Evidence mapPaperPMID 39697860Full record

ReviewJournal of diabetes and metabolic disorders2025

Urinary pentosidine as a potential biomarker of impaired bone health: a systematic review and meta-analysis.

Amirhossein Shirinezhad, Alireza Azarboo, Asma Mafhoumi, Muhammad Islampanah, Sara Mohammadi, Amirhossein Ghaseminejad-Raeini, Amir Human Hoveidaei

Abstract readReview
In one paragraph

Review in Journal of diabetes and metabolic disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Pentosidine as a biomarker for bone fragility: Molecular mechanisms, clinical relevance, and detection strategies.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
    Review
  6. Review
  7. Review
  8. 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

7 authors.

Amirhossein ShirinezhadSchool of Medicine, Tehran University of Medical Sciences, District 6, Pour Sina St, P94V+8MF, Tehran, Tehran Province Iran.
Alireza AzarbooSchool of Medicine, Tehran University of Medical Sciences, District 6, Pour Sina St, P94V+8MF, Tehran, Tehran Province Iran.ORCID 0000-0003-3399-2360
Asma MafhoumiSchool of Medicine, Tehran University of Medical Sciences, District 6, Pour Sina St, P94V+8MF, Tehran, Tehran Province Iran.ORCID 0000-0003-0841-7567
Muhammad IslampanahStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID 0000-0001-6892-868X
Sara MohammadiSchool of Medicine, Tehran University of Medical Sciences, District 6, Pour Sina St, P94V+8MF, Tehran, Tehran Province Iran.
Amirhossein Ghaseminejad-RaeiniSchool of Medicine, Tehran University of Medical Sciences, District 6, Pour Sina St, P94V+8MF, Tehran, Tehran Province Iran.ORCID 0000-0002-4322-0236
Amir Human HoveidaeiSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-4607-354X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Urinary pentosidine, an advanced glycation end product (AGE), has been proposed as a potential biomarker for impaired bone health, especially in older adults and those with diabetes. This study aimed to systematically review and meta-analyze the association of urinary pentosidine with bone mineral density (BMD) and fracture risk. Methods: A comprehensive search of Embase, PubMed, Scopus, and Web of Science databases was conducted and records were gathered from 1960 to February 2024. Relevant papers were screened and data were extracted by two independent reviewers. Hedges' g standardized mean difference (SMD) and 95% confidence intervals (CI) were calculated to compare urinary pentosidine levels between patients with and without fractures. Results: A total of 12 studies comprising 5,878 participants were included in the systematic review. The meta-analysis revealed that patients with fractures had significantly higher urinary pentosidine levels compared to those without fractures (SMD [95% CI] = 0.53 [0.39-0.68]; I² = 54%; Conclusion: This systematic review and meta-analysis demonstrate that elevated urinary pentosidine levels are associated with an increased risk of fractures and, to a lesser extent, reduced bone mineral density. Its diagnostic accuracy improves when integrated with other clinical markers, such as BMD and bone turnover indices. However, due to the variability in results, further research is needed to standardize pentosidine's use as a reliable biomarker for impaired bone health in clinical practice.

Indexed as

Bone healthBone mineral densityPredictive biomarkerSystematic reviewUrinary pentosidine

Identifiers

PMID39697860
PMCPMC11649614

What Socratic holds

Textmetadata
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.