Evidence map›Paper›PMID 34214157›Full record

ArticleThe Journal of clinical endocrinology and metabolism2021

Type 2 Diabetes and Change in Total Hip Bone Area and Bone Mineral Density in Swedish Men and Women Older Than 55 Years.

Adam Mitchell, Tove Fall, Håkan Melhus, Lars Lind, Karl Michaëlsson, Liisa Byberg

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
0.7field-weighted citation impact, top 35% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Secondary Osteoporosis and Metabolic Bone Diseases.Journal of clinical medicine · 2022
    Review
  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

6 authors at 1 institution in 1 country.

Adam MitchellDepartment of Surgical Sciences, Medical Epidemiology, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0003-3222-2970
Tove FallDepartment of Medical Sciences, Molecular Epidemiology, Uppsala University, 751 85 Uppsala, Sweden.
Håkan MelhusDepartment of Medical Sciences, Clinical Pharmacogenomics and Osteoporosis, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0002-6857-5973
Lars LindDepartment of Medical Sciences, Clinical Epidemiology, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0003-2335-8542
Karl MichaëlssonDepartment of Surgical Sciences, Medical Epidemiology, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0003-2815-1217
Liisa BybergDepartment of Surgical Sciences, Medical Epidemiology, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0002-4421-6466
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextIn a cross-sectional study, we found an association between type 2 diabetes mellitus (T2DM) and smaller bone area together with greater bone mineral density (BMD) at the total hip.

objectiveThis work aims to investigate these associations longitudinally, by studying T2DM status (no T2DM n = 1521, incident T2DM n = 119, or prevalent T2DM n = 106) in relation to changes in total hip bone area and BMD.

methodsIn 3 cohorts, the Swedish Mammography Cohort Clinical (SMCC; n = 1060), Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS; n = 483), and Uppsala Longitudinal Study of Adult Men (ULSAM; n = 203), with repeat assessment of T2DM status and dual energy x-ray absorptiometry (DXA) measurements of total hip bone area and BMD on average 8 years apart, a linear regression model was used to assess the effect of T2DM status on change in bone area and BMD at the total hip.

resultsAfter meta-analysis, the change in bone area at the total hip was 0.5% lower among those with incident T2DM compared to those without T2DM (-0.18 cm2; 95% CI, -0.30 to -0.06). The change in bone area was similar among those with prevalent T2DM compared to those without (0.00 cm2; 95% CI, -0.13 to 0.13). For BMD, the combined estimate was 0.004 g/cm2 (95% CI, -0.006 to 0.014) among those with incident T2DM and 0.010 g/cm2 (95% CI, -0.000 to 0.020) among those with prevalent T2DM, compared to those without T2DM.

conclusionThose with incident T2DM have a lower expansion in bone area at the total hip compared to those without T2DM.

Indexed as

Bone DensityAbsorptiometry, PhotonCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedPelvic BonesPrevalenceProspective StudiesSwedenbone areabone mineral densitylongitudinal studytype 2 diabetes mellitus

Identifiers

PMID34214157
PMCPMC8475243
OpenAlexW3173373893

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.