Evidence map›Paper›PMID 39543060›Full record

ArticleEndocrine2025

Red cell distribution width: a potential marker of reduced femoral neck bone mineral density in men and postmenopausal women.

Zhengrong Qi, Liang Zhang, Zhiyao Li, Haomiao Yu, Qiang Li, Lifeng Ma, Yan Yang

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Article in Endocrine, 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

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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.

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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

7 authors.

Zhengrong QiDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Liang ZhangDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Zhiyao LiDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Haomiao YuDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Qiang LiDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Lifeng MaDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China. malifeng@ccmu.edu.cn.
Yan YangDepartment of Endocrinology, the Fifth Medical Center of PLA General Hospital, Beijing, China. yangyan_0329@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteoporosis imposes significant burdens. Early detection of high-risk individuals through simple indicators can greatly improve prognosis. Red cell distribution width (RDW), a standard component of a complete blood count, shows promise, yet remains underexplored. This cross-sectional study aimed to investigate the association between RDW and femoral neck and spinal bone mineral density (BMD).

methodsParticipants aged 20-79 years from the 2005-2010, 2013-2014, and 2017-2020 cycles of the National Health and Nutrition Examination Survey (NHANES) were included. BMD was measured using dual-energy X-ray absorptiometry (DXA).

resultsA total of 13,029 participants were included, comprising 6684 men, 3238 postmenopausal women, and 3107 premenopausal women, with the sample weighted to represent 98,712,128 people. After adjusting for covariates, RDW exhibited a negative association with femoral neck BMD in both men (β = -0.006; 95% CI: -0.010 to -0.002; p = 0.0053) and postmenopausal women (β = -0.005; 95% CI: -0.010 to -0.000; p = 0.0413). Subgroup and sensitivity analyses supported the robustness of these findings. A negative association between RDW and spinal BMD in men approached significance (β = -0.004; 95% CI: -0.008 to 0.000; p = 0.0557). Persistent trends were observed for RDW with spinal BMD in postmenopausal women and with both femoral neck and spinal BMD in premenopausal women.

conclusionsOur study suggests a negative association between RDW and femoral neck BMD in both men and postmenopausal women. These findings highlight the potential of RDW as a marker for identifying individuals at higher risk of osteoporosis.

Indexed as

Bone DensityErythrocyte IndicesFemur NeckOsteoporosisPostmenopauseAbsorptiometry, PhotonAdultAgedBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysYoung AdultBiomarkersAdultFemoral neck bone mineral densityNational Health and Nutrition Examination SurveyRed cell distribution widthSpinal bone mineral density

Identifiers

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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 Socratic graph.