Evidence map›Paper›PMID 33059717›Full record

ArticleJournal of orthopaedic surgery and research2020

Association between plasma total homocysteine level within normal range and bone mineral density in adults.

Zhongxin Zhu, Changhua Liu, Xiao'e Li, Xiaocong Yao

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Zhongxin ZhuDepartment of Osteoporosis Care and Control, Xiaoshan First Affiliated Hospital of Hangzhou Normal University, No.199, Shixin South Road, Xiaoshan District, Hangzhou, 311200, Zhejiang Province, People's Republic of China.
Changhua LiuDepartment of Osteoporosis Care and Control, Xiaoshan First Affiliated Hospital of Hangzhou Normal University, No.199, Shixin South Road, Xiaoshan District, Hangzhou, 311200, Zhejiang Province, People's Republic of China.
Xiao'e LiDepartment of Hematology, Xiaoshan First Affiliated Hospital of Hangzhou Normal University, Hangzhou, 311200, Zhejiang, China.
Xiaocong YaoDepartment of Osteoporosis Care and Control, Xiaoshan First Affiliated Hospital of Hangzhou Normal University, No.199, Shixin South Road, Xiaoshan District, Hangzhou, 311200, Zhejiang Province, People's Republic of China. hzyaoxiaocong@163.com.ORCID http://orcid.org/0000-0001-9491-7511

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrowing evidence indicates that homocysteine is a noteworthy marker for general health status. However, research regarding plasma total homocysteine (tHcy) levels and bone mineral density (BMD) is sparse and controversial. Hence, we aimed to investigate the association between plasma tHcy level within normal range and lumbar BMD in adults.

methodsIn this cross-sectional study, using the National Health and Nutrition Examination Survey database, data on 10748 adults aged between 30 and 85 years were analyzed. The weighted multiple logistic regression analyses were conducted to evaluate the association between plasma tHcy level and lumbar BMD. The fitted smoothing curves were performed to explore potential non-linear relationships. When non-linearity was detected, we further calculated the inflection point using a recursive algorithm and constructed a weighted two-piecewise linear regression model.

resultsAfter adjusting for all the covariates, the association between plasma tHcy and lumbar BMD was different in various age groups (adults aged 30-49 years: β = -0.0004, 95% CI -0.0025, 0.0018; adults aged 50-69 years: β = 0.0001, 95% CI -0.0025, 0.0026; adults aged 70-85 years: β = 0.0050, 95% CI 0.0008, 0.0092). In the subgroup analysis stratified by gender, this association also differed based on gender. There was a negative trend in females (aged 30-49 years: β = -0.0022, 95% CI -0.0054, 0.0011; aged 50-69 years: β = -0.0028, 95% CI -0.0062, 0.0007), and a positive trend in males (aged 30-49 years: β = 0.0018, 95% CI -0.0012, 0.0048; aged 50-69 years: β = 0.0027, 95% CI -0.0009, 0.0063) in both 30-49 years group and 50-69 years group. In the 70-85 years group, this association was significantly positive in males (β = 0.0136, 95% CI 0.0068, 0.0204), but was not significantly different in females (β = 0.0007, 95% CI -0.0046, 0.0060).

conclusionThe correlation between plasma tHcy level within the normal range and lumbar BMD differs by age and gender.

Indexed as

Bone DensityHealth StatusAdultAgedAged, 80 and overAge FactorsBiomarkersCross-Sectional StudiesDatabases as TopicFemaleHealth SurveysHomocysteineHumansLumbar VertebraeMaleMiddle AgedBiomarkersHomocysteineBiomarkerBone healthCross-sectional studyHomocysteineNHANES

Identifiers

PMID33059717
PMCPMC7559759

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.