Evidence map›Paper›PMID 36729139›Full record

ArticleCalcified tissue international2023

Reference Intervals for Bone Impact Microindentation in Healthy Adults: A Multi-Centre International Study.

Pamela Rufus-Membere, Kara L Holloway-Kew, Adolfo Diez-Perez, Natasha M Appelman-Dijkstra, Mary L Bouxsein, Erik F Eriksen, Joshua N Farr, Sundeep Khosla, Mark A Kotowicz, Xavier Nogues and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Calcified tissue international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Trial
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  3. Differences and similarities in cortical bone of the femur between donors with and without type 2 diabetes.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
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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

12 authors.

Pamela Rufus-MembereIMPACT- Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Australia. pamela.r@deakin.edu.au.ORCID 0000-0002-8693-0457
Kara L Holloway-KewIMPACT- Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Australia.ORCID 0000-0001-5064-2990
Adolfo Diez-PerezDepartment of Internal Medicine, Hospital del Mar-IMIM, Autonomous University of Barcelona and CIBERFES, Instituto Carlos III, Barcelona, Spain.
Natasha M Appelman-DijkstraDepartment of Internal Medicine: Division of Endocrinology and Center for Bone Quality, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0001-5035-127X
Mary L BouxseinCenter for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center and Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USA.
Erik F EriksenSpesialistsenteret Pilestredet Park and Faculty of Odontology, University of Oslo, Oslo, Norway.
Joshua N FarrKogod Center On Aging and Division of Endocrinology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-3179-6414
Sundeep KhoslaKogod Center On Aging and Division of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Mark A KotowiczIMPACT- Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Australia.ORCID 0000-0002-8094-1411
Xavier NoguesDepartment of Internal Medicine, Hospital del Mar-IMIM, Pompeu Fabra University Barcelona- and CIBERFES, Instituto Carlos III, Barcelona, Spain.ORCID 0000-0002-5537-1859
Mishaela RubinDepartment of Medicine, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, USA.
Julie A PascoIMPACT- Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, Australia.ORCID 0000-0002-8968-4714

Funding

EPIDEMIOLOGY OF AGE-RELATED BONE LOSS, &FRACTURESR01AR027065 · NIAMS · MAYO CLINIC ROCHESTER · PI AMIN, SHREYASEE, KHOSLA, SUNDEEP · 1986 to 2020
$14.9M
Targeting Cellular Senescence and RAGE in Type 2 DiabetesR01DK128552 · NIDDK · UNIVERSITY OF ARIZONA · PI FARR, JOSHUA NICHOLAS · 2021 to 2025
$2.0M
NIAMS NIH HHS R01 AR027065NIDDK NIH HHS R01 DK128552
6 · The paper itself

Abstract

Impact microindentation (IMI) is a novel technique for assessing bone material strength index (BMSi) in vivo, by measuring the depth of a micron-sized, spherical tip into cortical bone that is then indexed to the depth of the tip into a reference material. The aim of this study was to define the reference intervals for men and women by evaluating healthy adults from the United States of America, Europe and Australia. Participants included community-based volunteers and participants drawn from clinical and population-based studies. BMSi was measured on the tibial diaphysis using an OsteoProbe in 479 healthy adults (197 male and 282 female, ages 25 to 98 years) across seven research centres, between 2011 and 2018. Associations between BMSi, age, sex and areal bone mineral density (BMD) were examined following an a posteriori method. Unitless BMSi values ranged from 48 to 101. The mean (± standard deviation) BMSi for men was 84.4 ± 6.9 and for women, 79.0 ± 9.1. Healthy reference intervals for BMSi were identified as 71.0 to 97.9 for men and 59.8 to 95.2 for women. This study provides healthy reference data that can be used to calculate T- and Z-scores for BMSi and assist in determining the utility of BMSi in fracture prediction. These data will be useful for positioning individuals within the population and for identifying those with BMSi at the extremes of the population.

Indexed as

Bone and BonesFractures, BoneAbsorptiometry, PhotonAdultAgedAged, 80 and overBone DensityCortical BoneFemaleHumansMaleMiddle AgedTibiaBone material strength indexImpact microindentationNormative dataOsteoporosisReference interval

Identifiers

PMID36729139
PMCPMC9968254

What OpenQuestion holds

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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.