Evidence map›Paper›PMID 31034056›Full record

ArticleThe Journal of clinical endocrinology and metabolism2019

Poor Glycemic Control Is Associated With Impaired Bone Accrual in the Year Following a Diagnosis of Type 1 Diabetes.

David R Weber, Rebecca J Gordon, Jennifer C Kelley, Mary B Leonard, Steven M Willi, Jacquelyn Hatch-Stein, Andrea Kelly, Oksana Kosacci, Olena Kucheruk, Mirna Kaafarani and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06216704 (Skeletal Health and Bone Marrow Composition in Adolescents With Cystic Fibrosis), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT06216704 recruitingnot on this mapstarted 2024, after this paper: background citation

Skeletal Health and Bone Marrow Composition in Adolescents With Cystic Fibrosis

TypeobservationalSponsorMassachusetts General HospitalRan2024 to 2029Enrolled36ConditionsCystic FibrosisArmsMagnetic resonance relaxometry, Magnetic resonance spectroscopy, Blood Draw, DXA, pQCT
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Bone health in children and adolescents with type 1 and type 2 diabetes.Annals of pediatric endocrinology & metabolism · 2025
    Article
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Glycemic Control and Bone in Diabetes.Current osteoporosis reports · 2022
    Review
  9. Exogenous melatonin prevents type 1 diabetes mellitus-induced bone loss, probably by inhibiting senescence.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  10. Review
  11. Review
  12. Observational
  13. Bone Health in Childhood Chronic Disease.Endocrinology and metabolism clinics of North America · 2020
    Review
  14. Article
  15. Review
  16. Article
  17. Bone Mineral Density across the Lifespan in Patients with Type 1 Diabetes.The Journal of clinical endocrinology and metabolism · 2020
    Article
  18. Article
  19. Impact of Diabetes Mellitus on Bone Health.International journal of molecular sciences · 2019
    Review
  20. Type 1 Diabetes and Bone Fragility: Links and Risks.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019
    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

11 authors at 4 institutions in 1 country.

David R WeberGolisano Children's Hospital, University of Rochester Medical Center, Rochester, New York.
Rebecca J GordonThe Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Jennifer C KelleyMonroe Carrell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee.
Mary B LeonardLucille Packard Children's Hospital, Stanford School of Medicine, Stanford, California.
Steven M WilliThe Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Jacquelyn Hatch-SteinThe Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Andrea KellyThe Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Oksana KosacciThe Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Olena KucherukThe Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Mirna KaafaraniGolisano Children's Hospital, University of Rochester Medical Center, Rochester, New York.
Babette S ZemelThe Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Children's Hospital of Philadelphia · USUniversity of Rochester Medical Center · USLucile Packard Children's Hospital · USMonroe Carell Jr. Children's Hospital · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Translational Research Training in Pediatric Diabetes & EndocrinologyT32DK063688 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI LORRAINE E LEVITT KATZ, ANDREA Bridget KELLY · 2002 to 2026
$5.4M
Career Development Program in Pediatric Diabetes Research (K12) at CHOPK12DK094723 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI WILLI, STEVEN M · 2011 to 2020
$3.6M
Patient Oriented Research in Vitamin D Deficiency in CKDK24DK076808 · NIDDK · STANFORD UNIVERSITY · PI LEONARD, MARY BETH · 2007 to 2016
$1.7M
Investigation of Hypercalciuria as a Cause of Impaired Bone Mineral Accrual in Type 1 DiabetesK23DK114477 · NIDDK · UNIVERSITY OF ROCHESTER · PI WEBER, DAVID R · 2017 to 2019
$573k
NCRR NIH HHS UL1 RR024134NIDDK NIH HHS K12 DK094723NIDDK NIH HHS K23 DK114477NIDDK NIH HHS K24 DK076808NIDDK NIH HHS T32 DK063688
6 · The paper itself

Abstract

contextType 1 diabetes (T1D) is associated with an increased fracture risk across the life course. The effects on bone accrual early in the disease are unknown.

objectiveTo characterize changes in bone density and structure over the year following diagnosis of T1D and to identify contributors to impaired bone accrual.

designProspective cohort study.

settingAcademic children's hospital.

participantsThirty-six children, ages 7 to 17 years, enrolled at diagnosis of T1D. OUTCOMES: Whole body and regional dual-energy X-ray absorptiometry and tibia peripheral quantitative computed tomography obtained at baseline and 12 months. The primary outcome was bone accrual assessed by bone mineral content (BMC) and areal bone mineral density (aBMD) velocity z score.

resultsParticipants had low total body less head (TBLH) BMC (z = -0.46 ± 0.76), femoral neck aBMD (z = -0.57 ± 0.99), and tibia cortical volumetric BMD (z = -0.44 ± 1.11) at diagnosis, compared with reference data, P < 0.05. TBLH BMC velocity in the year following diagnosis was lower in participants with poor (hemoglobin A1c ≥7.5%) vs good (hemoglobin A1c <7.5%) glycemic control at 12 months, z = -0.36 ± 0.84 vs 0.58 ± 0.71, P = 0.003. TBLH BMC velocity was correlated with gains in tibia cortical area (R = 0.71, P = 0.003) and periosteal circumference (R = 0.67, P = 0.007) z scores in participants with good, but not poor control.

conclusionsOur results suggest that the adverse effects of T1D on BMD develop early in the disease. Bone accrual following diagnosis was impaired in participants with poor glycemic control and appeared to be mediated by diminished bone formation on the periosteal surface.

Indexed as

Bone DensityOsteogenesisAdolescentBone and BonesBone DevelopmentCancellous BoneChildCortical BoneC-PeptideDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleOrgan SizeC-PeptideGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agents

Identifiers

PMID31034056
PMCPMC6736051
OpenAlexW2942737746

What OpenQuestion holds

Textmetadata
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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.