Evidence map›Paper›PMID 32108240›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2020

Insulin resistance negatively affects bone quality not quantity: the relationship between bone and adipose tissue.

I M de Araújo, L T Parreiras-E-Silva, A L Carvalho, J Elias, C E G Salmon, F J A de Paula

Abstract read
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In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Insulin resistance, bone health, and fracture risk.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Observational
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Diabetes and bone.Archives of endocrinology and metabolism · 2022
    Review
  18. Bone, fat, and muscle interactions in health and disease.Archives of endocrinology and metabolism · 2022
    Review
  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

6 authors at 2 institutions in 1 country.

I M de AraújoDepartment of Internal Medicine, Ribeirão Preto Medical School, USP, 3900 Bandeirantes Avenue, Ribeirao Preto, SP, 14049-900, Brazil.
L T Parreiras-E-SilvaDepartment of Internal Medicine, Ribeirão Preto Medical School, USP, 3900 Bandeirantes Avenue, Ribeirao Preto, SP, 14049-900, Brazil.
A L CarvalhoDepartment of Internal Medicine, Ribeirão Preto Medical School, USP, 3900 Bandeirantes Avenue, Ribeirao Preto, SP, 14049-900, Brazil.
J EliasDepartment of Internal Medicine, Ribeirão Preto Medical School, USP, 3900 Bandeirantes Avenue, Ribeirao Preto, SP, 14049-900, Brazil.
C E G SalmonDepartment of Physics, Faculty of Philosophy, Sciences, and Letters of Ribeirão Preto, USP, 3900 Bandeirantes Avenue, Ribeirao Preto, SP, 14040-901, Brazil.
F J A de PaulaDepartment of Internal Medicine, Ribeirão Preto Medical School, USP, 3900 Bandeirantes Avenue, Ribeirao Preto, SP, 14049-900, Brazil. fjpaula@fmrp.usp.br.ORCID http://orcid.org/0000-0003-1262-3486
Clinics Hospital of Ribeirão Preto · BRUniversidade de Ribeirão Preto · BR

Funding

CAPES/FAPESP 2016/18574-1National Council for Scientific and Technological Development (CNPq) 156950/2018-9National Council for Scientific and Technological Development (CNPq) 307138/2017-8National Council for Scientific and Technological Development (CNPq) 404795/2018-8São Paulo Research Foundation (FAPESP) 2018/14060-9
6 · The paper itself

Abstract

The present study suggests that insulin resistance has no association with bone quantity, but quality.

introductionThe literature has contradictory results concerning the influence of insulin resistance on bone. The present study sought to evaluate the association of insulin resistance and adipose tissue with either bone mineral density or the trabecular bone score.

methodsThe study included 56 individuals (36 women and 20 men): age = 46.6 ± 14.2 years, weight = 67.8 ± 10.9 kg, height = 1.65 ± 0.10 m and BMI = 24.8 ± 3.9 kg/m

resultsThe bone mineral density of the lumbar spine, femoral neck and total hip were not associated with insulin resistance-related parameters [visceral adipose tissue, intrahepatic lipids and homeostatic model assessment of insulin resistance (HOMA-IR)]. In contrast, there was a negative relationship between the trabecular bone score and all these components. The association between the trabecular bone score and HOMA-IR was reinforced after adjustment for age and BMI. Marrow adipose tissue was negatively associated with both bone mineral density and trabecular bone score.

conclusionsThe present study shows that the trabecular bone score is negatively associated with marrow adipose tissue, insulin resistance, visceral adipose tissue and intrahepatic lipid measurements. Additionally, there was a negative relationship between saturated lipids in marrow adipose tissue and the trabecular bone score. These results encourage further studies to investigate the role of the trabecular bone score exam in the clinical evaluation of osteoporosis in conditions of insulin resistance.

Indexed as

Bone DensityInsulin ResistanceAbsorptiometry, PhotonAdipose TissueAdultBone MarrowCancellous BoneFemaleHumansIntra-Abdominal FatLipidsLiverMagnetic Resonance ImagingMaleMiddle AgedLipidsBone mineral densityMarrow adipose tissueMetabolic syndromeOsteoporosisTrabecular bone score

Identifiers

PMID32108240
OpenAlexW3008777357

What OpenQuestion holds

Textmetadata
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.