Evidence map›Paper›PMID 40460961›Full record

Trial reportBone2025

Impact of denosumab on muscle health in older adults in long-term care.

Nami Safai Haeri, Subashan Perera, Susan L Greenspan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Bone, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Rethinking Osteoporosis Drugs: Can We Simultaneously Address Sarcopenia?International journal of molecular sciences · 2025
    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

3 authors.

Nami Safai HaeriDivision of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: safaihaerin@upmc.edu.
Subashan PereraDivision of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA, USA.
Susan L GreenspanDivision of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Sustaining Skeletal Health in Frail Elderly - S1 Competing RevisionR01AG052123 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GREENSPAN, SUSAN L · 2016 to 2020
$4.3M
Preserving Geriatric Muscle with an Osteoporosis MedicationR01AG081359 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Christine E Kistler · 2023 to 2026
$2.7M
Impact of Different Classes of Osteoporosis Medications on Muscle Health in Older AdultsK23AG088498 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Nami Safai Haeri · 2025 to 2026
$324k
NIA NIH HHS K23 AG088498NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG052123NIA NIH HHS R01 AG081359
6 · The paper itself

Abstract

backgroundOsteosarcopenia, a condition characterized by the simultaneous presence of osteoporosis and sarcopenia, is a common geriatric syndrome associated with increased risk of falls and fracture. While there are multiple medications available for the management of osteoporosis, there are currently no approved pharmacological treatments for sarcopenia.

methodsIn this secondary analysis of a 2-year, double-blind, placebo-controlled, randomized trial involving 201 men and women with osteoporosis aged ≥65 years who were residents of long-term care communities (LTCCs), we examined the impact of denosumab on various indices of muscle health. Study participants received either denosumab 60 mg every 6 months or a matching placebo. We measured appendicular lean mass (ALM/Height

resultsOur study involved 78 men and 123 women, with a mean age of 81.5 years. There were no statistically significant differences between the denosumab and placebo groups in terms of changes in appendicular lean mass adjusted for ALM/Height

conclusionsWe did not find confirmatory evidence that denosumab impacts muscle health in older adults residing in LTCCs, despite its clear advantages for improving bone density. We observed non-significant improvements in grip strength and chair stand test performance in women, which warrant further investigation. MINI ABSTRACT: Our study found that in older adults in LTCCs, denosumab did not significantly enhance muscle health indices.

Indexed as

DenosumabLong-Term CareMuscle, SkeletalAgedAged, 80 and overBone DensityDouble-Blind MethodFemaleHand StrengthHumansMaleOsteoporosisSarcopeniaDenosumabDenosumabMuscle functionMuscle massMuscle strengthOsteosarcopeniaSarcopenia

Identifiers

PMID40460961
PMCPMC12683716

What OpenQuestion holds

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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.