Evidence map›Paper›PMID 30593432›Full record

Observational studyMedical hypotheses2019

The cause-effect relationship between bone loss and Alzheimer's disease using statistical modeling.

Natalia Loskutova, Amber S Watts, Jeffrey M Burns

Abstract readObservational Study
In one paragraph

Observational study in Medical hypotheses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Triggering Receptor Expressed on Myeloid Cells 2 (TREM2) R47H Variant Causes Distinct Age- and Sex-Dependent Musculoskeletal Alterations in Mice.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  9. Article
  10. Article
  11. Exploring the brain-body composition relationship in Huntington's disease.Journal of musculoskeletal & neuronal interactions · 2020
    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

3 authors.

Natalia LoskutovaAmerican Academy of Family Physicians National Research Network, USA. Electronic address: nloskutova@hotmail.com.
Amber S WattsUniversity of Kansas, Lawrence, KS, USA.
Jeffrey M BurnsUniversity of Kansas School of Medicine, Kansas City, KS, USA.

Funding

University of Kansas Alzheimer's Disease Research Center (KU ADRC)P30AG072973 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Jaime Perales Puchalt · 2021 to 2026
$25.3M
University of Kansas Alzheimer's Disease Core CentersP30AG035982 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SWERDLOW, RUSSELL H. · 2011 to 2020
$16.6M
Energy Metabolism and Brain Changes with Age and Alzheimer's DiseaseK23NS058252 · NINDS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BURNS, JEFFREY MURRAY · 2006 to 2010
$966k
Longitudial Study of Cardiorespiratory Fitness in Alzheimer's DiseaseR21AG029615 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BURNS, JEFFREY MURRAY · 2007 to 2008
$294k
Cardiorespiratory Fitness in Alzheimer's DiseaseR03AG026374 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BURNS, JEFFREY MURRAY · 2005 to 2006
$117k
NIA NIH HHS P30 AG035982NIA NIH HHS P30 AG072973NIA NIH HHS R03 AG026374NIA NIH HHS R21 AG029615NINDS NIH HHS K23 NS058252
6 · The paper itself

Abstract

backgroundAnimal studies provide strong evidence that the CNS directly regulates bone remodeling through the actions of the hypothalamus via two distinct pathways, the neural (mediated by leptin) arm and neurohumoral (mediated by neurohormones and growth factors) arm. The impact of AD on central regulatory mechanisms of bone mass is not known.

objectivesTo test a model that assesses the relationship between hypothalamic atrophy and bone loss in Alzheimer's disease (AD) and potential mediation through neural (leptin) and neurohumoral (insulin-like growth factor -1, IGF-1) mechanisms. HYPOTHESES: AD-related hypothalamic structural change alters neural and neurohumoral regulatory systems of bone remodeling and contributes to bone loss in early AD.

designA secondary data analysis of data obtained in a two-year longitudinal study with path analysis and longitudinal mediation modeling.

participantsThe data were collected as a part of the University of Kansas Brain Aging Project, a two-year observational study of 71 older adults with early stage AD and 69 non-demented controls. MEASUREMENTS: Demographic characteristics and measures of bone density, body composition, and hypothalamic volume, serum levels of leptin, growth hormone, and IGF-1 were collected.

resultsHypothalamic atrophy and bone loss were observed in AD group and were associated. Data modeling suggests that bone loss may precede measurable changes in the brain. Leptin increased over two years in AD and the increase in leptin was associated with hypothalamic atrophy. However, changes in leptin or IGF-1 levels did not mediate the relationship between hypothalamic atrophy and bone loss.

conclusionsThis study extends previous findings by suggesting that bone loss in AD may be related to neurodegenerative changes (atrophy) in the hypothalamus. Further studies are needed to explore the role of brain atrophy and mediating mechanisms in bone loss. Further exploring temporal relationship between bone loss and AD may have an important diagnostic value.

Indexed as

AgedAged, 80 and overAgingAlzheimer DiseaseAnimalsAtrophyBody CompositionBone DensityBone Diseases, MetabolicBrainCase-Control StudiesCentral Nervous SystemFemaleHuman Growth HormoneHumansHypothalamusHuman Growth HormoneInsulin-Like Growth Factor ILeptinAlzheimer’s diseaseBone lossCNSHypothalamusLeptinStatistical modeling

Identifiers

PMID30593432
PMCPMC6318806

What OpenQuestion holds

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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.