Evidence map›Paper›PMID 27638138›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2017

Differences in bone quality and strength between Asian and Caucasian young men.

A L Kepley, K K Nishiyama, B Zhou, J Wang, C Zhang, D J McMahon, K F Foley, M D Walker, X Edward Guo, E Shane and 1 more

Erratum issuedAbstract read
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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. The clinical application of high-resolution peripheral computed tomography (HR-pQCT) in adults: state of the art and future directions.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Review
  8. Comparison of Vertebral and Femoral Strength Between White and Asian Adults Using Finite Element Analysis of Computed Tomography Scans.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020
    Article
  9. Ethnic Differences in Bone Microarchitecture.Current osteoporosis reports · 2020
    Review
  10. Article
  11. Article
  12. Article
  13. Trabecular microstructure is influenced by race and sex in Black and White young adults.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
  14. A comprehensive overview on osteoporosis and its risk factors.Therapeutics and clinical risk management · 2018
    Review
  15. Cortical microstructure compensates for smaller bone size in young Caribbean Hispanic versus non-Hispanic white men.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

A L KepleyDepartment of Medicine, Endocrinology, Columbia Univeristy Medical Center, New York, NY, USA.
K K NishiyamaDepartment of Medicine, Endocrinology, Columbia Univeristy Medical Center, New York, NY, USA.
B ZhouBiomedical Engineering, Department of Medicine, Columbia University, New York, NY, USA.
J WangBiomedical Engineering, Department of Medicine, Columbia University, New York, NY, USA.
C ZhangDepartment of Medicine, Endocrinology, Columbia Univeristy Medical Center, New York, NY, USA.
D J McMahonDepartment of Medicine, Endocrinology, Columbia Univeristy Medical Center, New York, NY, USA.
K F FoleyDepartment of Medicine, Endocrinology, Columbia Univeristy Medical Center, New York, NY, USA.
M D WalkerDepartment of Medicine, Endocrinology, Columbia Univeristy Medical Center, New York, NY, USA.
X Edward GuoBiomedical Engineering, Department of Medicine, Columbia University, New York, NY, USA.
E ShaneDepartment of Medicine, Endocrinology, Columbia Univeristy Medical Center, New York, NY, USA.
T L NickolasDepartment of Medicine, Nephrology, Columbia University Medical Center, 622 West 168th Street, PH4-124, New York, NY, 10032, USA. tln2001@cumc.columbia.edu.
Columbia University Irving Medical Center · USColumbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a cross-sectional study to assess differences in bone quality in young Asian and Caucasian (n = 30/group) men between 25 and 35 years. We found that Asians had smaller bones, thicker and denser cortices, and more plate-like trabeculae, but stiffness did not differ between groups.

introductionWe conducted a cross-sectional study to assess differences in bone quality in young Asian and Caucasian (n = 30/group) men between 25 and 35 years.

methodsWe measured bone mineral density (BMD) at the spine, total hip (TH), femoral neck (FN), and forearm by dual energy X-ray absorptiometry (DXA), and bone geometry, density, microarchitecture, and mechanical competence at the radius and tibia by high-resolution peripheral quantitative computed tomography (HR-pQCT) with application of individual trabecula segmentation (ITS) and trabecular and whole bone finite element analysis (FEA). We measured load-to-strength ratio to account for differences in bone size and height, respectively. We used Wilcoxon rank sum and generalized linear models adjusted for height, weight, and their interaction for comparisons.

resultsAsians were 3.9 % shorter and weighed 6.5 % less than Caucasians. In adjusted models: by DXA, there were no significant race-based differences in areal BMD; by HR-pQCT, at the radius, Asians had smaller total and trabecular area (p = 0.003 for both), and denser (p = 0.01) and thicker (p = 0.04) cortices at the radius; by ITS, at the radius Asians, had more plate-like than rod-like trabeculae (PR ratio p = 0.01), greater plate trabecular surface (p = 0.009) and longer rod length (p = 0.002). There were no significant race-based differences in FEA or the load-to-strength ratio.

conclusionsAsians had smaller bones, thicker and denser cortices, and more plate-like trabeculae, but biomechanical estimates of bone strength did not differ between groups. Studies are needed to determine whether these differences persist later in life.

Indexed as

Absorptiometry, PhotonAdultAsian PeopleBone DensityCross-Sectional StudiesFemur NeckFinite Element AnalysisHip JointHumansLumbar VertebraeMaleRadiusTomography, X-Ray ComputedWhite PeopleAsianBone microarchitectureCaucasianIndividual trabecula segmentationRace

Identifiers

PMID27638138
OpenAlexW2519410392

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.