Evidence map›Paper›PMID 26001559›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2015

Bone strength and muscle properties in postmenopausal women with and without a recent distal radius fracture.

K Crockett, C M Arnold, J P Farthing, P D Chilibeck, J D Johnston, B Bath, A D G Baxter-Jones, S A Kontulainen

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
  5. Article
  6. Review
  7. Peripheral quantitative computed tomography (pQCT)-based finite element analysis provides enhanced diagnostic performance in identifying non-vertebral fracture patients compared with dual-energy X-ray absorptiometry.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
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  9. Appendicular lean mass and fracture risk assessment: implications for FRAX® and sarcopenia.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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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

8 authors at 1 institution in 1 country.

K CrockettSchool of Physical Therapy, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada. katie.crockett@usask.ca.
C M ArnoldSchool of Physical Therapy, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
J P FarthingCollege of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.
P D ChilibeckCollege of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.
J D JohnstonDepartment of Mechanical Engineering, College of Engineering, University of Saskatchewan, Saskatoon, SK, Canada.
B BathSchool of Physical Therapy, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
A D G Baxter-JonesCollege of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.
S A KontulainenCollege of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada. saija.kontulainen@usask.ca.
University of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledDistal radius (wrist) fracture (DRF) in women over age 50 years is an early sign of bone fragility. Women with a recent DRF compared to women without DRF demonstrated lower bone strength, muscle density, and strength, but no difference in dual-energy x-ray absorptiometry (DXA) measures, suggesting DXA alone may not be a sufficient predictor for DRF risk.

introductionThe objective of this study was to investigate differences in bone and muscle properties between women with and without a recent DRF.

methodsOne hundred sixty-six postmenopausal women (50-78 years) were recruited. Participants were excluded if they had taken bone-altering medications in the past 6 months or had medical conditions that severely affected daily living or the upper extremity. Seventy-seven age-matched women with a fracture in the past 6-24 months (Fx, n = 32) and without fracture (NFx, n = 45) were measured for bone and muscle properties using the nondominant (NFx) or non-fractured limb (Fx). Peripheral quantitative computed tomography (pQCT) was used to estimate bone strength in compression (BSIc) at the distal radius and tibia, bone strength in torsion (SSIp) at the shaft sites, muscle density, and area at the forearm and lower leg. Areal bone mineral density at the ultradistal forearm, spine, and femoral neck was measured by DXA. Grip strength and the 30-s chair stand test were used as estimates of upper and lower extremity muscle strength. Limb-specific between-group differences were compared using multivariate analysis of variance (MANOVA).

resultsThere was a significant group difference (p < 0.05) for the forearm and lower leg, with the Fx group demonstrating 16 and 19% lower BSIc, 3 and 6% lower muscle density, and 20 and 21% lower muscle strength at the upper and lower extremities, respectively. There were no differences between groups for DXA measures.

conclusionsWomen with recent DRF had lower pQCT-derived estimated bone strength at the distal radius and tibia and lower muscle density and strength at both extremities.

Indexed as

Absorptiometry, PhotonAgedAnthropometryBone DensityFemaleFemur NeckHumansLife StyleLumbar VertebraeMiddle AgedMuscle, SkeletalOsteoporosis, PostmenopausalOsteoporotic FracturesPostmenopauseRadius FracturesTomography, X-Ray ComputedDistal radius fractureDual-energy x-ray absorptiometry (DXA)Musculoskeletal propertiesPeripheral quantitative computed tomography (pQCT)

Identifiers

PMID26001559
OpenAlexW2148281788

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.