22:00 UTC-2%100K
23:00 UTC-1%90K
Engagement by day of weekSeven bars, one per weekday, Sunday first. Each bar shows how posts published on that day compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest day: Thursday.
SunMonTueWedThuFriSat
Above the authors' own mediansBelowScale: plus or minus 111%Busiest day: Thursday
Show engagement by day of week as a table
Engagement by day of week
DayVs author medianPosts
Sunday+5%393K
Monday+1%483K
Tuesday-2%520K
Wednesday-3%472K
Thursday-2%430K
Friday-3%447K
Saturday+2%393K
See what moves engagement across the whole catalogWhat counts as a good engagement rate at this size

Formats this account uses

Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.

This account's posting mix compared with catalog-wide effects
FormatThis accountCatalog effect95% intervalAccounts behind it
Image or video26% of posts+111%+108% to +115%34K
Outbound link82% of posts-41%-42% to -40%32K
Typical length--3%-3% to -2%54K
  • 26% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
  • 82% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts, so a large share of this account's output sits in the weakest bucket we measure.
  • Its average post runs 138 characters, which falls in the 80 - 180 characters band. Across the catalog, posts of 80 to 180 characters run 3% below the same accounts' other posts.

These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.

Best tweets

  • Sep 28, 20267.4x their median

    New online! Use of MRI in neuromyelitis optica spectrum disorder and myelin oligodendrocyte glycoprotein antibody-associated disease — MAGNIMS consensus recommendations https://t.co/2YkWgnCdJY https://t.co/ABpj2A4G4D

    11943106.6K viewsView on X
  • Sep 24, 20265.0x their median

    Single-cell atlas of transcriptomic vulnerability across brain disorders https://t.co/RHLBW0vBMU

    8325204.6K viewsView on X
  • Sep 24, 20264.3x their median

    Single-nucleus atlas of cell-type specific genetic regulation in the human brain https://t.co/tFfFRKp7dZ

    7718005.6K viewsView on X
  • Sep 29, 20264.2x their median

    Our featured article for October is a Review by @EvaFeldmanMDPhD and colleagues on the effects of obesity on brain health and cognition. Read it for free here: https://t.co/SlP4Z8ll2V https://t.co/kCzrbfPSUA

    6724013.3K viewsView on X
  • Oct 6, 20263.4x their median

    New online! A roadmap towards clinical use of molecular biomarkers in acute ischaemic stroke dlvr.​it/TVpFF0 https://t.co/MEsz5rXM1q

    5718003.3K viewsView on X
  • Oct 6, 20263.3x their median

    Blood–brain barrier opening with focused ultrasound reduces neuromelanin in a non-human primate model https://t.co/VOZiF3NAQI

    5616003.2K viewsView on X
  • Oct 12, 20262.1x their median

    ADHD and Late-Life Cognitive Impairment https://t.co/QihZl2e0vy

    3212203.6K viewsView on X
  • Sep 24, 20262.0x their median

    Lifespan single-cell transcriptomic atlas of the human prefrontal cortex https://t.co/Ue529Gfrly

    377103.1K viewsView on X
  • Oct 13, 20261.9x their median

    Brain DNA methylation, APOE genotype and Alzheimer’s disease neuropathology in a large postmortem cohort https://t.co/VEQNz2Iv6b

    338002.7K viewsView on X
  • Oct 22, 20261.6x their median

    Tau isoform mapping across tissues and biofluids reveals a signature distinguishing Alzheimer’s disease from amyotrophic lateral sclerosis https://t.co/YtzSiEEBbs

    287011.7K viewsView on X

Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.

Recurring topics

#seta

The most frequent hashtags in the sampled posts. They describe what this account writes about; they are not a performance signal, and the catalog-wide breakdown on the hub shows how little hashtag count moves.

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Reading these numbers

A typical post picks up 22 interactions against 47K followers, an engagement rate of 0.045%. Measured over 34 original posts, its engagement rate beats 24% of 21,185 tracked accounts of a similar size. That is a reason to look at how the audience behaves - reply depth, saves, whether the followers are recent - rather than a conclusion about it on its own. Posts are seen about 1.7K times each, and 1.30% of those impressions turn into an interaction. That is about 3.50% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.6 posts a day over the last 30 days, with activity on roughly 57% of days. Most posts go out around 12:00 UTC, and Thursday is the busiest day of the week. Of the 34 posts sampled, 26% carry an image or video and 82% link out. The account's strongest tracked post pulled 163 interactions, about 7.4x its own typical post.

What is Nat Rev Neurology's engagement rate on X?
Nat Rev Neurology (@NatRevNeurol) has an engagement rate of 0.045%, based on the median interactions across 34 original posts from the last 30 days against 47,239 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
Is that a good engagement rate?
At 0.045%, Nat Rev Neurology sits above the 25th percentile of the 212,925 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
Does @NatRevNeurol have real engagement?
Its engagement rate beats 24% of the tracked X accounts closest to it in follower count (21,185 accounts), which puts it in the bottom quarter for its size group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
When does @NatRevNeurol post?
Most posts go out around 12:00 UTC, and Thursday is its busiest day, at roughly 1.57 posts per day across the measured window.

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