Evidence map›Paper›PMID 41450587›Full record

SynthesisFrontiers in endocrinology2025

The effect of non-pharmacological interventions on bone health among patients with low bone mass: a systematic review and meta-analysis.

Xiaona Na, Yucheng Yang, Huanhuan Yang, Zekun Chen, Xiaochen Qu, Jian Zhang, Mo Chen, Dantong Wang, Denis Breuille, Kai Yu and 2 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Xiaona NaVanke School of Public Health, Tsinghua University, Beijing, China.
Yucheng YangVanke School of Public Health, Tsinghua University, Beijing, China.
Huanhuan YangVanke School of Public Health, Tsinghua University, Beijing, China.
Zekun ChenVanke School of Public Health, Tsinghua University, Beijing, China.
Xiaochen QuCurtin School of Population Health, Curtin University, Perth, WA, Australia.
Jian ZhangNestlé Institute of Health Sciences China Hub, Nestlé Research, Beijing, China.
Mo ChenNestlé Institute of Health Sciences China Hub, Nestlé Research, Beijing, China.
Dantong WangNestlé Institute of Health Sciences, Nestlé Research, Lausanne, Switzerland.
Denis BreuilleNestlé Institute of Health Sciences, Nestlé Research, Lausanne, Switzerland.
Kai YuNestlé Institute of Health Sciences China Hub, Nestlé Research, Beijing, China.
Ai ZhaoVanke School of Public Health, Tsinghua University, Beijing, China.
Zhihui LiVanke School of Public Health, Tsinghua University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Low bone mass represents a critical period for "watchful waiting" interventions to prevent osteoporosis. This systematic review provides a comprehensive overview of non-pharmacological interventions for patients with low bone mass. Methods: We included randomized controlled trials (RCTs) investigating the efficacy of non-pharmacological interventions for improving bone health outcomes in participants with low bone mass. Publications were collected from three databases. A meta-analysis was performed for outcomes reported in three or more articles, with changes in outcomes expressed as mean differences (MD) or standardized mean differences (SMD) with 95% confidence intervals (CIs). Results: A total of 26 eligible articles were included. Exercise interventions increased serum osteocalcin levels (SMD = 1.26, 95% CI: 0.22-2.31) compared to the control group. Narrative synthesis of studies showed a protective effect of exercise on lumbar spine and femoral neck BMD. For nutrition interventions, polyphenol extracts showed efficacy in improving lumbar spine BMD. The results of collagen supplements were inconsistent, and the effects of micronutrients were limited. Conclusion: In conclusion, more evidence from RCTs, particularly those investigating comprehensive lifestyle interventions and tailored prevention for moderate and severe low bone mass, especially among older men, is necessary.

Indexed as

Bone DensityExerciseExercise TherapyOsteoporosisDietary SupplementsHumansRandomized Controlled Trials as Topicdietexerciselife stylelow bone massmeta-analysissystematic review

Identifiers

PMID41450587
PMCPMC12727616

What Socratic holds

Textmetadata
LicenceCC BY
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.