Evidence map›Paper›PMID 31733013›Full record

ArticleJournal of clinical laboratory analysis2020

Association between serum levels of bone turnover markers and bone mineral density in men and women with type 2 diabetes mellitus.

Chenhe Zhao, Guangwang Liu, Yao Zhang, Guiping Xu, Xilu Yi, Jing Liang, Yinqiu Yang, Jun Liang, Chao Ma, Yangli Ye and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 21% 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, 18 citations in OpenAlex.

  1. Prevalence, risk factors and adverse health outcomes of osteosarcopenia in middle-aged and older adults with type 2 diabetes mellitus-a scoping review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
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  4. Elevated baseline CTX levels predict enhanced therapeutic efficacy of zoledronic acid in augmenting lumbar spine bone mineral density among Chinese osteoporosis patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
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  12. Diabetes and Bone Fragility.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    Review
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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

12 authors at 5 institutions in 1 country.

Chenhe ZhaoDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-1824-4439
Guangwang LiuDepartment of Orthopaedics, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Affiliated XuZhou Hospital of Medical College of Southeast University, Xuzhou Clinical Medical College of Nanjing University of Chinese Medicine, Xuzhou, China.
Yao ZhangDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.
Guiping XuDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.
Xilu YiDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jing LiangDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.
Yinqiu YangDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jun LiangDepartment of Endocrinology, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Affiliated XuZhou Hospital of Medical College of Southeast University, Xuzhou Clinical Medical College of Nanjing University of Chinese Medicine, Xuzhou, China.
Chao MaDepartment of Orthopaedics, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Affiliated XuZhou Hospital of Medical College of Southeast University, Xuzhou Clinical Medical College of Nanjing University of Chinese Medicine, Xuzhou, China.
Yangli YeDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.
Mingxiang YuDepartment of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai, China.
Xinhua QuDepartment of Bone and Joint Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Fudan University · CNNanjing University of Chinese Medicine · CNShanghai Jiao Tong University · CNSun Yat-sen University · CNXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with type 2 diabetes mellitus (T2DM), higher risks of impaired bone metabolism are widely reported. To evaluate bone metabolism, bone mineral density (BMD) and bone turnover levels should be included. In this article, we analyzed the relationship between them in T2DM.

methodsWe conducted a hospital-based cross-sectional study enrolling 1499 patients hospitalized for T2DM between October 2009 and January 2013. Multivariate linear regression models were used to identify the relationship between bone turnover markers (BTMs) and BMD levels. A two-sided P-value < .05 was considered statistically significant.

resultsAfter adjusting for confounding factors, osteocalcin (OC) showed a negative relationship with total lumbar, femur neck, and total hip BMD in men and women. N-terminal propeptides of type I collagen (P1NP) and alkaline phosphatase (ALP) showed a negative association with BMD at three sites in men and total lumbar BMD in women, whereas in the femur neck and total hip in women, the relationship was only found for P1NP with total hip. For β-C-terminal telopeptides of type I collagen (β-CTX), a negative relationship was also found in all three sites for BMD in men and total lumbar BMD in women, whereas β-CTX was not associated in the femoral neck and total hip in women.

conclusionIn patients with T2DM, serum levels of OC, P1NP, β-CTX, and ALP were negatively correlated with BMD levels in men in three sites and with total lumbar BMD in women. The relationship varied in femur neck and total hip BMD in women.

Indexed as

AdultAgedAlkaline PhosphataseBiomarkersBone DensityBone RemodelingBone ResorptionCollagen Type ICross-Sectional StudiesDiabetes Mellitus, Type 2FemaleFemurHipHumansLinear ModelsMaleAlkaline PhosphataseBGLAP protein, humanBiomarkersCollagen Type IOsteocalcinPeptide FragmentsProcollagenprocollagen Type I N-terminal peptidebone mineral densitybone turnover markerstype 2 diabetes mellitus

Identifiers

PMID31733013
PMCPMC7171297
OpenAlexW2988195037

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.