Evidence map›Paper›PMID 18607670›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2009

Changes in soft tissue composition are the primary predictors of 4-year bone mineral density changes in postmenopausal women.

L A Milliken, E Cussler, R A Zeller, J-E Choi, L Metcalfe, S B Going, T G Lohman

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Article
4 · The record

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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

7 authors.

L A MillikenDepartment of Exercise and Health Sciences, University of Massachusetts Boston, MA 02125, USA. laurie.milliken@umb.edu
E Cussler
R A Zeller
J-E Choi
L Metcalfe
S B Going
T G Lohman

Funding

EXERCISE, BONE MINERAL AND BLOOD LIPIDS IN WOMENR01AR039559 · NIAMS · UNIVERSITY OF ARIZONA · PI LOHMAN, TIMOTHY G · 1989 to 2000
$580k
Factors Affecting the Bone Response and Non-ResponseR55AR047932 · NIAMS · UNIVERSITY OF MASSACHUSETTS BOSTON · PI MILLIKEN, LAURA A · 2003 to 2003
$100k
NIAMS NIH HHS AR047932NIAMS NIH HHS AR39559
6 · The paper itself

Abstract

unlabelledChanges in body weight influence bone mineral density, but the role of body composition is not clear in postmenopausal women. Body weight and soft tissue composition predicted bone changes independent of calcium supplementation and exercise frequency, indicating that soft tissue composition should be measured in clinical trials.

introductionThe purpose of this study was to examine the relationship between changes in body weight and composition and changes in 4-year bone mineral density (BMD) after accounting for age, 4-year exercise frequency (EX), and 4-year calcium supplement intake (CA) in postmenopausal women with and without hormone therapy (HT).

methodsPostmenopausal women (aged 40-65 years) either using HT (for 1-3.9 years) or not using HT (for > or =1 year) were recruited to the study. EX and CA was monitored throughout the study and 167 women completed 4 years. BMD and soft tissue composition measurements were made using dual-energy X-ray absorptiometry. Regression was used to predict 4-year BMD changes from EX, CA, age, baseline and 4-year changes in body weight and composition. HT users (n = 115, 55.3 +/- 4.3 years) and non-users (n = 52, 57.5 +/- 4.7 years) were analyzed separately.

resultsThe models predicting regional BMD changes that included soft tissue composition changes explained the most variation compared with those with body weight or EX and CA alone. Larger amounts of variation in BMD changes were explained in the no HT group.

conclusionBody composition changes are important positive predictors of BMD changes independent of EX and CA supplementation, but their contribution varies according to bone site and with HT use.

Indexed as

Body CompositionBone DensityAbsorptiometry, PhotonBody Mass IndexBody WeightCalcium, DietaryCase-Control StudiesDietary SupplementsEstrogen Replacement TherapyExercise TherapyFemaleFemurFemur NeckFollow-Up StudiesHumansLumbar VertebraeCalcium, Dietary

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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.