Evidence map›Paper›PMID 27447468›Full record

ArticleJournal of the Association for Research in Otolaryngology : JARO2016

Impaired Vestibular Function and Low Bone Mineral Density: Data from the Baltimore Longitudinal Study of Aging.

Robin T Bigelow, Yevgeniy R Semenov, Eric Anson, Sascha du Lac, Luigi Ferrucci, Yuri Agrawal

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Association for Research in Otolaryngology : JARO, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Altered auditory and vestibular functioning in individuals with low bone mineral density: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2018
    Pooled it
  2. Association between vestibular dysfunction and osteoporosis in adults: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. 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 3 institutions in 1 country.

Robin T BigelowDepartment of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine, 601 N Caroline Street, Baltimore, MD, 21287, USA. rbigelow@jhmi.edu.
Yevgeniy R SemenovDepartment of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine, 601 N Caroline Street, Baltimore, MD, 21287, USA.
Eric AnsonDepartment of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine, 601 N Caroline Street, Baltimore, MD, 21287, USA.
Sascha du LacDepartment of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine, 601 N Caroline Street, Baltimore, MD, 21287, USA.
Luigi FerrucciLongitudinal Studies Section, Clinical Research Branch, National Institute on Aging, Baltimore, MD, USA.
Yuri AgrawalDepartment of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine, 601 N Caroline Street, Baltimore, MD, 21287, USA. yagrawa1@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USNational Institute on Aging · US

Funding

The Baltimore Longitudinal Study Of AgingZIAAG000015 · NIA · NATIONAL INSTITUTE ON AGING · PI SIMONSICK, ELEANOR MARIE · 2009 to 2025
$116.9M
Training Program in Hearing and BalanceT32DC000023 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI CULLEN, KATHLEEN E · 1989 to 2025
$8.7M
Age-related Changes in the Vestibular System and Functional ImplicationsK23DC013056 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI AGRAWAL, YURI · 2014 to 2018
$1.2M
NIDCD NIH HHS K23 DC013056NIDCD NIH HHS T32 DC000023
6 · The paper itself

Abstract

Animal studies have demonstrated that experimentally induced vestibular ablation leads to a decrease in bone mineral density, through mechanisms mediated by the sympathetic nervous system. Loss of bone mineral density is a common and potentially morbid condition that occurs with aging, and we sought to investigate whether vestibular loss is associated with low bone mineral density in older adults. We evaluated this question in a cross-sectional analysis of data from the Baltimore Longitudinal Study of Aging (BLSA), a large, prospective cohort study managed by the National Institute on Aging (N = 389). Vestibular function was assessed with cervical vestibular evoked myogenic potentials (cVEMPs), a measure of saccular function. Bone mineral density was assessed using dual-energy X-ray absorptiometry (DEXA). In two-way t test analysis, we observed that individuals with reduced vestibular physiologic function had significantly lower bone mineral density. In adjusted multivariate linear regression analyses, we observed that older individuals with reduced vestibular physiologic function had significantly lower bone mineral density, specifically in weight-bearing hip and lower extremity bones. These results suggest that the vestibular system may contribute to bone homeostasis in older adults, notably of the weight-bearing hip bones at greatest risk of osteoporotic fracture. Further longitudinal analysis of vestibular function and bone mineral density in humans is needed to characterize this relationship and investigate the potential confounding effect of physical activity.

Indexed as

Bone DensityAgedAgingCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleRegression AnalysisVestibular Function TestsVestibule, Labyrinthagingbone mineral densityosteoporosisvestibular

Identifiers

PMID27447468
PMCPMC5023539
OpenAlexW2498583208

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.