Evidence map›Paper›PMID 32929477›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Hip Structural Analysis Reveals Impaired Hip Geometry in Girls With Type 1 Diabetes.

Taïsha V Joseph, Signe Caksa, Madhusmita Misra, Deborah M Mitchell

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trabecular bone score in adults with type 1 diabetes: a meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  3. Causal relationship between Type 1 diabetes and osteoporosis and fracture occurrence: a two-sample Mendelian randomization analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Pooled it
  4. Pooled it
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  6. Article
  7. Article
  8. Article
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  10. Article
  11. Glycemic Control and Bone in Diabetes.Current osteoporosis reports · 2022
    Review
  12. Article
  13. An update on methods for assessing bone quality and health in Cystic fibrosis.Journal of clinical & translational endocrinology · 2022
    Article
  14. Article
  15. Hip Structural Analysis Reveals Impaired Hip Geometry in Girls With Type 1 Diabetes.The Journal of clinical endocrinology and metabolism · 2020
    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

4 authors at 1 institution in 1 country.

Taïsha V JosephEndocrine Unit, Massachusetts General Hospital, Boston, Massachusetts.
Signe CaksaEndocrine Unit, Massachusetts General Hospital, Boston, Massachusetts.
Madhusmita MisraPediatric Endocrine Unit, Massachusetts General Hospital, Boston, Massachusetts.
Deborah M MitchellEndocrine Unit, Massachusetts General Hospital, Boston, Massachusetts.
Massachusetts General Hospital · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
The effects of type 1 diabetes on bone health in children and adolescentsK23DK105350 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MITCHELL, DEBORAH MICHELLE · 2016 to 2020
$940k
Bone Metabolism and Body Composition in Young AthletesK24HD071843 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI MISRA, MADHUSMITA · 2013 to 2017
$930k
X-Treme CT Equipment GrantS10RR023405 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI FINKELSTEIN, JOEL S · 2007 to 2007
$380k
NCATS NIH HHS UL1 TR001102NCRR NIH HHS S10 RR023405NICHD NIH HHS K24 HD071843NIDDK NIH HHS K23 DK105350
6 · The paper itself

Abstract

contextAmong patients with type 1 diabetes (T1D), the risk of hip fracture is up to 6-fold greater than that of the general population. However, the cause of this skeletal fragility remains poorly understood.

objectiveTo assess differences in hip geometry and imaging-based estimates of bone strength between youth with and without T1D using dual-energy x-ray absorptiometry (DXA)-based hip structural analysis.

designCross-sectional comparison.

participantsGirls ages 10 to 16 years, including n = 62 with T1D and n = 61 controls.

resultsThe groups had similar age, bone age, pubertal stage, height, lean mass, and physical activity. Bone mineral density at the femoral neck and total hip did not differ in univariate comparisons but was lower at the femoral neck in T1D after adjusting for bone age, height, and lean mass. Subjects with T1D had significantly lower cross-sectional area, cross-sectional moment of inertia, section modulus, and cortical thickness at the narrow neck, with deficits of 5.7% to 10.3%. Cross-sectional area was also lower at the intertrochanteric region in girls with T1D. Among those T1D subjects with HbA1c greater than the cohort median of 8.5%, deficits in hip geometry and strength estimates were more pronounced.

conclusionsDXA-based hip structural analysis revealed that girls with T1D have unfavorable geometry and lower estimates of bone strength at the hip, which may contribute to skeletal fragility and excess hip fracture risk in adulthood. Higher average glycemia may exacerbate effects of T1D on hip geometry.

Indexed as

Absorptiometry, PhotonAdolescentCase-Control StudiesChildCross-Sectional StudiesDiabetes ComplicationsDiabetes Mellitus, Type 1FemaleFemur NeckHipHip FracturesHip JointHumansPelvic BonesPrognosisRisk Factorsbone accrualosteoporosistype 1 diabetes

Identifiers

PMID32929477
PMCPMC8161549
OpenAlexW3086171106

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.