Evidence map›Paper›PMID 33761975›Full record

ArticleJournal of orthopaedic surgery and research2021

Predicting osteoporosis with body compositions in postmenopausal women: a non-invasive method.

Wei-Hsiu Hsu, Wei-Bin Hsu, Chun-Hao Fan, Robert Wen-Wei Hsu

Registry-linked trialAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02936336 (The Effect of Exercise Intervention on the Physical Fitness, Bone Mineral Density and Health-related Quality of Life in the Community's Older Adults), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

NCT02936336 nacompletednot on this map

The Effect of Exercise Intervention on the Physical Fitness, Bone Mineral Density and Health-related Quality of Life in the Community's Older Adults

TypeinterventionalSponsorChang Gung Memorial HospitalRan2009 to 2013Enrolled411ConditionsMetabolic DiseaseArmsexercise
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Current Status of the Diagnosis and Management of Osteoporosis.International journal of molecular sciences · 2022
    Review
  5. Article
  6. 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.

Wei-Hsiu Hsu *Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 6, West Section, Chia-Pu Road, Pu-Tz City, Chiayi, 613, Taiwan.
Wei-Bin Hsu *Sports Medicine Center, Chang Gung Memorial Hospital, No. 6, West Section, Chia-Pu Road, Pu-Tz City, Chiayi, 613, Taiwan.
Chun-Hao FanSports Medicine Center, Chang Gung Memorial Hospital, No. 6, West Section, Chia-Pu Road, Pu-Tz City, Chiayi, 613, Taiwan.
Robert Wen-Wei HsuDepartment of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 6, West Section, Chia-Pu Road, Pu-Tz City, Chiayi, 613, Taiwan. wwh@cgmh.org.tw.

Funding

Chang Gung Memorial Hospital CMRPG690111-3:CORPG6F0011-13
6 · The paper itself

Abstract

backgroundThe prevalence of osteoporosis is rising steadily as the aging population increases. Bone mineral density (BMD) assessment is a golden standard to establish the diagnosis of osteoporosis. However, the accessibility and radiation exposure limited its role in community screening. A more convenient approach for screening is suggested.

methodsA total of 363 postmenopausal women over the age of 50 were included in this study and assessed with the body composition [including fat-free mass (FFM), fat mass (FM), and basal metabolic rate (BMR)] and BMD. Normal distributions and correlation coefficients among variables were calculated using the Shapiro-Wilk test and Pearson's correlation analysis, respectively. A receiver operating characteristic (ROC) curve was plotted, and the area under ROC curves (AUC) was determined to obtain the optimal cutoff values of the body composition variables for osteoporosis prediction.

resultsThe correlation coefficient of FFM, FM, FM ratio, and BMR with femur neck T-score was 0.373, 0.266, 0.165, and 0.369, respectively, while with spine T-score was 0.350, 0.251, 0.166, and 0.352, respectively (p < 0.01 for all). FFM, FM, and BMR showed an optimal cutoff value of 37.9 kg, 18.6 kg, and 1187.5 kcal, respectively, for detecting osteoporosis.

conclusionsThe present study provided a model to predict osteoporosis in postmenopausal women, and the optimal cutoff value of FFM, FM, and BMR could be calculated in the Asian population. Among these factors, BMR seemed a better predictor than others. The BMR could be a target for exercise intervention in postmenopausal women for maintaining or improving BMD.

trial registrationClinicalTrials.gov , NCT02936336 . Retrospectively registered on13 October 2016.

Indexed as

Body CompositionAgedAged, 80 and overBone DensityExerciseFemaleHumansLogistic ModelsMiddle AgedOsteoporosis, PostmenopausalPostmenopausePredictive Value of TestsROC CurveBasal metabolic rateFat-free massFat massOsteoporosisPostmenopausal women

Identifiers

PMID33761975
PMCPMC7989015

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LicenceCC BY
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Registered trials

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.