Evidence map›Paper›PMID 25805360›Full record

SynthesisMedical science monitor : international medical journal of experimental and clinical research2015

Effect of B vitamin (folate, B6, and B12) supplementation on osteoporotic fracture and bone turnover markers: a meta-analysis.

Jianwei Ruan, Xiaokang Gong, Jinsong Kong, Haibao Wang, Xin Zheng, Tao Chen

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Medical science monitor : international medical journal of experimental and clinical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. B vitamins and bone health: a meta-analysis with trial sequential analysis of randomized controlled trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  2. [Exercise therapy and basic treatment for osteoporosis].Orthopadie (Heidelberg, Germany) · 2023
    Guideline
  3. Pooled it
  4. Review
  5. Article
  6. Effect of Vitamin B6 on Osteoporosis Fracture.Journal of bone metabolism · 2023
    Article
  7. Review
  8. Observational
  9. Review
  10. The Revised D-A-CH-Reference Values for the Intake of Vitamin BMolecular nutrition & food research · 2019
    Article
  11. Multiple vitamin deficiencies additively increase the risk of incident fractures in Japanese postmenopausal women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
  12. Review
  13. Article
  14. Article
  15. The Treatment Evaluation for Osteoporotic Kummell Disease by Modified Posterior Vertebral Column Resection: Minimum of One-Year Follow-Up.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  16. 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

6 authors.

Jianwei RuanDepartment of Orthopedics, Taizhou Municpal Hospital, Taizhou, Zhejiang, China (mainland).
Xiaokang GongDepartment of Orthopedics, Taizhou Municpal Hospital, Taizhou, Zhejiang, China (mainland).
Jinsong KongDepartment of Orthopedics, Taizhou Municpal Hospital, Taizhou, Zhejiang, China (mainland).
Haibao WangDepartment of Orthopedics, Taizhou Municpal Hospital, Taizhou, Zhejiang, China (mainland).
Xin ZhengDepartment of Orthopedics, Taizhou Municipal Hospital, Taizhou, Zhejiang, China (mainland).
Tao ChenDepartment of Orthopedics, Taizhou Municpal Hospital, Taizhou, Zhejiang, China (mainland).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundB vitamins (including folate, B6, and B12) supplementation can effectively and easily modify high plasma homocysteine (Hcy). However, the role of Hcy in the pathogenesis of osteoporotic fracture and bone turnover is still controversial. This meta-analysis aimed to assess the impact of B vitamin supplementation on occurrence of any osteoporotic fracture and bone turnover by pooling the results of previous studies. MATERIAL AND

methodsRelevant randomized controlled trials (RCTs) were searched in databases. Data integration and analysis were done by using Review Manager 5.3 (the Cochrane Collaboration). The risk ratio (RR) and corresponding 95% confidence intervals (CI) of fracture (intervention vs. control) were estimated. Changes in bone turnover indicators (continuous data), weighted mean difference (WMD), and corresponding 95% (CI) were pooled for estimation.

resultsBased on the results of 4 RCTs, this meta-analysis failed to identify a risk-reducing effect of daily supplementation of B vitamins on osteoporotic fracture in patients with vascular disease and with relatively normal plasma Hcy. In addition, we also did not find any positive effects of B vitamin supplementation on bone turnover.

conclusionsB vitamin supplementation might not be effective in preventing fracture and improving bone turnover. However, the possible benefits in selective populations, such as populations with very high plasma Hcy and from regions without B vitamin fortification should be explored in the future.

Indexed as

Bone RemodelingBiomarkersDietary SupplementsFolic AcidFractures, BoneHumansOsteoporotic FracturesRandomized Controlled Trials as TopicRisk FactorsVitamin B 12Vitamin B 6BiomarkersFolic AcidVitamin B 12Vitamin B 6

Identifiers

PMID25805360
PMCPMC4384513
OpenAlexW2035899839

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.