Evidence map›Paper›PMID 19321570›Full record

Trial reportThe American journal of clinical nutrition2009

Dehydroepiandrosterone replacement therapy in older adults: 1- and 2-y effects on bone.

Edward P Weiss, Krupa Shah, Luigi Fontana, Charles P Lambert, John O Holloszy, Dennis T Villareal

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00182975 (Is DHEA Replacement Beneficial?), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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.

NCT00182975 phase3completednot on this map

Is DHEA Replacement Beneficial?

TypeinterventionalSponsorNational Institute on Aging (NIA)Ran2002 to 2007Enrolled142ConditionsAgingArmsDHEA replacement
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. The historical context and scientific legacy of John O. Holloszy.Journal of applied physiology (Bethesda, Md. : 1985) · 2019
    Review
  10. Article
  11. Sex steroid actions in male bone.Endocrine reviews · 2014
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Serum insulin-like growth factor-I is a marker for assessing the severity of vertebral fractures in postmenopausal women with type 2 diabetes mellitus.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011
    Article
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

6 authors at 1 institution in 3 countries.

Edward P WeissDivision of Geriatrics and Nutritional Sciences, Department of Internal Medicine, Washington University School of Medicine, St Louis, MO, USA. eweiss4@slu.edu
Krupa Shah
Luigi Fontana
Charles P Lambert
John O Holloszy
Dennis T Villareal
Washington University in St. Louis · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
Is DHEA Replacement Therapy Beneficial?R01AG020076 · NIA · WASHINGTON UNIVERSITY · PI HOLLOSZY, JOHN O. · 2002 to 2007
$2.6M
NCRR NIH HHS RR00036NIA NIH HHS AG00078NIA NIH HHS AG020076NIDDK NIH HHS DK56341NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

backgroundAge-related reductions in serum dehydroepiandrosterone (DHEA) concentrations may be involved in bone mineral density (BMD) losses.

objectiveThe objective was to determine whether DHEA supplementation in older adults improves BMD when co-administered with vitamin D and calcium.

designIn year 1, a randomized trial was conducted in which men (n = 55) and women (n = 58) aged 65-75 y took 50 mg/d oral DHEA supplements or placebo. In year 2, all participants took open-label DHEA (50 mg/d). During both years, all participants received vitamin D (16 microg/d) and calcium (700 mg/d) supplements. BMD was measured by using dual-energy X-ray absorptiometry. Concentrations of hormones and bone turnover markers were measured in serum.

resultsIn men, no difference between groups occurred in any BMD measures or in bone turnover markers during year 1 or year 2. The free testosterone index and estradiol increased in the DHEA group only. In women, spine BMD increased by 1.7 +/- 0.6% (P = 0.0003) during year 1 and by 3.6 +/- 0.7% after 2 y of supplementation in the DHEA group; however, in the placebo group, spine BMD was unchanged during year 1 but increased to 2.6 +/- 0.9% above baseline during year 2 after the crossover to DHEA. Hip BMD did not change. Testosterone, estradiol, and insulin-like growth factor 1 increased in the DHEA group only. In both groups, serum concentrations of bone turnover markers decreased during year 1 and remained low during year 2, but did not differ between groups.

conclusionDHEA supplementation in older women, but not in men, improves spine BMD when co-administered with vitamin D and calcium. This trial was registered at clinicaltrials.gov as NCT00182975.

Indexed as

Absorptiometry, PhotonAgedAlcohol DrinkingBody Mass IndexBone DensityCalciumDehydroepiandrosteroneDietFemaleHormone Replacement TherapyHumansInsulin-Like Growth Factor Binding Protein 3Insulin-Like Growth Factor IMalePatient SelectionPlacebosCalciumDehydroepiandrosteroneInsulin-Like Growth Factor Binding Protein 3Insulin-Like Growth Factor IPlacebosVitamin D

Identifiers

PMID19321570
PMCPMC2677000
OpenAlexW2158528045

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.