Evidence map›Paper›PMID 36948596›Full record

ArticleNeurology2023

Association of Bone Mineral Density and Dementia: The Rotterdam Study.

Tian Xiao, Samuel Ghatan, Sanne S Mooldijk, Katerina Trajanoska, Ling Oei, M Medina Gomez, M Kamran Ikram, Fernando Rivadeneira, M Arfan Ikram

Open access · hybridAbstract read
In one paragraph

Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% of its field
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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  8. Observational
  9. Article
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  11. Letter to the editor concerning "Association between osteoporosis and risk of dementia: a Korean women nationwide population-based cohort study".Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  12. Association between osteoporosis and risk of dementia: a Korean women nationwide population-based cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
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  20. Crosstalk between bone and brain in Alzheimer's disease: Mechanisms, applications, and perspectives.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    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

9 authors at 1 institution in 1 country.

Tian XiaoFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
Samuel GhatanFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
Sanne S MooldijkFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
Katerina TrajanoskaFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
Ling OeiFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
M Medina GomezFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
M Kamran IkramFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands. m.a.ikram@erasmusmc.nl.
Fernando RivadeneiraFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
M Arfan IkramFrom the Department of Epidemiology (T.X., S.G., S.S.M., K.T., M.K.I., M.A.I.), Department of Internal Medicine (S.G., K.T., L.O., M.M.G., F.R.), and Department of Neurology (M.K.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands. m.a.ikram@erasmusmc.nl.ORCID 0000-0003-0372-8585
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesLow bone mineral density (BMD) and dementia commonly co-occur in older individuals, with bone loss accelerating in patients with dementia due to physical inactivity and poor nutrition. However, uncertainty persists over the extent to which bone loss already exists before onset of dementia. Therefore, we investigated how dementia risk was affected by BMD at various skeletal regions in community-dwelling older adults.

methodsIn a prospective population-based cohort study, BMD at the femoral neck, lumbar spine, and total body and the trabecular bone score (TBS) were obtained using dual-energy X-ray absorptiometry in 3,651 participants free from dementia between 2002 and 2005. Persons at risk of dementia were followed up until January 1, 2020. For analyses of the association between BMD at baseline and the risk of incident dementia, we used Cox proportional hazards regression analyses, adjusting for age, sex, educational attainment, physical activity, smoking status, body mass index, systolic and diastolic blood pressure, cholesterol level, high-density lipoprotein cholesterol, history of comorbidities (stroke and diabetes mellitus), and

resultsAmong the 3,651 participants (median age 72.3 ± 10.0 years, 57.9% women), 688 (18.8%) developed incident dementia during a median of 11.1 years, of whom 528 (76.7%) developed Alzheimer disease (AD). During the whole follow-up period, participants with lower BMD at the femoral neck (per SD decrease) were more likely to develop all-cause dementia (hazard ratio [HR] DISCUSSION: In conclusion, participants with low femoral neck and total body BMD and low TBS were more likely to develop dementia. Further studies should focus on the predictive ability of BMD for dementia.

Indexed as

Bone Diseases, MetabolicDementiaAbsorptiometry, PhotonAgedAged, 80 and overBone DensityCholesterolCohort StudiesFemaleHumansLumbar VertebraeMaleMiddle AgedProspective StudiesCholesterol

Identifiers

PMID36948596
PMCPMC10186235
OpenAlexW4353044198

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.