Evidence map›Paper›PMID 25990414›Full record

ArticleBMC endocrine disorders2015

Low-dose combined oral contraceptive use is associated with lower bone mineral content variation in adolescents over a 1-year period.

Talita Poli Biason, Tamara Beres Lederer Goldberg, Cilmery Suemi Kurokawa, Maria Regina Moretto, Altamir Santos Teixeira, Hélio Rubens de Carvalho Nunes

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in BMC endocrine disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. The National Osteoporosis Foundation's position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Pooled it
  3. Review
  4. Article
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  6. Article
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  10. Observational
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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

6 authors at 1 institution in 1 country.

Talita Poli BiasonDepartment of Pediatrics, Adolescent Medicine Discipline, Graduate Program in Gynecology, Obstetrics, and Mastology, Botucatu School of Medicine, São Paulo State University (UNESP), São Paulo, Brazil. talitapoli@uol.com.br.
Tamara Beres Lederer GoldbergDepartment of Pediatrics, Adolescent Medicine Discipline, Graduate Program in Gynecology, Obstetrics, and Mastology, Botucatu School of Medicine, São Paulo State University (UNESP), São Paulo, Brazil. tamara@fmb.unesp.br.
Cilmery Suemi KurokawaClinical and Experimental Pediatrics Research Center, Department of Pediatrics, Botucatu Medical School, São Paulo State University (UNESP), São Paulo, Brazil. kurokawa@fmb.unesp.br.
Maria Regina MorettoClinical and Experimental Pediatrics Research Center, Department of Pediatrics, Botucatu Medical School, São Paulo State University (UNESP), São Paulo, Brazil. rmoretto@fmb.unesp.br.
Altamir Santos TeixeiraDepartment of Tropical Diseases and Diagnostic Imaging, Botucatu School of Medicine, São Paulo State University (UNESP), São Paulo, Brazil. altamirsteixeira@gmail.com.
Hélio Rubens de Carvalho NunesStatistical Consultant, Botucatu School of Medicine, São Paulo State University (UNESP), São Paulo, Brazil. helio@conspart.com.br.
Universidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow-dose combined oral contraceptives (COCs) can interfere with bone mass acquisition during adolescence. This study aimed to evaluate bone mineral density (BMD) and bone mineral content (BMC) in female adolescents taking a standard low-dose COC (ethinylestradiol 20 μg/desogestrel 150 μg) over a 1-year period and to compare their data with those of healthy adolescents from the same age group not taking COCs.

methodsThis was a non-randomized parallel-control study with a 1-year follow-up. Sixty-seven adolescents aged from 12 to 19 years, divided into COC users (n = 41) taking 20 μg ethinylestradiol/150 μg desogestrel and COC non-user controls (n = 26), were evaluated by bone densitometry examinations at baseline and after 12 months. Comparisons between the groups at the study onset were performed using the Mann-Whitney test with the significance level fixed at 5% or p < 0.05. Comparisons between the groups at the study onset and after 12 months were based on variations in the median percentages for bone mass variables.

resultsThe COC users presented with low bone mass acquisition in the lumbar spine, and had BMD and BMC median variations of 2.07% and +1.57%, respectively, between the measurements at baseline and 12 months. The control group had median variations of +12.16% and +16.84% for BMD and BMC, respectively, over the same period. The total body BMD and BMC showed similar evolutions during the study in both groups. Statistical significance (p < 0.05) was seen for the BMC percentage variation between COC users and non-users.

conclusionsUse of a low-dose COC (ethinylestradiol 20 μg/desogestrel 150 μg) was associated with lower bone mass acquisition in adolescents during the study period.

trial registrationRegistry Number, RBR-5h9b3c.

Indexed as

Absorptiometry, PhotonAdolescentBone DensityChildContraceptives, OralContraceptives, Oral, CombinedDesogestrelEthinyl EstradiolFemaleFollow-Up StudiesHumansLumbar VertebraeYoung AdultContraceptives, OralContraceptives, Oral, CombinedDesogestrelEthinyl Estradiol

Identifiers

PMID25990414
PMCPMC4443632
OpenAlexW2137930533

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.