Evidence map›Paper›PMID 40702394›Full record

ArticleHormones (Athens, Greece)2025

The association between body mass index and total lumbar bone mineral density in obese adults: the national health and nutrition examination survey (NHANES) 2011-2020.

Chao Su, Peng Wang, Dandan Lian, Chen Sun, Cunchuan Wang

Abstract read
In one paragraph

Article in Hormones (Athens, Greece), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Beyond Weight Loss: Skeletal Considerations in Obesity Treatment.Endocrinology and metabolism (Seoul, Korea) · 2026
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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

5 authors.

Chao SuDepartment of Gastrointestinal Surgery, Cheeloo College of Medicine, Weihai Municipal Hospital, Shandong University, Weihai, 264200, China.
Peng WangDepartment of Spine Surgery, Cheeloo College of Medicine, Weihai Municipal Hospital, Shandong University, Weihai, 264200, China.
Dandan LianDepartment of Pediatric Surgery, Cheeloo College of Medicine, Weihai Municipal Hospital, Shandong University, Weihai, 264200, China.
Chen SunDepartment of Gastrointestinal Surgery, Cheeloo College of Medicine, Weihai Municipal Hospital, Shandong University, Weihai, 264200, China.
Cunchuan WangDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, No.601, West Huangpu Avenue, Tianhe District, Guangzhou, 510632, China. cunchuan0717@aliyun.com.

Funding

Guangdong Province High Level Hospital Construction Project JNU1AF-CFTP-2022-a01202Science and Technology Projects in Guangzhou 202201020063
6 · The paper itself

Abstract

introductionThis study aimed to investigate the relationship between BMI and total lumbar BMD in obese adults.

methodsThe current cross-sectional study included 3,708 obese individuals. The data on BMI, total lumbar BMD, and other covariates were obtained from the National Health and Nutritional Examination Survey (NHANES) ( http://www.cdc.gov/nchs/nhanes/ ) between 2011 and March 2020 prior to the COVID-19 pandemic. Multivariate logistic regression models were utilized to investigate the association between BMI and total lumbar BMD. Smooth curve fittings and generalized additive models were used to analyze the potential non-linearity.

resultsA total of 3,708 participants (1,610 males and 2,098 females) were included in the study. In multivariate regression analysis, the association between BMI and total lumbar BMD was positive (β = 0.003, 95% CI: 0.002, 0.004). This relationship still existed after being adjusted for gender, age, and race (β = 0.003, 95% CI: 0.002, 0.004) and fully adjusted for all covariates (β = 0.003, 95% CI: 0.002, 0.004). In threshold effect analysis, the relationship between BMI and total lumbar BMD followed a U-shaped curve, with the inflection point at 36.1 kg/m

conclusionThe present study revealed a positive association between BMI and lumbar BMD in obese adults, the association notably following a U-shaped curve with an inflection point at a BMI of 36.1 kg/m².

Indexed as

Body Mass IndexBone DensityLumbar VertebraeObesityAdultAgedCOVID-19Cross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysUnited StatesBMDBody mass indexNHANESObesityOsteoporosis

Identifiers

PMID40702394
PMCPMC12678456

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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.