Evidence map›Paper›PMID 26067489›Full record

ArticlePloS one2015

The Relationship of Fat Distribution and Insulin Resistance with Lumbar Spine Bone Mass in Women.

Francisco J A de Paula, Iana M de Araújo, Adriana L Carvalho, Jorge Elias, Carlos E G Salmon, Marcello H Nogueira-Barbosa

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
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  6. Article
  7. Article
  8. Observational
  9. Bone, fat, and muscle interactions in health and disease.Archives of endocrinology and metabolism · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Hashtag bone: detrimental effects on bone contrast with metabolic benefits one and five years after Roux-en-Y gastric bypass.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
  15. Insulin resistance negatively affects bone quality not quantity: the relationship between bone and adipose tissue.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
  16. Article
  17. Bone health in diabetes and prediabetes.World journal of diabetes · 2019
    Review
  18. Review
  19. Article
  20. 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 at 2 institutions in 1 country.

Francisco J A de PaulaDepartment of Internal Medicine, Ribeirao Preto Medical School, USP, Ribeirão Preto, Brazil.
Iana M de AraújoDepartment of Internal Medicine, Ribeirao Preto Medical School, USP, Ribeirão Preto, Brazil.
Adriana L CarvalhoDepartment of Internal Medicine, Ribeirao Preto Medical School, USP, Ribeirão Preto, Brazil.
Jorge EliasDepartment of Internal Medicine, Ribeirao Preto Medical School, USP, Ribeirão Preto, Brazil.
Carlos E G SalmonDepartment of Physics, Faculty of Philosophy, Sciences and Arts of Ribeirao Preto, USP, Ribeirão Preto, Brazil.
Marcello H Nogueira-BarbosaDepartment of Internal Medicine, Ribeirao Preto Medical School, USP, Ribeirão Preto, Brazil.
Clinics Hospital of Ribeirão Preto · BRUniversidade de Ribeirão Preto · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone marrow harbors a significant amount of body adipose tissue (BMAT). While BMAT might be a source of energy for bone modeling and remodeling, its increment can also represent impairment of osteoblast differentiation. The relationship between BMAT, bone mass and insulin sensitivity is only partially understood and seems to depend on the circumstances. The present study was designed to assess the association of BMAT with bone mineral density in the lumbar spine as well as with visceral adipose tissue, intrahepatic lipids, HOMA-IR, and serum levels of insulin and glucose. This cross-sectional clinical investigation included 31 non-diabetic women, but 11 had a pre-diabetes status. Dual X-ray energy absorptiometry was used to measure bone mineral density and magnetic resonance imaging was used to assess fat deposition in BMAT, visceral adipose tissue and liver. Our results suggest that in non-diabetic, there is an inverse relationship between bone mineral density in lumbar spine and BMAT and a trend persists after adjustment for weight, age, BMI and height. While there is a positive association between visceral adipose tissue and intrahepatic lipids with serum insulin levels, there is no association between BMAT and serum levels of insulin. Conversely, a positive relationship was observed between BMAT and serum glucose levels, whereas this association was not observed with other fat deposits. These relationships did not apply after adjustment for body weight, BMI, height and age. The present study shows that in a group of predominantly non-obese women the association between insulin resistance and BMAT is not an early event, as occurs with visceral adipose tissue and intrahepatic lipids. On the other hand, BMAT has a negative relationship with bone mineral density. Taken together, the results support the view that bone has a complex and non-linear relationship with energy metabolism.

Indexed as

Bone DensityInsulin ResistanceAbsorptiometry, PhotonAdipose TissueAdultAgedBody WeightBone and BonesCross-Sectional StudiesFemaleHumansLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedProspective Studies

Identifiers

PMID26067489
PMCPMC4466243
OpenAlexW2297497751

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LicenceCC BY
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Registered trials

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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.