Evidence map›Paper›PMID 33650017›Full record

ArticleDiabetologia2021

Fasting glucose, bone area and bone mineral density: a Mendelian randomisation study.

Adam Mitchell, Susanna C Larsson, Tove Fall, Håkan Melhus, Karl Michaëlsson, Liisa Byberg

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. 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
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  7. 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
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  13. Causal relationship between type 2 diabetes mellitus and bone mineral density: a Mendelian randomization study in an East Asian population.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
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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 1 institution in 1 country.

Adam MitchellDepartment of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, Sweden. Adam.mitchell@surgsci.uu.se.ORCID http://orcid.org/0000-0003-3222-2970
Susanna C LarssonDepartment of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-0118-0341
Tove FallDepartment of Medical Sciences, Molecular Epidemiology, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-2071-5866
Håkan MelhusDepartment of Medical Sciences, Clinical Pharmacogenomics and Osteoporosis, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-6857-5973
Karl MichaëlssonDepartment of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-2815-1217
Liisa BybergDepartment of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-4421-6466
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisObservational studies indicate that type 2 diabetes mellitus and fasting glucose levels are associated with a greater risk for hip fracture, smaller bone area and higher bone mineral density (BMD). However, these findings may be biased by residual confounding and reverse causation. Mendelian randomisation (MR) utilises genetic variants as instruments for exposures in an attempt to address these biases. Thus, we implemented MR to determine whether fasting glucose levels in individuals without diabetes are causally associated with bone area and BMD at the total hip.

methodsWe selected 35 SNPs strongly associated with fasting glucose (p < 5 × 10

resultsIn a meta-analysis of the three cohorts, a genetically predicted 1 mmol/l increment of fasting glucose was associated with a 2% smaller total hip bone area (-0.67 cm CONCLUSIONS/

interpretationFasting glucose may be a causal risk factor for smaller bone area at the hip, yet possibly for greater BMD. Further MR studies with larger sample sizes are required to corroborate these findings.

Indexed as

Blood GlucosePolymorphism, Single NucleotideAgedBone DensityFastingFemaleFemurHip JointHumansMaleMendelian Randomization AnalysisMiddle AgedRisk FactorsBlood GlucoseBone areaBone mineral densityFasting glucoseMendelian randomisationSingle nucleotide polymorphisms

Identifiers

PMID33650017
PMCPMC8099809
OpenAlexW3100571687

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.