Evidence map›Paper›PMID 18547426›Full record

Trial reportBMC musculoskeletal disorders2008

Choline-stabilized orthosilicic acid supplementation as an adjunct to calcium/vitamin D3 stimulates markers of bone formation in osteopenic females: a randomized, placebo-controlled trial.

Tim D Spector, Mario R Calomme, Simon H Anderson, Gail Clement, Liisa Bevan, Nathalie Demeester, Rami Swaminathan, Ravin Jugdaohsingh, Dirk A Vanden Berghe, Jonathan J Powell

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. A 70% EthanolMolecules (Basel, Switzerland) · 2024
    Article
  11. Article
  12. Article
  13. Osteoporosis therapies and their mechanisms of action (Review).Experimental and therapeutic medicine · 2021
    Review
  14. Silicon: A neglected micronutrient essential for bone health.Experimental biology and medicine (Maywood, N.J.) · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Ionic Substitutions in Non-Apatitic Calcium Phosphates.International journal of molecular sciences · 2017
    Review
  19. Pigmentation Effect of Rice Bran Extracted Minerals Comprising Soluble Silicic Acids.Evidence-based complementary and alternative medicine : eCAM · 2016
    Article
  20. Review
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

10 authors at 4 institutions in 2 countries.

Tim D SpectorTwin Research and Genetic Epidemiology Unit, St Thomas' Hospital, Kings College, London, UK. tim.spector@kcl.ac.uk
Mario R Calomme
Simon H Anderson
Gail Clement
Liisa Bevan
Nathalie Demeester
Rami Swaminathan
Ravin Jugdaohsingh
Dirk A Vanden Berghe
Jonathan J Powell
King's College London · GBSt Thomas' Hospital · GBUniversity of Antwerp · BEMRC Human Nutrition Research · GB

Funding

Medical Research Council MC_U105960399
6 · The paper itself

Abstract

backgroundMounting evidence supports a physiological role for silicon (Si) as orthosilicic acid (OSA, Si(OH)4) in bone formation. The effect of oral choline-stabilized orthosilicic acid (ch-OSA) on markers of bone turnover and bone mineral density (BMD) was investigated in a double-blind placebo-controlled trial.

methodsOver 12-months, 136 women out of 184 randomized (T-score spine < -1.5) completed the study and received, daily, 1000 mg Ca and 20 microg cholecalciferol (Vit D3) and three different ch-OSA doses (3, 6 and 12 mg Si) or placebo. Bone formation markers in serum and urinary resorption markers were measured at baseline, and after 6 and 12 months. Femoral and lumbar BMD were measured at baseline and after 12 months by DEXA.

resultsOverall, there was a trend for ch-OSA to confer some additional benefit to Ca and Vit D3 treatment, especially for markers of bone formation, but only the marker for type I collagen formation (PINP) was significant at 12 months for the 6 and 12 mg Si dose (vs. placebo) without a clear dose response effect. A trend for a dose-corresponding increase was observed in the bone resorption marker, collagen type I C-terminal telopeptide (CTX-I). Lumbar spine BMD did not change significantly. Post-hoc subgroup analysis (baseline T-score femur < -1) however was significant for the 6 mg dose at the femoral neck (T-test). There were no ch-OSA related adverse events observed and biochemical safety parameters remained within the normal range.

conclusionCombined therapy of ch-OSA and Ca/Vit D3 had a potential beneficial effect on bone collagen compared to Ca/Vit D3 alone which suggests that this treatment is of potential use in osteoporosis. NTR 1029.

Indexed as

AgedBiomarkersBone DensityBone Density Conservation AgentsBone Diseases, MetabolicCalciumCholecalciferolCholineCollagenDrug Therapy, CombinationFemaleHumansMiddle AgedPlacebosPostmenopauseSilicic AcidBiomarkersBone Density Conservation AgentsCalciumCholecalciferolCholineCollagenPlacebosSilicic Acid

Identifiers

PMID18547426
PMCPMC2442067
OpenAlexW2078668272

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.