Evidence map›Paper›PMID 28815738›Full record

ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2017

The Effect of Depression, Generalized Anxiety, and Selective Serotonin Reuptake Inhibitors on Change in Bone Metabolism in Adolescents and Emerging Adults.

Chadi A Calarge, James A Mills, Kathleen F Janz, Trudy L Burns, Janet A Schlechte, William H Coryell, Babette S Zemel

Open access · bronzeAbstract read
In one paragraph

Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Effect of selective serotonin reuptake inhibitors on bone mineral density: 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 · 2018
    Pooled it
  2. Trial
  3. Article
  4. Anxiety and depression in emerging adults: The STAND program as a model of scalable screening and intervention.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  5. Article
  6. Observational
  7. Article
  8. Gut microbiome in adolescent depression.Journal of affective disorders · 2021
    Article
  9. Article
  10. Article
  11. Observational
  12. Review
  13. Review
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

7 authors at 3 institutions in 2 countries.

Chadi A CalargeBaylor College of Medicine, Houston, TX, USA.
James A MillsUniversity of Iowa, Iowa City, IA, USA.
Kathleen F JanzUniversity of Iowa, Iowa City, IA, USA.
Trudy L BurnsUniversity of Iowa, Iowa City, IA, USA.
Janet A SchlechteUniversity of Iowa, Iowa City, IA, USA.
William H CoryellUniversity of Iowa, Iowa City, IA, USA.
Babette S ZemelThe University of Pennsylvania, Philadelphia, PA, USA.
University of Iowa · USBaylor College of Medicine · USUniversity of Pennsylvania · US

Funding

University of Iowa Clinical and Translational Science ProgramUL1TR000442 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2012 to 2013
$10.0M
Serotonin Reuptake Inhibitors and Bone Mineralization in AdolescentsR01MH090072 · NIMH · UNIVERSITY OF IOWA · PI CALARGE, CHADI A. · 2010 to 2014
$3.2M
NCATS NIH HHS UL1 TR000442NIMH NIH HHS R01 MH090072
6 · The paper itself

Abstract

The purpose of this study was to prospectively examine the independent contribution of major depressive disorder (MDD), generalized anxiety disorder (GAD), and selective serotonin reuptake inhibitors (SSRIs) use to changes in bone metabolism in older adolescents and emerging adults. Medically healthy 15- to 20-year-olds who were unmedicated or within 1 month of starting an SSRI were prospectively followed. Psychiatric functioning and medication treatment were assessed monthly. Every 4 months, trabecular and cortical volumetric bone mineral density (vBMD) at the radius and markers of bone metabolism were evaluated. Every 8 months, total body less head areal bone mineral content and lumbar spine (LS) areal BMD (aBMD) were determined. Linear mixed-effects regression analysis examined associations between bone measures on the one hand and MDD, GAD, and SSRI indices on the other. A total of 264 participants were followed for 1.51 ± 0.76 years. After adjusting for age, sex, vitamin D concentration, physical activity, lean mass or grip strength, and time in the study, MDD severity was associated with increasing LS aBMD. Similarly, SSRI use was associated with increasing LS aBMD and bone formation in female participants. In contrast, SSRI use was associated with decreasing LS aBMD in males. After accounting for depression, GAD was independently, albeit weakly, associated with increased bone mineralization. In older adolescents and emerging adults, MDD and GAD are associated with increasing bone mass, particularly in the lumbar spine and in females, whereas SSRIs are associated with increasing bone mass in females but decreasing bone mass in males. © 2017 American Society for Bone and Mineral Research.

Indexed as

AdolescentAdultAnxietyBone and BonesDemographyDepressionFemaleHumansLinear ModelsMaleSelective Serotonin Reuptake InhibitorsSex CharacteristicsYoung AdultSelective Serotonin Reuptake InhibitorsADOLESCENTSANXIETYBONE MARKERSBONE MASSBONE MINERAL DENSITYDEPRESSIONEMERGING ADULTSMAJOR DEPRESSIVE DISORDERSELECTIVE SEROTONIN REUPTAKE INHIBITORS

Identifiers

PMID28815738
PMCPMC5732069
OpenAlexW2747619873

What OpenQuestion holds

Textmetadata
LicenceTDM
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.