Evidence map›Paper›PMID 37318639›Full record

ArticleArchives of osteoporosis2023

Trabecular bone score (TBS) and bone mineral density (BMD) analysis by dual X-ray absorptiometry (DXA) in healthy Brazilian children and adolescents: normative data.

Melissa Mariti Fraga, Filipe Pedroso de Sousa, Vera Lucia Szejnfeld, Charlles Heldan de Moura Castro, Marcelo de Medeiros Pinheiro, Maria Teresa Terreri

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Article in Archives of osteoporosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
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

7 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Melissa Mariti FragaPaediatric Rheumatology Unit, Paediatrics Department, Universidade Federal de São Paulo, São Paulo, Brazil. melissa.fraga1@gmail.com.ORCID http://orcid.org/0000-0001-5604-1053
Filipe Pedroso de SousaGraduate Student at Medical School, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-1051-3251
Vera Lucia SzejnfeldDivision of Rheumatology, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-3137-6110
Charlles Heldan de Moura CastroDivision of Rheumatology, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-9144-996X
Marcelo de Medeiros PinheiroDivision of Rheumatology, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-1896-8322
Maria Teresa TerreriPaediatric Rheumatology Unit, Paediatrics Department, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-2496-4296
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childhood and adolescence are crucial periods for healthy bone development throughout life. This study aims to establish normative data for trabecular bone score (TBS) and bone mineral density (BMD) measurements using dual-energy X-ray absorptiometry (DXA) in healthy Brazilian children and adolescents. PURPOSE: To establish normative data for trabecular bone score (TBS) and bone mineral density (BMD) measurements using dual energy X-ray absorptiometry (DXA) in healthy Brazilian children and adolescents.

methodsHealthy children and adolescents, aged 5 to 19 years, underwent medical interview, physical examination with anthropometric measurement, pubertal stage evaluation, and bone densitometry by DXA (Hologic QDR 4500). Boys and girls were divided into 2 age groups: 5-9 years old (children) and 10-19 years old (adolescents). BMD and bone mineral content (BMC) were measured following standard procedures. TBS measurements were performed using the TBS Insight ® v3.0.3.0 software.

resultsA total of 349 volunteers were enrolled in this cross-sectional study. Reference values were defined for each group of children and adolescents divided into 3-year age groups. Girls had lower values of TBS compared to boys (1.356 ± 0.116 and 1.380 ± 0.086 respectively, p = 0.029). For both boys and girls, BMC and spine BMD measurements were significantly higher in adolescent than in children (p = 0.0001; p = 0.0001; p = 0.0001, p = 0.0001, respectively). TBS range increased as pubertal development progressed. In both girls and boys, a 1-year increase in age was associated to a 0.013 increase in TBS. Body mass was a significant determinant for TBS. In girls, a 1 kg/m

conclusionOur findings reinforce the evidence that TBS varies according to age, sex, and pubertal stage in healthy children and adolescents. This study established reference values for TBS in healthy Brazilian children and adolescents which can be used as normative data for this population.

Indexed as

Bone DensityCancellous BoneAbsorptiometry, PhotonAdolescentBrazilChildChild, PreschoolCross-Sectional StudiesFemaleHumansLumbar VertebraeMaleAdolescentBone massChildrenDXANormative dataTrabecular bone score

Identifiers

PMID37318639
OpenAlexW4380730648

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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.