Evidence map›Paper›PMID 37178220›Full record

SynthesisThe Journal of clinical endocrinology and metabolism2023

Low Circulating Valine Associate With High Risk of Hip Fractures.

Louise Grahnemo, Anna L Eriksson, Maria Nethander, Robert Johansson, Mattias Lorentzon, Dan Mellström, Ulrika Pettersson-Kymmer, Claes Ohlsson

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of clinical endocrinology and metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Low Circulating Valine Associate With High Risk of Hip Fractures.The Journal of clinical endocrinology and metabolism · 2023
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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

8 authors at 3 institutions in 2 countries.

Louise GrahnemoDepartment of Internal Medicine and Clinical Nutrition, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research, Institute of Medicine, University of Gothenburg, SE-413 45 Gothenburg, Sweden.ORCID 0000-0001-5276-6612
Anna L ErikssonDepartment of Internal Medicine and Clinical Nutrition, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research, Institute of Medicine, University of Gothenburg, SE-413 45 Gothenburg, Sweden.ORCID 0000-0001-5455-2810
Maria NethanderDepartment of Internal Medicine and Clinical Nutrition, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research, Institute of Medicine, University of Gothenburg, SE-413 45 Gothenburg, Sweden.ORCID 0000-0003-3688-906X
Robert JohanssonThe Biobank Research Unit, Umeå University, SE-90187 Umeå, Sweden.
Mattias LorentzonDepartment of Internal Medicine and Clinical Nutrition, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research, Institute of Medicine, University of Gothenburg, SE-413 45 Gothenburg, Sweden.ORCID 0000-0003-0749-1431
Dan MellströmDepartment of Internal Medicine and Clinical Nutrition, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research, Institute of Medicine, University of Gothenburg, SE-413 45 Gothenburg, Sweden.
Ulrika Pettersson-KymmerClinical Pharmacology, Department of Integrative Medical Biology, Umeå University, SE-90197 Umeå, Sweden.ORCID 0000-0002-0557-9803
Claes OhlssonDepartment of Internal Medicine and Clinical Nutrition, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research, Institute of Medicine, University of Gothenburg, SE-413 45 Gothenburg, Sweden.ORCID 0000-0002-9633-2805
Sahlgrenska University Hospital · SEUmeå University · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextHip fractures constitute a major health concern. An adequate supply of amino acids is crucial to ensure optimal acquisition and remodeling of bone. Circulating amino acid levels have been proposed as markers of bone mineral density, but data on their ability to predict incident fractures are scarce.

objectivesTo investigate the associations between circulating amino acids and incident fractures.

methodsWe used UK Biobank (n = 111 257; 901 hip fracture cases) as a discovery cohort and the Umeå Fracture and Osteoporosis (UFO) hip fracture study (hip fracture cases n = 2225; controls n = 2225) for replication. Associations with bone microstructure parameters were tested in a subsample of Osteoporotic Fractures in Men Sweden (n = 449).

resultsCirculating valine was robustly associated with hip fractures in the UK Biobank (HR per SD increase 0.79, 95% CI 0.73-0.84), and this finding was replicated in the UFO study (combined meta-analysis including 3126 incident hip fracture cases, odds ratio per SD increase 0.84, 95% CI 0.80-0.88). Detailed bone microstructure analyses showed that high circulating valine was associated with high cortical bone area and trabecular thickness.

conclusionLow circulating valine is a robust predictor of incident hip fractures. We propose that circulating valine may add information for hip fracture prediction. Future studies are warranted to determine whether low valine is causally associated with hip fractures.

Indexed as

Hip FracturesOsteoporotic FracturesBone DensityCortical BoneHumansMaleRisk FactorsValineValineamino acidsbiomarkership fracturesvaline

Identifiers

PMID37178220
PMCPMC10583993
OpenAlexW4376503693

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.