Evidence map›Paper›PMID 32392181›Full record

ArticleAging2020

Gut microbiota and metabolite alterations associated with reduced bone mineral density or bone metabolic indexes in postmenopausal osteoporosis.

Jianquan He, Shuangbin Xu, Bangzhou Zhang, Chuanxing Xiao, Zhangran Chen, Fuyou Si, Jifan Fu, Xiaomei Lin, Guohua Zheng, Guangchuang Yu and 1 more

Open access · greenAbstract read
In one paragraph

Article in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 160 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed, 8 pooled it
10.8field-weighted citation impact, top 1% 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

160 citing papers in PubMed, 8 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Gut microbiome and bone health: update on mechanisms, clinical correlations, and possible treatment strategies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  13. The Liver-Bone Axis in Steatotic Liver Disease.Calcified tissue international · 2026
    Review
  14. Intestinal-Bone Axis Mediated byMicroorganisms · 2026
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  17. Links between bone fractures and the gut microbiota.Nature reviews. Endocrinology · 2026
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100 more citing papers are in PubMed but not listed here.

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 5 institutions in 1 country.

Jianquan HeCollege of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.
Shuangbin XuDepartment of Bioinformatics, School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China.
Bangzhou ZhangInstitute for Microbial Ecology, School of Medicine, Xiamen University, Xiamen 361102, China.
Chuanxing XiaoInstitute for Microbial Ecology, School of Medicine, Xiamen University, Xiamen 361102, China.
Zhangran ChenInstitute for Microbial Ecology, School of Medicine, Xiamen University, Xiamen 361102, China.
Fuyou SiInstitute for Microbial Ecology, School of Medicine, Xiamen University, Xiamen 361102, China.
Jifan FuDepartment of Rehabilitation, Xinyu People's Hospital, Xinyu 338000, China.
Xiaomei LinDepartment of Rehabilitation, Zhongshan Hospital Xiamen University, Xiamen 361004, China.
Guohua ZhengCollege of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.
Guangchuang YuDepartment of Bioinformatics, School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China.
Jian ChenDepartment of Rehabilitation, Zhongshan Hospital Xiamen University, Xiamen 361004, China.
Xiamen University · CNZhongshan Hospital of Xiamen University · CNSouthern Medical University · CNShanghai University of Medicine and Health Sciences · CNXinyu University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reduced bone mineral density (BMD) is associated with an altered microbiota in senile osteoporosis. However, the relationship among gut microbiota, BMD and bone metabolic indexes remains unknown in postmenopausal osteoporosis. In this study, fecal microbiota profiles for 106 postmenopausal individuals with osteopenia (n=33) or osteoporosis (n=42) or with normal BMD (n=31) were determined. An integrated 16S rRNA gene sequencing and LC-MS-based metabolomics approach was applied to explore the association of estrogen-reduced osteoporosis with the gut microbiota and fecal metabolic phenotype. Adjustments were made using several statistical models for potential confounding variables identified from the literature. The results demonstrated decreased bacterial richness and diversity in postmenopausal osteoporosis. Additionally, showed significant differences in abundance levels among phyla and genera in the gut microbial community were found. Moreover, postmenopausal osteopenia-enriched N-acetylmannosamine correlated negatively with BMD, and distinguishing metabolites were closely associated with gut bacterial variation. Both serum procollagen type I N propeptide (P1NP) and C-terminal telopeptide of type I collagen (CTX-1) correlated positively with osteopenia-enriched

Indexed as

Bone DensityGastrointestinal MicrobiomeAbsorptiometry, PhotonBone and BonesBone RemodelingCollagen Type IFecesFemaleHumansMass SpectrometryMetabolomicsMiddle AgedOsteoporosis, PostmenopausalRNA, Ribosomal, 16SCollagen Type IRNA, Ribosomal, 16S16S rRNA gene sequencinggut microbiotaLC-MS metabolomicspostmenopausal osteoporosis

Identifiers

PMID32392181
PMCPMC7244073
OpenAlexW3021016447

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.