Evidence map›Paper›PMID 20080853›Full record

ArticleThe Journal of clinical endocrinology and metabolism2010

Visceral fat is a negative predictor of bone density measures in obese adolescent girls.

Melissa Russell, Nara Mendes, Karen K Miller, Clifford J Rosen, Hang Lee, Anne Klibanski, Madhusmita Misra

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00140842 (Neuroendocrine Modulation of Metabolic Effects in Overweight Adolescents), which is not on this map. Cited by 131 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 3 pooled it
20.1field-weighted citation impact, top 1% 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.

NCT00140842 completednot on this map

Neuroendocrine Modulation of Metabolic Effects in Overweight Adolescents

TypeobservationalSponsorMassachusetts General HospitalRan2005 to 2007Enrolled47ConditionsObesity
3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 3 syntheses or guidelines pooled it, 256 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Does Visceral or Subcutaneous Fat Influence Peripheral Cortical Bone Strength During Adolescence? A Longitudinal Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2018
    Trial
  6. Effects of a Randomized Weight Loss Intervention Trial in Obese Adolescents on Tibia and Radius Bone Geometry and Volumetric Density.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2018
    Trial
  7. Trial
  8. Relationship of weight, height, and body mass index with fracture risk at different sites in postmenopausal women: the Global Longitudinal study of Osteoporosis in Women (GLOW).Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2014
    Trial
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  11. Article
  12. Article
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  14. Article
  15. Article
  16. Article
  17. Article
  18. Autophagy: regulating the seesaw of bone-fat balance.Frontiers in cell and developmental biology · 2025
    Review
  19. Article
  20. Fat as a Friend or Foe of the Bone.Current osteoporosis reports · 2024
    Review

71 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Melissa RussellM.P.H., BUL 457, Neuroendocrine Unit, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Nara Mendes
Karen K Miller
Clifford J Rosen
Hang Lee
Anne Klibanski
Madhusmita Misra
Harvard University · USMaine Medical Center Research Institute · USMassachusetts General Hospital · US

Funding

ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
NCRR NIH HHS M01 RR001066NCRR NIH HHS M01-RR-01066NIDDK NIH HHS 5P30DK4620-15NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

contextRegional fat is increasingly recognized as a determinant of bone mineral density (BMD), an association that may be mediated by adipokines, such as adiponectin and leptin, and inflammatory fat products. Chronic inflammation is deleterious to bone, and visceral adipose tissue (VAT) predicts inflammatory markers such as soluble intercellular adhesion molecule-1 and E-selectin, whereas sc adipose tissue (SAT) and VAT predict IL-6 in adolescents.

objectiveOur objective was to determine associations of regional fat mass and adipokines with BMD. We hypothesized that girls with greater VAT relative to SAT would have lower bone density mediated by inflammatory cytokines, adiponectin, and leptin.

designThis was a cross-sectional study.

settingThe study was conducted at a clinical research center. SUBJECTS: SUBJECTS included 30 girls (15 obese, 15 normal weight) 12-18 yr old, matched for maturity (bone age), race, and ethnicity. OUTCOME MEASURES: We assessed regional fat (SAT, VAT) using magnetic resonance imaging, total fat, and BMD using dual-energy x-ray absorptiometry. Fasting leptin, adiponectin, IL-6, soluble intercellular adhesion molecule-1, and E-selectin were obtained.

resultsMean body mass index sd score was 3.7 +/- 1.5 in obese subjects and 0.1 +/- 0.4 kg/m(2) in controls. VAT was a negative predictor of spine BMD and bone mineral apparent density, whole-body BMD and bone mineral content/height in obese girls and whole-body BMD and bone mineral content/height for the group as a whole after controlling for SAT, as was the ratio of VAT to SAT. In a regression model that included VAT/SAT, adipokines, and cytokines, E-selectin and adiponectin were negative predictors of BMD and leptin a positive predictor.

conclusionVAT is an independent inverse determinant of bone density in obesity. This association may be mediated by adipokines and a chronic inflammatory state.

Indexed as

Absorptiometry, PhotonAdiponectinAdolescentAnthropometryBody CompositionBody Mass IndexBone DensityChildCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayE-SelectinFemaleHumansIntra-Abdominal FatLeptinObesityAdiponectinE-SelectinLeptin

Identifiers

PMID20080853
PMCPMC2841531
OpenAlexW1978333707

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.