Evidence map›Paper›PMID 23873741›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2014

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).

Juliet E Compston, Julie Flahive, David W Hosmer, Nelson B Watts, Ethel S Siris, Stuart Silverman, Kenneth G Saag, Christian Roux, Maurizio Rossini, Johannes Pfeilschifter and 15 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 4 pooled it
15.3field-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

133 citing papers in PubMed, 4 syntheses or guidelines pooled it, 264 citations in OpenAlex.

  1. Body mass index and subsequent fracture risk: a meta-analysis to update FRAX.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Pooled it
  2. Pooled it
  3. A meta-analysis of the association between body mass index and risk of vertebral fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Increase in Fracture Risk Following Unintentional Weight Loss in Postmenopausal Women: The Global Longitudinal Study of Osteoporosis in Women.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Trial
  9. Relationship of Height to Site-Specific Fracture Risk in Postmenopausal Women.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Trial
  10. Vertebral Strength and Estimated Fracture Risk Across the BMI Spectrum in Women.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Trial
  11. Pleiotropic effects of obesity on fracture risk: the Study of Women's Health Across the Nation.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2014
    Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Global trends in burden of fractures, low bone mineral density, and high body mass index from 1990 to 2021, an age-period-cohort analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  18. Association between obesity and the prevalence of fractures: a population-based cross-sectional study in China.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  19. Article
  20. Article

73 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

25 authors at 20 institutions in 11 countries.

Juliet E CompstonCambridge University Hospitals National Health Service (NHS) Foundation Trust, Cambridge, UK.
Julie Flahive
David W Hosmer
Nelson B Watts
Ethel S Siris
Stuart Silverman
Kenneth G Saag
Christian Roux
Maurizio Rossini
Johannes Pfeilschifter
Jeri W Nieves
J Coen Netelenbos
Lyn March
Andrea Z LaCroix
Frederick H Hooven
Susan L Greenspan
Stephen H Gehlbach
Adolfo Díez-Pérez
Cyrus Cooper
Roland D Chapurlat
Steven Boonen
Frederick A Anderson
Silvano Adami
Jonathan D Adachi
GLOW Investigators
University of Massachusetts Chan Medical School · USUniversity of Verona · ITAlfried Krupp Hospital · DECambridge University Hospitals NHS Foundation Trust · GBCedars-Sinai Medical Center · USColumbia University Irving Medical Center · USFred Hutch Cancer Center · USHelen Hayes Hospital · USKU Leuven · BEMercy Health · USMRC Lifecourse Epidemiology Unit · GBSt. Joseph’s Healthcare Hamilton · CAUniversitat Autònoma de Barcelona · ESUniversité Claude Bernard Lyon 1 · FRUniversité Paris Cité · FRUniversity of Alabama at Birmingham · USUniversity of Massachusetts Amherst · USUniversity of Pittsburgh · USUniversity of Sydney · AUVrije Universiteit Amsterdam · NL

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
Medical Research Council MC_U147585824Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

Low body mass index (BMI) is a well-established risk factor for fracture in postmenopausal women. Height and obesity have also been associated with increased fracture risk at some sites. We investigated the relationships of weight, BMI, and height with incident clinical fracture in a practice-based cohort of postmenopausal women participating in the Global Longitudinal study of Osteoporosis in Women (GLOW). Data were collected at baseline and at 1, 2, and 3 years. For hip, spine, wrist, pelvis, rib, upper arm/shoulder, clavicle, ankle, lower leg, and upper leg fractures, we modeled the time to incident self-reported fracture over a 3-year period using the Cox proportional hazards model and fitted the best linear or nonlinear models containing height, weight, and BMI. Of 52,939 women, 3628 (6.9%) reported an incident clinical fracture during the 3-year follow-up period. Linear BMI showed a significant inverse association with hip, clinical spine, and wrist fractures: adjusted hazard ratios (HRs) (95% confidence intervals [CIs]) per increase of 5 kg/m(2) were 0.80 (0.71-0.90), 0.83 (0.76-0.92), and 0.88 (0.83-0.94), respectively (all p < 0.001). For ankle fractures, linear weight showed a significant positive association: adjusted HR per 5-kg increase 1.05 (1.02-1.07) (p < 0.001). For upper arm/shoulder and clavicle fractures, only linear height was significantly associated: adjusted HRs per 10-cm increase were 0.85 (0.75-0.97) (p = 0.02) and 0.73 (0.57-0.92) (p = 0.009), respectively. For pelvic and rib fractures, the best models were for nonlinear BMI or weight (p = 0.05 and 0.03, respectively), with inverse associations at low BMI/body weight and positive associations at high values. These data demonstrate that the relationships between fracture and weight, BMI, and height are site-specific. The different associations may be mediated, at least in part, by effects on bone mineral density, bone structure and geometry, and patterns of falling.

Indexed as

Body Mass IndexBody WeightBone and BonesFractures, BoneModels, BiologicalAgedAge FactorsFemaleFollow-Up StudiesHumansMiddle AgedPostmenopauseRisk FactorsBMIFRACTURESOBESITYOSTEOPOROSISPOSTMENOPAUSAL WOMEN

Identifiers

PMID23873741
PMCPMC4878680
OpenAlexW1572510157

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.