Evidence map›Paper›PMID 34001536›Full record

ArticleDiabetes care2021

Risk Factors for Incident Fracture in Older Adults With Type 2 Diabetes: The Framingham Heart Study.

Alyssa B Dufour, Douglas P Kiel, Setareh A Williams, Richard J Weiss, Elizabeth J Samelson

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
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  6. Type 1 and 2 diabetes mellitus: comprehensive fracture risk relationships in UK Biobank.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  7. DXA based radiomics scoring: a novel approach for fragility fracture risk assessment in elderly type 2 diabetes patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
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  14. Bone Marrow Adiposity Alterations in Type 2 Diabetes Are Sex-Specific and Associated with Serum Lipid Levels.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2023
    Article
  15. Review
  16. Review
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  18. To do one and to get more: Part I. Diabetes and bone.Journal of the Chinese Medical Association : JCMA · 2022
    Review
  19. Article
  20. Review
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

5 authors at 2 institutions in 1 country.

Alyssa B DufourHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA alyssadufour@hsl.harvard.edu.ORCID 0000-0001-8061-9599
Douglas P KielHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA.
Setareh A WilliamsHealth Economics and Outcomes Research, Radius Health, Inc., Boston, MA.
Richard J WeissGlobal Medical Affairs, Radius Health, Inc., Boston, MA.
Elizabeth J SamelsonHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA.
Beth Israel Deaconess Medical Center · USRadius Health (United States) · US

Funding

RISK FACTORS FOR VERTEBRAL FRACTURE AND BONE LOSSR01AR041398 · NIAMS · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI KIEL, DOUGLAS P. · 1991 to 2025
$16.1M
The Gut Microbiome and Bone MicroarchitectureR01AR061445 · NIAMS · HEBREW REHABILITATION CENTER FOR AGED · PI KIEL, DOUGLAS P. · 2012 to 2021
$8.9M
NIAMS NIH HHS R01 AR041398NIAMS NIH HHS R01 AR061445
6 · The paper itself

Abstract

objectiveTo identify risk factors for fracture in type 2 diabetes. RESEARCH DESIGN AND

methodsThis prospective study included members of the Framingham Original and Offspring Cohorts. Type 2 diabetes was defined as fasting plasma glucose >125 mg/dL or use of type 2 diabetes therapy. We used repeated-measures Cox proportional hazards regression to calculate hazard ratios (HRs) and 95% CIs for associations between potential predictors and incidence of fragility fracture.

resultsParticipants included 793 individuals with type 2 diabetes. Mean ± SD age was 70 ± 10 years; 45% were women. A total of 106 incident fractures occurred over 1,437 observation follow-up intervals. Fracture incidence increased with age (adjusted HRs 1.00, 1.44 [95% CI 0.65, 3.16], and 2.40 [1.14, 5.04] for <60, 60-70, and >70 years, respectively;

conclusionsPrior falls, fractures, low grip strength, and elevated HbA

Indexed as

Diabetes Mellitus, Type 2Fractures, BoneAgedAged, 80 and overBone DensityFemaleHumansIncidenceLongitudinal StudiesMiddle AgedProspective StudiesRisk Factors

Identifiers

PMID34001536
PMCPMC8323187
OpenAlexW3162475332

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.