Evidence map›Paper›PMID 39508862›Full record

ArticleJournal of bone and mineral metabolism2025

Influence of disease activity and gonadal status on bone mineral density and turnover in acromegaly.

Fabiana Freire Silva, Maria de Lourdes Lima, Clarissa Carvalho Pedreira, Marcos Almeida Matos

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Article in Journal of bone and mineral metabolism, 2025. 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
–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

2 citing papers in PubMed.

  1. Acromegaly complications: an update.The Journal of clinical endocrinology and metabolism · 2026
    Review
  2. 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

4 authors.

Fabiana Freire SilvaNeuroendocrine Unit, Center for Diabetes and Endocrinology of Bahia, Salvador, Bahia, Brazil. fabifreire@netscape.net.ORCID http://orcid.org/0000-0002-9892-2390
Maria de Lourdes LimaDepartment of Endocrinology, Roberto Santos General Hospital, Salvador, Bahia, Brazil.ORCID http://orcid.org/0000-0002-2081-4162
Clarissa Carvalho PedreiraNeuroendocrine Unit, Center for Diabetes and Endocrinology of Bahia, Salvador, Bahia, Brazil.ORCID http://orcid.org/0000-0003-1267-3344
Marcos Almeida MatosDepartment of Postgraduate Education, Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil.ORCID http://orcid.org/0000-0002-3592-986X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this study was to evaluate the impact of disease activity and gonadal status on bone mineral density (BMD) and turnover markers (BTMs) in individuals with acromegaly. MATERIALS AND

methodsSubjects underwent laboratory tests for PTH, 25-hydroxyvitamin D, calcium, phosphorus, osteocalcin (OC) and C-telopeptide (CTX-1) and bone densitometry at the lumbar spine (LS), femoral neck (FN) and total hip (TH).

resultsSixty participants (48.6 ± 11.0 years; 66,7% female) were included in this cross-sectional study. Phosphorus, OC, CTX-1, and LS BMD were greater in the active disease group than in the controlled/cured disease group (P = 0.025, P < 0.001, P = 0.007, and P = 0.016, respectively). When analyzing gonadal status, phosphorus, OC and CTX-1 were greater in the hypogonadal group than in the eugonadal group (P = 0.017, P = 0.015, and P = 0.033, respectively). Patients with hypogonadism had a higher prevalence of reduced bone mass compared to eugonadal patients (44 vs. 17%, P = 0.023).

conclusionThis study revealed increased levels of phosphorus and BTMs in patients with active acromegaly. In this group, the greater LS BMD values are likely due to the anabolic effects of GH and IGF-1 and/or to the influence of LS arthropathy. Moreover, hypogonadism negatively impacts bone metabolism in acromegaly, leading to elevated BTMs and a higher prevalence of reduced bone mass in individuals affected by both conditions.

Indexed as

AcromegalyBone DensityBone RemodelingHypogonadismAdultBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedOsteocalcinBiomarkersOsteocalcinAcromegalyBone densityBone turnoverHypogonadismOsteoporosis

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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.