Evidence map›Paper›PMID 27852598›Full record

ArticleAge and ageing2017

Frailty and bone health in European men.

Michael J Cook, Alexander Oldroyd, Stephen R Pye, Kate A Ward, Evelien Gielen, Rathi Ravindrarajah, Judith E Adams, David M Lee, Gyorgy Bartfai, Steven Boonen and 13 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Age and ageing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  14. Closing the Osteoporosis Care Gap.Current osteoporosis reports · 2021
    Review
  15. Article
  16. Allicin Reversed the Process of Frailty in Aging Male Fischer 344 Rats With Osteoporosis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
  17. Frailty in Rheumatic Diseases.Frontiers in immunology · 2020
    Review
  18. Article
  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

23 authors at 11 institutions in 7 countries.

Michael J CookArthritis Research UK Centre for Epidemiology, Division of Musculoskeletal & Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Alexander OldroydArthritis Research UK Centre for Epidemiology, Division of Musculoskeletal & Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Stephen R PyeArthritis Research UK Centre for Epidemiology, Division of Musculoskeletal & Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Kate A WardMRC Human Nutrition Research, Elsie Widdowson Laboratory, Cambridge, UK.
Evelien GielenGerontology and Geriatrics, Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
Rathi RavindrarajahPrimary Care & Public Health Services, King's College London, London, UK.
Judith E AdamsRadiology and Manchester Academic Health Science Centre, The Royal Infirmary, The University of Manchester, Manchester, UK.
David M LeeCathie Marsh Institute for Social Research, School of Social Sciences, The University of Manchester, ManchesterM13 9PL, UK.
Gyorgy BartfaiDepartment of Obstetrics, Gynaecology and Andrology, Albert Szent-György Medical University, Szeged, Hungary.
Steven BoonenUniversity Division of Geriatric Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
Felipe CasanuevaDepartment of Medicine, Santiago de Compostela University, Complejo Hospitalario Universitario de Santiago (CHUS), CIBER de Fisiopatologia Obesidad y Nutricion (CIBERobn), Instituto Salud Carlos III,Santiago de Compostela, Spain.
Gianni FortiEndocrine Unit, Department of Clinical Physiopathology, University of Florence, Florence, Italy.
Aleksander GiwercmanScanian Andrology Centre, Department of Urology, Malmö University Hospital, University of Lund, Sweden.
Thang S HanEgham & Department of Endocrinology, Ashford and St Peter's NHS Foundation Trust, Institute of Cardiovascular Research, Royal Holloway, University of London (ICR2UL), Chertsey, UK.
Ilpo T HuhtaniemiDepartment of Reproductive Biology, Imperial College London, London, UK.
Krzysztof KulaDepartment of Andrology and Reproductive Endocrinology, Medical University of Lodz, Poland.
Michael E LeanHuman Nutrition, University of Glasgow, Glasgow, UK.
Neil PendletonDivision of Neuroscience and Experimental Psychology, University of Manchester, Salford Royal Hospital, Salford, UK.
Margus PunabAndrology Unit, United Laboratories of Tartu University Clinics, Tartu, Estonia.
Dirk VanderschuerenDepartment of Andrology and Endocrinology, Katholieke Universiteit Leuven, Leuven, Belgium.
Frederick C WuAndrology Research Unit,Centre for Endocrinology and Diabetes,University of Manchester, Manchester,UK.
Terence W O'NeillArthritis Research UK Centre for Epidemiology, Division of Musculoskeletal & Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
EMAS Study Group
KU Leuven · BEManchester Academic Health Science Centre · GBImperial College London · GBMedical University of Lodz · PLMRC Human Nutrition Research · GBRoyal Victoria Hospital · GBScania (Sweden) · SETartu University Hospital · EEUniversity of Florence · ITUniversity of Glasgow · GBUniversity of Szeged · HU

Funding

Medical Research Council MC_U105960371Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/2
6 · The paper itself

Abstract

Background: frailty is associated with an increased risk of fragility fractures. Less is known, however, about the association between frailty and bone health. Methods: men aged 40-79 years were recruited from population registers in eight European centres for participation in the European Male Aging Study. Subjects completed a comprehensive assessment which included quantitative ultrasound (QUS) scan of the heel (Hologic-SAHARA) and in two centres, dual-energy bone densitometry (dual-energy x-ray absorptiometry, DXA). Frailty was defined based on an adaptation of Fried's phenotype criteria and a frailty index (FI) was constructed. The association between frailty and the QUS and DXA parameters was determined using linear regression, with adjustments for age, body mass index and centre. Results: in total, 3,231 subjects contributed data to the analysis. Using the Fried categorisation of frailty, pre-frail and frail men had significantly lower speed of sound (SOS), broadband ultrasound attenuation (BUA) and quantitative ultrasound index (QUI) compared to robust men (P< 0.05). Similar results were seen using the FI after categorisation into 'high', 'medium' and 'low' levels of frailty. Using the Fried categorisation, frail men had lower femoral neck bone mineral density (BMD) compared to robust men (P < 0.05), but not lower lumbar spine BMD. Using the FI categorisation, a 'high' level of frailty (FI > 0.35) was associated with lower lumbar spine BMD (P < 0.05) when compared to those with low (FI < 0.2), but not lower femoral neck BMD. When analysed as a continuous variable, higher FI was linked with lower SOS, BUA and QUI (P < 0.05). Conclusions: optimisation of bone health as well as prevention of falls should be considered as strategies to reduce fractures in frail older people.

Indexed as

Bone DensityMen's HealthAbsorptiometry, PhotonAccidental FallsAdultAgedBone and BonesEuropeFractures, BoneFrailtyGeriatric AssessmentHealth SurveysHumansLinear ModelsMaleMiddle Agedbone mineral densityFrailtyheel ultrasoundmale healtholder people

Identifiers

PMID27852598
PMCPMC5859977
OpenAlexW2551704050

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.