Evidence map›Paper›PMID 21994958›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2011

Change in undercarboxylated osteocalcin is associated with changes in body weight, fat mass, and adiponectin: parathyroid hormone (1-84) or alendronate therapy in postmenopausal women with osteoporosis (the PaTH study).

Anne L Schafer, Deborah E Sellmeyer, Ann V Schwartz, Clifford J Rosen, Eric Vittinghoff, Lisa Palermo, John P Bilezikian, Dolores M Shoback, Dennis M Black

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
10.2field-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.

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

43 citing papers in PubMed, 105 citations in OpenAlex.

  1. Trial
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  6. The role of bone in whole-body energy metabolism.Nature reviews. Endocrinology · 2025
    Review
  7. Article
  8. Review
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  10. Evidence in Humans for Bone as an Endocrine Organ Regulating Energy Metabolism.Current opinion in endocrine and metabolic research · 2023
    Article
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  16. Observational
  17. Review
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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

9 authors at 5 institutions in 1 country.

Anne L SchaferDepartment of Medicine, University of California, San Francisco, San Francisco, California 94143, USA. anne.schafer@ucsf.edu
Deborah E Sellmeyer
Ann V Schwartz
Clifford J Rosen
Eric Vittinghoff
Lisa Palermo
John P Bilezikian
Dolores M Shoback
Dennis M Black
University of California, San Francisco · USSan Francisco VA Medical Center · USColumbia University · USJohns Hopkins University · USMaine Medical Center Research Institute · US

Funding

NIAMS NIH HHS N01-AR-9-2245
6 · The paper itself

Abstract

contextThe undercarboxylated form of the osteoblast-secreted protein osteocalcin has favorable effects on fat and glucose metabolism in mice. In human subjects, cross-sectional studies suggest a relevant association.

objectiveWe investigated whether changes in undercarboxylated osteocalcin (ucOC) during osteoporosis treatment are associated with changes in metabolic parameters. DESIGN, SETTING, PARTICIPANTS, AND

interventionsWe measured ucOC in sera from a subset of osteoporotic postmenopausal women who were treated with PTH(1-84) or alendronate (n = 64 and n = 33, respectively) during the Parathyroid Hormone and Alendronate study.

main outcome measuresWe measured serum adiponectin, leptin, and insulin and analyzed existing data on body weight, fat mass, and serum glucose concentration. Three-month changes in ucOC levels were evaluated as predictors of 12-month changes in indices of fat and glucose metabolism.

resultsucOC levels increased with PTH(1-84) and decreased with alendronate administration (P ≤ 0.01 for both treatment groups). Three-month change in ucOC was inversely associated with 12-month changes in body weight (standardized β = -0.25, P = 0.04) and fat mass (β = -0.23, P = 0.06), after adjustment for the treatment group. Three-month change in ucOC was positively associated with a 12-month change in adiponectin (β = 0.30, P = 0.01), independent of change in fat mass. There were no interactions between treatment and change in ucOC on changes in weight, fat mass, or adiponectin.

conclusionsPTH(1-84) increases and alendronate decreases ucOC levels. Changes in ucOC induced by PTH(1-84) and alendronate are associated with changes in metabolic indices. These associations are consistent with observations from animal models and support a role for ucOC in the skeletal regulation of energy metabolism in humans.

Indexed as

AdiponectinAdiposityAgedAged, 80 and overAlendronateBody WeightBone DensityBone Density Conservation AgentsDouble-Blind MethodFemaleHumansMiddle AgedOsteocalcinOsteoporosis, PostmenopausalParathyroid HormoneAdiponectinAlendronateBone Density Conservation AgentsOsteocalcinParathyroid Hormone

Identifiers

PMID21994958
PMCPMC3232610
OpenAlexW2003401249

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.