Evidence map›Paper›PMID 40469677›Full record

ReviewFrontiers in nutrition2025

Comprehensive systematic review and meta-analysis on the therapeutic efficacy of curcumin in osteoporosis: unveiling mechanisms and preclinical evidence.

Sheng-Lei Yang, Jing-Xiang Wang, Fei-Er Ma, Jiang-Hua He, Ao Zhang, Xiao-Ming Sun, Ying Wei, Yan Wang

Abstract readReview
In one paragraph

Review in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Sheng-Lei Yang *School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
Jing-Xiang Wang *Rehabilitation Medicine Center, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Fei-Er MaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
Jiang-Hua HeSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
Ao ZhangDepartment of Rehabilition, West Coast New District Hospital of Chinese Medicine, Huangdao, Shandong, China.
Xiao-Ming SunDepartment of Rehabilition, West Coast New District Hospital of Chinese Medicine, Huangdao, Shandong, China.
Ying WeiRehabilitation Medicine Center, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Yan WangSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteoporosis (OP) is a common degenerative bone disease that seriously affects the quality of life of patients and poses a significant public health burden. Curcumin (CUR), a natural compound, has attracted much attention due to its anti-inflammatory, antioxidant and bone protective effects. However, there is currently a lack of systematic evaluation of the efficacy and mechanism of CUR in treating OP. Methods: This study is a systematic review and meta-analysis conducted per PRISMA guidelines. Studies meeting the inclusion criteria were retrieved and screened from the PubMed, Embase, Web of Science, and Cochrane Library databases. The included studies were limited to animal models of OP, and the intervention group was treated with a single dose of CUR. A meta-analysis was performed using Review Manager 5.4 and R Studio software. The standardized mean difference (SMD) and 95% confidence interval (CI) were calculated using the fixed-effect or random-effects model. Sources of heterogeneity, sensitivity, and publication bias were also explored. Results: A total of 17 high-quality studies involving 282 animals were included. The results of the metaanalysis showed that compared with the control group, CUR significantly increased bone mineral density (BMD of the femur: SMD = 2.18, 95% CI: 1.53-2.83; BMD of the tibia: SMD = 1.08, 95% CI: 0.30-1.87), improved the trabecular microstructure (BV/TV: SMD = 2.74, 95% CI: 1.84-3.64; Tb.N: SMD = 2.31, 95% CI: 1.65-2.96; Tb.Th: SMD = 2.09, 95% CI: 1.43-2.76; Tb.Sp: SMD = -2.32, 95% CI: -3.15 to -1.50). In addition, CUR significantly reduced serum CTX-1 and TRAP-5b levels, while increasing OCN and ALP levels. Mechanism studies have shown that CUR may act through OPG/RANKL, Wnt/β-catenin, NF-κB, MAPK, and TGF-β/Smad2/3 signaling pathways. Conclusion: This study is the first to systematically evaluate CUR's therapeutic effect on an OP animal model. The results show that CUR can significantly improve the pathological state of osteoporosis through a multi-target mechanism and has good therapeutic potential. However, heterogeneity and differences in the quality of the literature suggest that high-quality prospective studies are needed to verify the clinical value of CUR further.

Indexed as

animal modelcurcuminmechanismmeta-analysisosteoporosispreclinical studysystematic review

Identifiers

PMID40469677
PMCPMC12133540

What Socratic holds

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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.