Evidence map›Paper›PMID 29911042›Full record

ArticleIndian journal of endocrinology and metabolism

Relation of Bone Mineral Density with Homocysteine and Cathepsin K levels in Postmenopausal Women.

Madhukar Mittal, Rajeev Verma, Arvind Mishra, Ajay Singh, Vivek Kumar, K K Sawlani, M Kaleem Ahmad, Pratishtha Mishra, Rishika Gaur

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Indian journal of endocrinology and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04821492 (Evaluation of the Relationship Between Homocysteine Levels and Bone Mineral Density in Postmenopausal Women), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 20% 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.

NCT04821492 completednot on this map

Evaluation of the Relationship Between Homocysteine Levels and Bone Mineral Density in Postmenopausal Women

TypeobservationalSponsorFundación Santiago Dexeus FontRan2019 to 2020Enrolled760ConditionsPostmenopausal WomenArmsDual-Energy X-ray Absorptiometry (DXA)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Observational
  4. 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

9 authors at 1 institution in 1 country.

Madhukar MittalDepartment of Endocrinology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Rajeev VermaDepartment of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Arvind MishraDepartment of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Ajay SinghDepartment of Orthopedics, King George's Medical University, Lucknow, Uttar Pradesh, India.
Vivek KumarDepartment of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
K K SawlaniDepartment of Endocrinology, King George's Medical University, Lucknow, Uttar Pradesh, India.
M Kaleem AhmadDepartment of Biochemistry, King George's Medical University, Lucknow, Uttar Pradesh, India.
Pratishtha MishraDepartment of Endocrinology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Rishika GaurDepartment of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
King George's Medical University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHomocysteine (HCY) interferes with collagen cross-linking in bones and stimulates osteoclast activity. The activated osteoclasts secrete cathepsin K (CathK), a cysteine protease, in eminent quantity during bone resorption. Hyperhomocysteinemia may effect bone mineral density (BMD) through CathK. We, therefore, examined the relation between HCY and BMD along with CathK, 25-hydroxyvit-D (25[OH]D), intact parathyroid hormone (iPTH), and Vitamin B12. MATERIALS AND

methodsWe recruited a total of 93 postmenopausal women between the age group of 45-60 years, attending the Endocrinology outpatient department at King George's Medical University, Lucknow. BMD was done by DXA scan using Hologic QDR1000 system. Based on the WHO criteria, patients were segregated into three groups as follows; normal bone mass, osteopenia, and osteoporosis. All women underwent routine biochemical laboratory parameters, HCY, Vitamin B12, and CathK levels.

resultsAmong 93 postmenopausal women, 56% (52) had osteoporosis. Nineteen percent (18) had normal BMD (mean age, 53.22 ± 8.5 years) and 23 (25%) had osteopenia (mean age 52.86 ± 6.67 years). The mean age in the osteoporetic group was 56.2 ± 6.9 years. The median (interquartile range) levels of HCY in the three groups were 14.5 μmol/L (12.2-24.7), 15.05 μmol/L (12.1-19.9) and 13.2 μmol/L (10.3-17.0), respectively. CathK levels were similar in three groups 7.6 ng/ml (7.0-80.5), 8.3 ng/ml (7.3-8.5), and 8.6 ng/ml (7.2-8.9). Both HCY and CathK were found positively associated with serum phosphorus (

conclusionLow bone mass by DXA is a significant problem in postmenopausal females. HCY and CathK do not reliably correlate with bone loss in postmenopausal women although phosphorus metabolism may play a role.

Indexed as

Bone mineral densitycathepsin Khomocysteineosteoporosispostmenopausal

Identifiers

PMID29911042
PMCPMC5972485
OpenAlexW2803308622

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LicenceCC BY-NC-SA
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Registered trials

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.