Evidence map›Paper›PMID 35333415›Full record

ArticlePaediatric and perinatal epidemiology2022

Bone mineral density in very low birthweight adults-A sibling study.

Samuel Sandboge, Juho Kuula, Johan Björkqvist, Petteri Hovi, Outi Mäkitie, Eero Kajantie

Open access · hybridAbstract read
In one paragraph

Article in Paediatric and perinatal epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
6.9field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Are birth characteristics related to bone quality measures in young adults? The HUNT study, Norway.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Preterm birth and risk of bone fractures during childhood and early adulthood.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  11. Article
  12. Article
  13. Quantifying Bone Strength Deficits in Young Adults Born Extremely Preterm or Extremely Low Birth Weight.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2023
    Article
  14. Association of theInternational journal of molecular sciences · 2022
    Article
  15. 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 4 institutions in 3 countries.

Samuel SandbogePopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.ORCID 0000-0003-1354-4026
Juho KuulaPopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.ORCID 0000-0002-5793-9196
Johan BjörkqvistPopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.ORCID 0000-0002-1087-5674
Petteri HoviPopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.ORCID 0000-0002-7790-007X
Outi MäkitiePediatric Research Center, Children's Hospital, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-4547-001X
Eero KajantiePopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.ORCID 0000-0001-7081-8391
University of Helsinki · FIFinnish Institute for Health and Welfare · FIKarolinska University Hospital · SETampere University of Applied Sciences · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren and adults born very low birthweight (VLBW, <1500 g) at preterm gestations have lower bone mineral density (BMD) and/or bone mineral content (BMC) than those born at term, but causality remains unknown.

objectivesOur aim was to assess BMD and BMC in adults born at VLBW in a sibling comparison setting to account for shared genetic and environmental confounders.

methodsWe conducted a cohort study of 77 adults born VLBW and 70 same-sex term-born siblings at mean age of 29 years. The primary outcome variables were BMD Z-scores, and BMC, of the femoral neck, lumbar spine, and whole body, measured using dual-energy X-ray absorptiometry. We analysed data by linear mixed models.

resultsThe VLBW adults had a 0.25 (95% CI 0.02, 0.47) Z-score unit lower femoral neck BMD, and 0.35 (95% CI 0.16, 0.54) grams lower femoral neck BMC than their term-born siblings, after adjustment for sex, age, and maternal smoking. Additional adjustment for adult body size attenuated the results. Lumbar spine, and whole body BMC were also lower in the VLBW group.

conclusionsIndividuals born at VLBW had lower BMC values at all three measurement sites, as well as lower femoral neck BMD Z-scores, compared to term-born siblings, partly explained by their smaller adult body size, but the differences were smaller than those reported previously with unrelated controls. This suggests that genetic or environmental confounders explain partly, but not exclusively, the association between preterm VLBW birth and adult bone mineralisation.

Indexed as

Bone DensityPremature BirthAbsorptiometry, PhotonAdultChildCohort StudiesFemaleHumansInfant, NewbornInfant, Very Low Birth WeightSiblingsBMCBMDbone mineral contentbone mineral densitysibling studyvery low birthweightVLBWVLBW adult

Identifiers

PMID35333415
PMCPMC9543339
OpenAlexW4220997064

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.