Evidence map›Paper›PMID 40968735›Full record

ArticleInternational journal of surgery (London, England)2026

Social isolation, loneliness, genetic susceptibility, and the hazard of incident osteoporosis.

Jian Zhou, Xiaojiang Hu, Shenghua Zhou, Tang Liu, Zhangling Chen

Abstract read
In one paragraph

Article in International journal of surgery (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Jian ZhouDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China.
Xiaojiang HuDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China.
Shenghua ZhouHunan Key Laboratory of Cardiometabolic Medicine, Changsha, Hunan, China.
Tang LiuDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China.
Zhangling ChenHunan Key Laboratory of Cardiometabolic Medicine, Changsha, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the association of social isolation and loneliness with risk of incident osteoporosis; and test the modification effects of genetic susceptibility.

methodsA total of 452 433 participants without osteoporosis at baseline were included from the UK Biobank cohort. Social isolation and loneliness were assessed at baseline via self-reported questionnaires. Cox regression models were used to observe the associations of social isolation and loneliness with risk of incident osteoporosis, as well as their joint associations with genetic susceptibility.

resultsDuring a median follow-up of 13.8 years, a total of 13 817 incident osteoporosis cases were recorded. Compared with participants with a social isolation index of 0, those with an index ≥2 had a higher risk of osteoporosis, with a hazard ratio (HR) of 1.18 (95% CI, 1.11-1.25) and a P -trend < 0.001. Compared to participants with an index of 0 for loneliness, the HR and 95% CI were 1.25 (95% CI, 1.17, 1.34) for those with a loneliness index of 2 ( P -trend < 0.001). In addition, we found that the increased risks of osteoporosis related to social isolation and loneliness were strengthened by the genetic susceptibility to osteoporosis.

conclusionsOur findings suggest that social isolation and loneliness are related to a higher risk of incident osteoporosis, and the associations were strengthened by the genetic susceptibility to osteoporosis.

Indexed as

Genetic Predisposition to DiseaseLonelinessOsteoporosisSocial IsolationAgedFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRisk FactorsUnited Kingdomgenetic susceptibilitylonelinessosteoporosissocial isolation

Identifiers

PMID40968735
PMCPMC12825702

What OpenQuestion holds

Textmetadata
LicenceCC BY-SA
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.