Evidence map›Paper›PMID 33973881›Full record

ArticleAlzheimer disease and associated disorders

Bone Mineral Density Measurements and Association With Brain Structure and Cognitive Function: The Framingham Offspring Cohort.

Maria Stefanidou, Adrienne O'Donnell, Jayandra J Himali, Charles DeCarli, Claudia Satizabal, Alexa S Beiser, Sudha Seshadri, Tan Zaldy

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Alzheimer disease and associated disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Bone mineral density and the risk of incident dementia: A meta-analysis.Journal of the American Geriatrics Society · 2024
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Brain-Bone Axis in Physiological and Pathological Conditions.International journal of molecular sciences · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Association of white matter hyperintensities with BMD, incident fractures, and falls in the UK Biobank cohort.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Osteoporosis and Dementia: Establishing a Link.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Maria StefanidouThe Framingham Heart Study, Framingham.
Adrienne O'DonnellThe Framingham Heart Study, Framingham.
Jayandra J HimaliThe Framingham Heart Study, Framingham.
Charles DeCarliDepartment of Neurology, University of California, Davis.
Claudia SatizabalThe Framingham Heart Study, Framingham.
Alexa S BeiserThe Framingham Heart Study, Framingham.
Sudha SeshadriThe Framingham Heart Study, Framingham.
Tan ZaldyDivision of Geriatrics, David Geffen School of Medicine at the University of California, Los Angeles, CA.
Boston University · USFramingham Heart Study · USInstitute for Neurodegenerative Disorders · USUniversity of California, Davis · USUniversity of California, Los Angeles · US

Funding

Temporal Trends, Novel Imaging and Molecular Characterization of Preclinical and Clinical Alzheimer's Disease in the Framingham CohortsR01AG054076 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DECARLI, CHARLES, SESHADRI, SUDHA · 2016 to 2020
$12.3M
NIA NIH HHS R01 AG054076
6 · The paper itself

Abstract

backgroundBone mineral density (BMD) is a potential surrogate marker of lifetime estrogen exposure previously linked to increased risk of Alzheimer dementia among elderly women. We examine the association between BMD in the "young old" with imaging biomarkers of brain aging and cognitive performance.

methodsOffspring participants (N=1905, mean age 66) of a population-based cohort who had BMD, brain imaging and detailed cognitive assessment were included in the study. Sex-stratified, linear, and logistic regression models were used for analysis.

resultsHigher femoral neck BMD was associated with lower white matter hyperintensity burden and better performance on Trails B-A in both sexes, even after adjustment for cerebrovascular risk factors. Among women, the positive association with Trails B-A performance was seen only in APOE4 allele carriers. Higher BMD measurements were linked to better visual reproductions test performance in men. Finally, among women, higher femoral trochanter BMD was associated with better logical memory and Hooper visual organization test performance.

conclusionAmong the "young old," higher BMD is associated with less white matter hyperintensity burden and better, domain-specific, cognitive performance. This suggests that lifetime estrogen exposure may modulate the degree of cumulative vascular brain injury independent of cerebrovascular risk factors.

Indexed as

Bone DensityBrainAgedCognitionCohort StudiesFemaleFemurHumansMale

Identifiers

PMID33973881
PMCPMC8608007
OpenAlexW3162063362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.