Evidence map›Paper›PMID 41347127›Full record

SynthesisFrontiers in endocrinology2025

High salt intake and bone health in postmenopausal women: exposing the lack of studies - a systematic review and meta-analysis.

Dinara Imash, Arnur Gusmanov, Mei-Yen Chan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2025. 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. Management of glucocorticoid-induced osteoporosis in rheumatic diseases.Best practice & research. Clinical rheumatology · 2026
    Review
  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

3 authors.

Dinara ImashDepartment of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan.
Arnur GusmanovSchool of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.
Mei-Yen ChanDepartment of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Osteoporosis is a common health concern among women after menopause, partially due to declining estrogen levels, which are a major regulator of bone metabolism and calcium retention. This work presents the first systematic synthesis of evidence assessing the impact of dietary sodium intake on bone health among postmenopausal women. Although there is substantial research demonstrating that reducing sodium intake can lower urinary calcium excretion, much of this evidence has been derived from studies conducted in mixed populations, often without stratifying by age, sex, or hormonal status. Postmenopausal women, who are at increased risk for bone loss and calcium imbalance due to hormonal changes, remain significantly underrepresented in this body of literature. This research examines the impact of dietary salt on maintaining bone tissue structure and relates it to calcium excretion through urine as a marker of bone demineralization. Methods: A systematic review and meta-analysis were conducted in accordance with the guidelines for reporting systematic reviews. Systematic searching of four major databases, i.e., PubMed, EMBASE, Web of Science, and the Cochrane Library, was done to find reports of randomized controlled trials estimating the influence of sodium intake on calcium excretion in urine and on bone health indicators. Meta-analysis was used to synthesize evidence to estimate the effect of sodium intake on calcium excretion. Results: Six articles out of an initial 596 made it into the stringent selection criteria. The meta-analysis revealed that high sodium diets significantly increased urinary excretion of calcium in women after menopause, with a pooled mean difference of 29.38 mg/day (95% CI: 12.31 to 46.46, p < 0.01). These findings highlight the detrimental impact of excessive salt consumption on bone health, demonstrating a link between sodium consumption and accelerated loss of bone mass. Conclusion: Based on the findings of the review, limiting dietary sodium consumption is recommended as a way to help prevent osteoporosis in postmenopausal women. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42025643910, identifier CRD42025643910.

Indexed as

Bone and BonesBone DensityOsteoporosis, PostmenopausalPostmenopauseSodium Chloride, DietaryCalciumFemaleHumansMiddle AgedCalciumSodium Chloride, Dietarybone healthcalcium lossdietary salthigh salt intakeosteoporosis riskpostmenopausal womensodium intakeurinary calcium excretion

Identifiers

PMID41347127
PMCPMC12672310

What OpenQuestion holds

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LicenceCC BY
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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.