Evidence map›Paper›PMID 21159838›Full record

SynthesisThe Journal of clinical endocrinology and metabolism2011

Relationship between vitamin D, parathyroid hormone, and bone health.

A J Sai, R W Walters, X Fang, J C Gallagher

Abstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of clinical endocrinology and metabolism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Cut-points for associations between vitamin D status and multiple musculoskeletal outcomes in middle-aged women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Effects of vitamin D supplementation in older African American women.The Journal of clinical endocrinology and metabolism · 2013
    Trial
  10. Can one or two high doses of oral vitamin D3 correct insufficiency in a non-supplemented rheumatologic population?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
    Trial
  11. Trial
  12. The effect of vitamin D on calcium absorption in older women.The Journal of clinical endocrinology and metabolism · 2012
    Trial
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Observational
  20. Article

57 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

4 authors.

A J SaiBone Metabolism Unit, Department of Medicine, Creighton University Medical Center, 601 North 30 Street, Suite 6718, Omaha, Nebraska 68131, USA. adarshsai@creighton.edu
R W Walters
X Fang
J C Gallagher

Funding

Determination of RDA for Vitamin D in Caucasian and African American WomenR01AG028168 · NIA · CREIGHTON UNIVERSITY · PI GALLAGHER, JOHN CHRISTOPHER · 2006 to 2009
$1.9M
PATHOPHYSIOLOGY OF SENILE TYPE 11 OSTEOPOROSISR01AG010358 · NIA · CREIGHTON UNIVERSITY · PI GALLAGHER, JOHN CHRISTOPHER · 1991 to 1995
–
TREATMENT FOR OSTEOPOROSIS OF THE HIP-SUPPLEMENT AG10373U01AG010373 · NIA · CREIGHTON UNIVERSITY · PI GALLAGHER, JOHN CHRISTOPHER · 1991 to 1998
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NIA NIH HHS AG28168NIA NIH HHS R01 AG028168NIA NIH HHS R01-AG10358NIA NIH HHS UO1-AG10373
6 · The paper itself

Abstract

contextThere is a controversy regarding the definition of vitamin D insufficiency as it relates to bone health.

objectiveThe objective of the study was to examine the evidence for a threshold value of serum 25-hydroxyvitamin D (25OHD) that defines vitamin D insufficiency as it relates to bone health. DESIGN AND

participantsThis was a cross-sectional analysis of baseline data in 488 elderly Caucasian women, mean age 71 yr, combined with a literature review of 70 studies on the relationship of serum PTH to serum 25OHD.

settingThe study was conducted in independent-living women in the midwest United States.

main outcome measureThe relationship between serum 25OHD, serum PTH, and serum osteocalcin and 24-h urine N-telopeptides was evaluated.

resultsSerum PTH was inversely correlated with serum 25OHD (r = -0.256, P < 0.0005), but no threshold as defined by suppression of serum PTH was found within the serum 25OHD range 6-60 ng/ml (15-150 nmol/liter). However, in contrast, there was a threshold for bone markers, serum osteocalcin and urine N-telopeptides, that increased only below a serum 25OHD of approximately 18 ng/ml (45 nmol/liter). Calcium absorption was not correlated with serum PTH and serum 25OHD, and no threshold was found. A literature review of 70 studies generally showed a threshold for serum PTH with increasing serum 25OHD, but there was no consistency in the threshold level of serum 25OHD that varied from 10 to 50 ng/ml (25-125 nmol/liter).

conclusionsVitamin D insufficiency should be defined as serum 25OHD less than 20 ng/ml (50 nmol/liter) as it relates to bone.

Indexed as

AgedAgingBiomarkersBone and BonesCalciumCross-Sectional StudiesFemaleGeographyHealthHumansHydroxycholecalciferolsLinear ModelsMaleNutritional StatusOsteocalcinParathyroid HormoneBiomarkersCalciumHydroxycholecalciferolsOsteocalcinParathyroid HormoneVitamin D

Identifiers

PMID21159838
PMCPMC3047227

What OpenQuestion holds

Textmetadata
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.