Evidence map›Paper›PMID 20004271›Full record

ArticleContraception2010

Oral contraceptive use and bone density in adolescent and young adult women.

Delia Scholes, Laura Ichikawa, Andrea Z LaCroix, Leslie Spangler, Jeannette M Beasley, Susan Reed, Susan M Ott

Abstract read
In one paragraph

Article in Contraception, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 70 citations in OpenAlex.

  1. Effects of Estrogen Replacement on Bone Geometry and Microarchitecture in Adolescent and Young Adult Oligoamenorrheic Athletes: A Randomized Trial.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020
    Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Primary Ovarian Insufficiency, Bone Health, and Other Outcomes in Adolescents.Obstetrics and gynecology clinics of North America · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Premenopausal Osteoporosis.Endocrinology and metabolism clinics of North America · 2017
    Review
  11. Article
  12. Article
  13. Article
  14. Diminished bone strength is observed in adult women and men who sustained a mild trauma distal forearm fracture during childhood.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2014
    Article
  15. Article
  16. The female athlete triad.Sports health · 2012
    Article
  17. Article
  18. Update on hormonal contraception and bone density.Reviews in endocrine & metabolic disorders · 2011
    Review
  19. Article
  20. Oral contraceptive use and bone.Current osteoporosis reports · 2011
    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

7 authors at 4 institutions in 1 country.

Delia ScholesGroup Health Center for Health Studies, Group Health Cooperative, Seattle, WA 98101, USA. scholes.d@ghc.org
Laura Ichikawa
Andrea Z LaCroix
Leslie Spangler
Jeannette M Beasley
Susan Reed
Susan M Ott
Health Center · USUniversity of Washington · USCancer Research Center · USGroup Health Cooperative · US

Funding

Oral Contraceptive Use and Bone Density in Young WomenR01HD031165 · NICHD · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI SCHOLES, DELIA · 1994 to 2008
$3.9M
Health Care Improvement for Aging WomenT32AG027677 · NIA · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI LACROIX, ANDREA Z. · 2007 to 2016
$1.4M
NIA NIH HHS T-32 AG027677NIA NIH HHS T32 AG027677NICHD NIH HHS 1R01-HD31165-11NICHD NIH HHS R01 HD031165
6 · The paper itself

Abstract

backgroundMost of the millions of oral contraceptive (OC) users are under 30 years of age and in the critical period for bone mass accrual. STUDY

designThis cross-sectional study of 606 women aged 14-30 years examined both OC duration and estrogen dose and their association with bone mineral density (BMD) at the hip, spine, and whole body (dual-energy X-ray absorptiometry).

resultsOf 389 OC users and 217 nonusers enrolled, 50% were adolescents (14-18 years). Of OC users, 38% used "low-dose" OCs [<30 mcg ethinyl estradiol (EE)]. In adolescents, mean BMD differed by neither OC duration nor EE dose. However, 19- to 30-year-old women's mean BMD was lower with longer OC use for spine and whole body (p=.004 and p=.02, respectively) and lowest for >12 months of low-dose OCs for the hip, spine and whole body (p=.02, .003 and .002, respectively).

conclusionsProlonged use of today's OCs, particularly <30 mcg EE, may adversely impact young adult women's bone density while using these agents.

Indexed as

HipAbsorptiometry, PhotonAdolescentAdultBone DensityContraceptives, OralCross-Sectional StudiesDose-Response Relationship, DrugFemaleHumansRegression AnalysisSpineContraceptives, Oral

Identifiers

PMID20004271
PMCPMC2822656
OpenAlexW1977691394

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.