Evidence map›Paper›PMID 31750024›Full record

ArticleNeurology. Clinical practice2019

Multiple sclerosis is associated with low bone mineral density and osteoporosis.

Etienne J Bisson, Marcia L Finlayson, Okechukwu Ekuma, William D Leslie, Ruth Ann Marrie

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The prevalence of osteoporosis/osteopenia in patients with multiple sclerosis (MS): a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Linking Pathogenesis to Fall Risk in Multiple Sclerosis.Archives of internal medicine research · 2025
    Article
  7. Observational
  8. Association of white matter hyperintensities with BMD, incident fractures, and falls in the UK Biobank cohort.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Risk of fracture in neuromyelitis optica spectrum disorder and multiple sclerosis: a nationwide cohort study in South Korea.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Article
  15. Article
  16. Review
  17. Secondary Osteoporosis and Metabolic Bone Diseases.Journal of clinical medicine · 2022
    Review
  18. Physical and Mental Health Comorbidities Among Adults With Multiple Sclerosis.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022
    Article
  19. Article
  20. 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

5 authors.

Etienne J BissonSchool of Rehabilitation Therapy (EJB, MLF), Faculty of Health Sciences, Queen's University, Kingston, Ontario; Manitoba Centre for Health Policy (OE), Max Rady College of Medicine, Rady Faculty of Health Sciences; Departments of Internal Medicine (Endocrinology) and Radiology (Nuclear Medicine) (WDL), Max Rady College of Medicine, Rady Faculty of Health Sciences; and Departments of Internal Medicine and Community Health Sciences (RAM), Max Rady College of Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Marcia L FinlaysonSchool of Rehabilitation Therapy (EJB, MLF), Faculty of Health Sciences, Queen's University, Kingston, Ontario; Manitoba Centre for Health Policy (OE), Max Rady College of Medicine, Rady Faculty of Health Sciences; Departments of Internal Medicine (Endocrinology) and Radiology (Nuclear Medicine) (WDL), Max Rady College of Medicine, Rady Faculty of Health Sciences; and Departments of Internal Medicine and Community Health Sciences (RAM), Max Rady College of Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Okechukwu EkumaSchool of Rehabilitation Therapy (EJB, MLF), Faculty of Health Sciences, Queen's University, Kingston, Ontario; Manitoba Centre for Health Policy (OE), Max Rady College of Medicine, Rady Faculty of Health Sciences; Departments of Internal Medicine (Endocrinology) and Radiology (Nuclear Medicine) (WDL), Max Rady College of Medicine, Rady Faculty of Health Sciences; and Departments of Internal Medicine and Community Health Sciences (RAM), Max Rady College of Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
William D LeslieSchool of Rehabilitation Therapy (EJB, MLF), Faculty of Health Sciences, Queen's University, Kingston, Ontario; Manitoba Centre for Health Policy (OE), Max Rady College of Medicine, Rady Faculty of Health Sciences; Departments of Internal Medicine (Endocrinology) and Radiology (Nuclear Medicine) (WDL), Max Rady College of Medicine, Rady Faculty of Health Sciences; and Departments of Internal Medicine and Community Health Sciences (RAM), Max Rady College of Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Ruth Ann MarrieSchool of Rehabilitation Therapy (EJB, MLF), Faculty of Health Sciences, Queen's University, Kingston, Ontario; Manitoba Centre for Health Policy (OE), Max Rady College of Medicine, Rady Faculty of Health Sciences; Departments of Internal Medicine (Endocrinology) and Radiology (Nuclear Medicine) (WDL), Max Rady College of Medicine, Rady Faculty of Health Sciences; and Departments of Internal Medicine and Community Health Sciences (RAM), Max Rady College of Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare measures of bone mineral density (BMD) between people with and without MS.

methodsUsing population-based administrative data from Manitoba, Canada, we identified people with MS who received BMD screening and controls who received BMD screening matched 5:1 on age, sex, region of residence, and date of BMD screening. We determined the BMD T-scores for the femoral neck, total hip, and lumbar spine and frequency of osteoporosis (defined as T-score -2.5 or lower). We compared the groups with respect to the femoral neck T-score using multivariable linear regression, adjusting for age, sex, region, disability, continuity of care, recent previous fracture, falls history, medication use, and comorbidities. We compared the odds of osteoporosis between groups using multivariable logistic regression analysis.

resultsWe identified 783 MS cases who underwent BMD screening and 3,915 matched controls. The mean (SD) femoral BMD T-score was lower in MS cases (-1.48 [1.08]) than in matched controls (-1.12 [0.98],

conclusionsPeople with MS have lower BMD and a higher prevalence of osteoporosis compared with people of similar age and sex without MS. These findings indicate the importance of addressing bone health as part of comprehensive MS care.

Identifiers

PMID31750024
PMCPMC6814427

What OpenQuestion holds

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Registered trials

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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.