Evidence map›Paper›PMID 24843766›Full record

ArticleJournal of diabetes investigation2014

Fracture is additionally attributed to hyperhomocysteinemia in men and premenopausal women with type 2 diabetes.

Jianbo Li, Hongman Zhang, Lingfei Yan, Min Xie, Jiawei Chen

Open access · hybridAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Diabetes Mellitus-induced Bone Fragility.Internal medicine (Tokyo, Japan) · 2018
    Article
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

5 authors at 3 institutions in 1 country.

Jianbo LiDepartment of Endocrinology and Metabolism The First Affiliated Hospital of Nanjing Medical University Nanjing China ; Department of Endocrinology and Metabolism The Affiliated Jiangsu Shenze Hospital of Nanjing Medical University Suzhou China.
Hongman ZhangDepartment of Endocrinology and Metabolism The First Affiliated Hospital of Nanjing Medical University Nanjing China.
Lingfei YanDepartment of Endocrinology and Metabolism The First Affiliated Hospital of Nanjing Medical University Nanjing China.
Min XieDepartment of Endocrinology and Metabolism The First Affiliated Hospital of Nanjing Medical University Nanjing China.
Jiawei ChenDepartment of Endocrinology and Metabolism The First Affiliated Hospital of Nanjing Medical University Nanjing China.
Jiangsu Province Hospital · CNNanjing Medical University · CNJiangsu Shengze Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionData on hyperhomocysteinemia in relation to fractures in diabetes are limited. We aimed to explore the relationship between plasma total homocysteine concentrations and fractures in men and premenopausal women with type 2 diabetes. MATERIALS AND

methodsDiabetic and control participants (n = 292) were enrolled in a cross-sectional hospital-based study. Bone mineral density and fractures were documented by dual energy X-ray absorptiometry and X-ray film, respectively. Plasma total homocysteine concentrations were measured using fluorescence polarization immunoassay. Risk factors for low bone mineral density or fractures and determinants of homocysteine were obtained from blood samples and the interviewer questionnaire.

resultsPlasma total homocysteine levels were higher in diabetic participants with fractures than without (8.6 [2.1] μmol/L vs 10.3 [3.0] μmol/L, P = 0.000). Diabetic participants with fractures had similar bone mineral densities as control participants. The association of homocysteine with the fracture was independent of possible risk factors for fractures (e.g., age, duration of diabetes, glycated hemoglobin, body mass index, thiazolidenediones and retinopathy) and determinants of homocysteine concentration (e.g., age, sex, serum folate and vitamin B12, renal status and biguanide use; odds ratio 1.41, 95% confidence interval 1.05-2.03, P = 0.020). Furthermore, per increase of 5.0 μmol/L plasma homocysteine was related to the fracture, after controlling for per unit increase of other factors (odds ratio 1.42, 95% confidence interval 1.12-1.78, P = 0.013).

conclusionsPlasma total homocysteine concentration is independently associated with occurrence of fractures in men and premenopausal women with type 2 diabetes. Future prospective studies are warranted to clarify the relationship.

Indexed as

FractureHomocysteineMen and premenopausal women with type 2 diabetes

Identifiers

PMID24843766
PMCPMC4023589
OpenAlexW1991212447

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LicenceCC BY-NC-ND
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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.