Evidence map›Paper›PMID 37029358›Full record

ArticleBMC endocrine disorders2023

Does chronic low-dose aspirin use benefit bone health? A cross-sectional study on patients with type 2 diabetes mellitus.

Li Zhang, Xuelei Ji, Jun Chen, Yu Zhu, Zhen Wang, Zhen Ma, Yu Wu, Faguo Wu, Zhangan Zheng

Open access · goldAbstract read
In one paragraph

Article in BMC endocrine disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

9 authors at 2 institutions in 1 country.

Li ZhangDepartment of Geriatrics, the Second People' Hospital of Wuhu, Anhui, 230032, China.
Xuelei JiDepartment of Endocrinology, the Second People' Hospital of Wuhu, Anhui, 230032, China.
Jun ChenDepartment of Endocrinology, the Second People' Hospital of Wuhu, Anhui, 230032, China.
Yu ZhuSchool of Basic Medical Science, and the, First Clinical Medical College, Anhui Medical University, 81# Mei Shan Road, Hefei, 230032, Anhui, China.
Zhen WangDepartment of Trauma and Spine Surgery, the Second People' Hospital of Wuhu, Anhui, 230032, China.
Zhen MaDepartment of Trauma and Spine Surgery, the Second People' Hospital of Wuhu, Anhui, 230032, China.
Yu WuDepartment of Trauma and Spine Surgery, the Second People' Hospital of Wuhu, Anhui, 230032, China.
Faguo WuDepartment of Geriatrics, the Second People' Hospital of Wuhu, Anhui, 230032, China.
Zhangan ZhengDepartment of Trauma and Spine Surgery, the Second People' Hospital of Wuhu, Anhui, 230032, China. 114934833@qq.com.
Wuhu Fourth People Hospital · CNAnhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNumerous studies have reported the striking result that aspirin use is associated with higher bone mineral density (BMD), suggesting its potential as a population-wide osteoporosis prevention measure. Therefore, this study aimed to examine the impact of chronic low-dose aspirin use on bone remodeling biomarkers and BMD in an aging population. MATERIALS AND

methodsBetween September and November of 2019, clinical data regarding the medication use, serum bone remodeling biomarkers, and BMD of 567 consecutively hospitalized patients, a minimum of 50 years old with type 2 diabetes mellitus (T2DM), were collected. The cross-sectional associations between chronic low-dose aspirin use and serum concentrations of bone remodeling biomarkers and BMD were estimated separately using linear regression. Potential confounding variables were controlled for, including age, sex, and comorbidities.

resultsLow-dose aspirin users had significantly lower serum bone alkaline phosphatase (BAP) concentrations than non-users (82.44 ± 28.03 U/L vs 90.71 ± 32.79 U/L, p = 0.025). On the other hand, low-dose aspirin users had insignificantly higher vertebral BMD (0.95 ± 0.19 vs 0.91 ± 0.21, p = 0.185), femoral neck BMD (0.80 ± 0.15 vs 0.78 ± 0.17, p = 0.309) and Ward's triangle BMD (0.46 ± 0.14 vs 0.44 ± 0.13, p = 0.209), regardless of adjustment.

conclusionsThis cross-sectional study demonstrated that chronic use of low-dose aspirin was associated with significantly lower serum concentrations of BAP in hospitalized patients with T2DM. The mechanism causing the insignificantly higher BMD observed in chronic aspirin users in this study and the significant increments in BMD reported in previous studies requires further clarification in other clinical trials.

Indexed as

Bone DensityDiabetes Mellitus, Type 2Absorptiometry, PhotonAgedAspirinBiomarkersCross-Sectional StudiesHumansMiddle AgedAspirinBiomarkersAspirinBoneCyclo-oxygenaseNonsteroidal anti-inflammatory drugsOsteoporosis

Identifiers

PMID37029358
PMCPMC10080941
OpenAlexW4362698661

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Registered trials

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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.