Evidence map›Paper›PMID 34268604›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022

Association between exposure to fine particulate matter and osteoporosis: a population-based cohort study.

G Adami, G Cattani, M Rossini, O Viapiana, P Olivi, G Orsolini, E Bertoldo, E Fracassi, D Gatti, A Fassio

Open access · hybridAbstract read
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Review
  3. Metabolomic evaluation of air pollution-related bone damage and potential mediation in Women's Health Initiative participants.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
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  4. Article
  5. Article
  6. Air Pollution and Osteoporosis.Current osteoporosis reports · 2024
    Review
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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

10 authors at 2 institutions in 1 country.

G AdamiRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy. giovanni.adami@univr.it.ORCID http://orcid.org/0000-0002-8915-0755
G CattaniItalian Institute for Environmental Protection and Research, Rome, Italy.
M RossiniRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.
O ViapianaRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.
P OliviOrthopedic Unit, University of Verona, Verona, Italy.
G OrsoliniRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.
E BertoldoRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.
E FracassiRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.
D GattiRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.
A FassioRheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.
University of Verona · ITIstituto Superiore per la Protezione e la Ricerca Ambientale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term environmental air pollution exposure was associated with osteoporosis' risk in a cohort of women at high risk of fracture. Cortical sites seemed to be more susceptible to the exposure's effect.

introductionEnvironmental air pollution has been associated with disruption of bone health at a molecular level. Particulate matter (PM) exposure can simultaneously stimulate bone resorption and halt bone formation. The primary aim of the present study is to describe the association between long-term exposure to PM and osteoporosis in a large cohort of women at high risk of fracture.

methodsClinical, demographic, and densitometric data were extracted from the DeFRAcalc79 dataset, which gathers data on women at risk for osteoporosis. Data on the monitoring of PM10 and PM2.5 concentrations were retrieved from the Italian institute of environment protection and research (Istituto Superiore per la Protezione e la Ricerca Ambientale, ISPRA). Generalized linear models with robust estimators were employed to determine the relationship between BMD and PM long-term exposure.

resultsA total 59,950 women from 110 Italian provinces were included in the study. PM 2.5 exposure was negatively associated with T-score levels at the femoral neck (β -0.005, 95 CI -0.007 to -0.003) and lumbar spine (β -0.003, 95% CI -0.006 to -0.001). Chronic exposure to PM2.5 above 25 μg/m

conclusionLong-term exposure to air pollution was associated with higher risk of osteoporosis. Femoral neck site seemed to be more susceptible to the detrimental effect of PM exposure than lumbar spine site. KEY MESSAGE: Exposure to air pollution is associated with osteoporosis, mainly at femoral site.

Indexed as

Air PollutionOsteoporosisCohort StudiesEnvironmental ExposureFemaleHumansParticulate MatterParticulate MatterBone mineral densityOsteoporosisParticulate matterPollution

Identifiers

PMID34268604
PMCPMC8758604
OpenAlexW3181882622

What OpenQuestion holds

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LicenceCC BY-NC
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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.