Evidence map›Paper›PMID 35182221›Full record

ReviewArchives of osteoporosis2022

Bone metabolism and osteoporosis during pregnancy and lactation.

Abraham Yair Lujano-Negrete, Martha Cecilia Rodríguez-Ruiz, Cassandra Michele Skinner-Taylor, Lorena Perez-Barbosa, Jesus Alberto Cardenas de la Garza, Pedro Alberto García-Hernández, Luis Gerardo Espinosa-Banuelos, Luz Fernanda Gutierrez-Leal, Sofia Jezzini-Martínez, Dionicio Ángel Galarza-Delgado

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of osteoporosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.0field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

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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 1 institution in 1 country.

Abraham Yair Lujano-NegreteRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.ORCID http://orcid.org/0000-0002-3642-5874
Martha Cecilia Rodríguez-RuizRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.ORCID http://orcid.org/0000-0003-3629-7400
Cassandra Michele Skinner-TaylorRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico. casskinner@prodigy.net.mx.ORCID http://orcid.org/0000-0002-1800-0020
Lorena Perez-BarbosaRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.ORCID http://orcid.org/0000-0001-5033-9588
Jesus Alberto Cardenas de la GarzaRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.ORCID http://orcid.org/0000-0002-5099-0079
Pedro Alberto García-HernándezRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.ORCID http://orcid.org/0000-0002-3184-8237
Luis Gerardo Espinosa-BanuelosRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.ORCID http://orcid.org/0000-0001-9791-1297
Luz Fernanda Gutierrez-LealRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.
Sofia Jezzini-MartínezRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.
Dionicio Ángel Galarza-DelgadoRheumatology Service, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, C. P. 64460, Monterrey, Nuevo León, Colonia Mitras Centro, Mexico.ORCID http://orcid.org/0000-0001-9714-2109
Universidad Autónoma de Nuevo León · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteoporosis in pregnancy is an uncommon disease and there is little information regarding its pathogenesis and its effects on the skeleton. This review aims to describe changes in mineral metabolism during pregnancy and lactation as well as their clinical impact.

methodsWe performed a narrative review of the literature using the PubMed and Google Scholar databases for articles published from 1955 to 2021.

resultsMineral metabolism in the mother must adapt to the demand created by the fetus and the placenta, which together absorb calcium and other minerals from the mother to mineralize the developing fetal skeleton; analyses of iliac bone biopsies at the beginning and end of pregnancy have shown that pregnancy significantly modifies maternal bone status. The greatest demand for calcium for the maternal skeleton occurs during lactation; women who breastfeed have an even greater loss of calcium to produce milk. However, it is controversial whether breastfeeding can increase the risk of osteoporotic fractures, and the possible mechanism is considerably complicated. Osteoporosis in pregnancy is an uncommon disease characterized by the occurrence of fragility fractures, most commonly in the vertebral column, in the third trimester of pregnancy, or early postpartum. The pathogenesis of PLO remains unclear owing to its rarity; DXA provides a sensitive and specific method for diagnosing osteoporosis by measuring BMD, one of the parameters that allow a better understanding of fracture risk. One limitation is the controversy in using radiation in pregnant women and the risk to the embryo/fetus; a safe alternative can be MRI.

conclusionPregnancy and lactation alter the maternal bone status; without a balance in metabolism, this may cause an increased risk of fracture due to changes in BMD. There is little information on BMD during pregnancy; more clinical studies are required to elucidate if this represents a risk factor for osteoporosis.

Indexed as

OsteoporosisOsteoporotic FracturesBone DensityBreast FeedingFemaleHumansLactationPregnancyDXALactationOsteoporosisPregnancy

Identifiers

PMID35182221
OpenAlexW4213049216

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.