Evidence map›Paper›PMID 26630978›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2016

Are bone turnover markers associated with volumetric bone density, size, and strength in older men and women? The AGES-Reykjavik study.

E A Marques, V Gudnason, G Sigurdsson, T Lang, F Johannesdottir, K Siggeirsdottir, L Launer, G Eiriksdottir, T B Harris

Abstract read
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, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Elevated baseline CTX levels predict enhanced therapeutic efficacy of zoledronic acid in augmenting lumbar spine bone mineral density among Chinese osteoporosis patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  4. Article
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  6. Article
  7. Cigarette Smoking Is Associated With Lower Quadriceps Cross-sectional Area and Attenuation in Older Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  8. A bone resorption marker as predictor of rate of change in femoral neck size and strength during the menopause transition.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
  9. Article
  10. Article
  11. Article
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  13. Proximal Femur Volumetric Bone Mineral Density and Mortality: 13 Years of Follow-Up of the AGES-Reykjavik Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Article
  14. Observational
  15. Association of bone turnover markers with volumetric bone loss, periosteal apposition, and fracture risk in older men and women: the AGES-Reykjavik longitudinal study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    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

9 authors.

E A MarquesLaboratory of Epidemiology and Population Science, Intramural Research Program, National Institute on Aging, National Institutes of Health, 7201 Wisconsin Ave, 3C-309 Gateway Building, Bethesda, MD, 20814, USA. elisa.marques@nih.gov.ORCID http://orcid.org/0000-0002-6969-6830
V GudnasonIcelandic Heart Association Research Institute, Kópavogur, Iceland.
G SigurdssonIcelandic Heart Association Research Institute, Kópavogur, Iceland.
T LangDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
F JohannesdottirDepartment of Medicine, University of Cambridge, Cambridge, UK.
K SiggeirsdottirIcelandic Heart Association Research Institute, Kópavogur, Iceland.
L LaunerLaboratory of Epidemiology and Population Science, Intramural Research Program, National Institute on Aging, National Institutes of Health, 7201 Wisconsin Ave, 3C-309 Gateway Building, Bethesda, MD, 20814, USA.
G EiriksdottirIcelandic Heart Association Research Institute, Kópavogur, Iceland.
T B HarrisLaboratory of Epidemiology and Population Science, Intramural Research Program, National Institute on Aging, National Institutes of Health, 7201 Wisconsin Ave, 3C-309 Gateway Building, Bethesda, MD, 20814, USA.

Funding

CLINICAL PROJECT: Age, Gene/Environment Susceptibility Study on the Multi-omics of Aging: A clinical epidemiologic prospective studyZIAAG007380 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2009 to 2025
$6.1M
AGES STUDY-THE REYKJAVIK STUDY OF HEALTHY AGING FOR THE NEW MILLENNIUM-26012100N01AG012100 · NIA · ICELANDIC HEART ASSOCIATION · 2002 to 2004
–
Intramural NIH HHS Z99 AG999999NIA NIH HHS N01 AG012100NIA NIH HHS N01-AG-012100
6 · The paper itself

Abstract

unlabelledAssociation between serum bone formation and resorption markers and bone mineral, structural, and strength variables derived from quantitative computed tomography (QCT) in a population-based cohort of 1745 older adults was assessed. The association was weak for lumbar spine and femoral neck areal and volumetric bone mineral density.

introductionThe aim of this study was to examine the relationship between levels of bone turnover markers (BTMs; osteocalcin (OC), C-terminal cross-linking telopeptide of type I collagen (CTX), and procollagen type 1N propeptide (P1NP)) and quantitative computed tomography (QCT)-derived bone density, geometry, and strength indices in the lumbar spine and femoral neck (FN).

methodsA total of 1745 older individuals (773 men and 972 women, aged 66-92 years) from the Age, Gene/Environment Susceptibility (AGES)-Reykjavik cohort were studied. QCT was performed in the lumbar spine and hip to estimate volumetric trabecular, cortical, and integral bone mineral density (BMD), areal BMD, bone geometry, and bone strength indices. Association between BTMs and QCT variables were explored using multivariable linear regression.

resultsMajor findings showed that all BMD measures, FN cortical index, and compressive strength had a low negative correlation with the BTM levels in both men and women. Correlations between BTMs and bone size parameters were minimal or not significant. No associations were found between BTMs and vertebral cross-sectional area in women. BTMs alone accounted for only a relatively small percentage of the bone parameter variance (1-10 %).

conclusionSerum CTX, OC, and P1NP were weakly correlated with lumbar spine and FN areal and volumetric BMD and strength measures. Most of the bone size indices were not associated with BTMs; thus, the selected bone remodeling markers do not reflect periosteal bone formation. These results confirmed the limited ability of the most sensitive established BTMs to predict bone structural integrity in older adults.

Indexed as

AgedAged, 80 and overBiomarkersBone DensityBone RemodelingCollagen Type ICompressive StrengthFemaleFemur NeckHumansLumbar VertebraeMaleOsteocalcinPeptide FragmentsPeptidesProcollagenBiomarkersCollagen Type Icollagen type I trimeric cross-linked peptideOsteocalcinPeptide FragmentsPeptidesProcollagenprocollagen Type I N-terminal peptideBone turnover markersCortical boneOsteoporosisQCTTrabecular bone

Identifiers

PMID26630978
PMCPMC5560050

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