Evidence map›Paper›PMID 37133737›Full record

ArticleEuropean journal of epidemiology2023

Age-specific effects of weight-based body size on fracture risk in later life: a lifecourse Mendelian randomisation study.

Grace Marion Power, Jonathan H Tobias, Timothy M Frayling, Jessica Tyrrell, April E Hartley, Jon E Heron, George Davey Smith, Tom G Richardson

Open access · hybridAbstract read
In one paragraph

Article in European journal of epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.7field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Role of Body Fat and Metabolic Rate in Site-Specific Fracture Risk: A 20-Year Taiwanese Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Bridging the Gap in Diabetes and Fracture Care for Diverse Populations.Women's health reports (New Rochelle, N.Y.) · 2025
    Article
  8. Birth weight and birth length affect future fracture risk differently in men and women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  9. Review
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

8 authors at 3 institutions in 1 country.

Grace Marion PowerMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK. grace.power@bristol.ac.uk.ORCID http://orcid.org/0000-0002-5702-7728
Jonathan H TobiasMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Timothy M FraylingGenetics of Complex Traits, College of Medicine and Health, University of Exeter, Exeter, UK.
Jessica TyrrellGenetics of Complex Traits, College of Medicine and Health, University of Exeter, Exeter, UK.
April E HartleyMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Jon E HeronMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
George Davey Smith *MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Tom G Richardson *MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
University of Bristol · GBUniversity of Exeter · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Academy of Medical Sciences SBF004\1079Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00032/1Medical Research Council MR/N0137941/1Medical Research Council MR/S003886/1Medical Research Council MR/T002239/1
6 · The paper itself

Abstract

Musculoskeletal conditions, including fractures, can have severe and long-lasting consequences. Higher body mass index in adulthood is widely acknowledged to be protective for most fracture sites. However, sources of bias induced by confounding factors may have distorted previous findings. Employing a lifecourse Mendelian randomisation (MR) approach by using genetic instruments to separate effects at different life stages, this investigation aims to explore how prepubertal and adult body size independently influence fracture risk in later life.Using data from a large prospective cohort, univariable and multivariable MR were conducted to simultaneously estimate the effects of age-specific genetic proxies for body size (n = 453,169) on fracture risk (n = 416,795). A two-step MR framework was additionally applied to elucidate potential mediators. Univariable and multivariable MR indicated strong evidence that higher body size in childhood reduced fracture risk (OR, 95% CI: 0.89, 0.82 to 0.96, P = 0.005 and 0.76, 0.69 to 0.85, P = 1 × 10

Indexed as

Fractures, BoneAdultAge FactorsGenome-Wide Association StudyHumansMendelian Randomization AnalysisObesityProspective StudiesRisk FactorsBody sizeBone healthFracture riskLifecourseMendelian randomisationWeight

Identifiers

PMID37133737
PMCPMC10276076
OpenAlexW4367834956

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.