Evidence map›Paper›PMID 41661316›Full record

SynthesisCalcified tissue international2026

Understanding Bone Metabolism Biomarker Variability Across the Menstrual Cycle: A Systematic Review.

Isabel Guisado-Cuadrado, Nuria Romero-Parra, Paula Recacha-Ponce, Ana B Peinado

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in Calcified tissue international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. 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

4 authors.

Isabel Guisado-CuadradoLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, Calle de Martín Fierro, 7, 28040, Madrid, Spain. i.guisadoc@upm.es.ORCID http://orcid.org/0000-0002-1767-5341
Nuria Romero-ParraLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, Calle de Martín Fierro, 7, 28040, Madrid, Spain.ORCID http://orcid.org/0000-0001-9754-5565
Paula Recacha-PonceFaculty of Health Sciences, Jaime I University, 12071, Castello de la Plana, Spain.ORCID http://orcid.org/0000-0003-2092-8212
Ana B PeinadoLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Universidad Politécnica de Madrid, Calle de Martín Fierro, 7, 28040, Madrid, Spain.ORCID http://orcid.org/0000-0002-4871-8682

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone metabolism is a dynamic process regulated by systemic and local factors, including sex hormones. While in vitro studies suggest that hormonal fluctuations impact bone biomarkers, in vivo findings remain inconsistent. Therefore, this systematic review aimed to evaluate whether biochemical markers of bone resorption and bone formation fluctuate across different phases of the menstrual cycle in healthy regular menstruating females. Following PRISMA guidelines, a comprehensive search was conducted in PubMed and Web of Science (January 2025). A total of 18 studies were included and assessed for quality using the NHLBI Quality Assessment Tool. Considerable heterogeneity was found across studies in design, phase classification, and outcome reporting. While 5 out of 7 studies on β-CTX-I reported lower concentrations during the luteal phase, 6 out of 8 studies showed that osteocalcin concentrations did not vary across the MC. Findings concerning other biomarkers included in this review were limited and inconsistent, hindering the identification of a clear trend. Current evidence does not establish a consistent pattern in bone metabolism biomarker fluctuations across the MC. Variability in methodology, hormone verification, and participant characteristics may contribute to these inconsistencies.PROSPERO registration CRD42022375821.

Indexed as

BiomarkersBone and BonesMenstrual CycleBone ResorptionFemaleHumansOsteocalcinBiomarkersOsteocalcin

Identifiers

PMID41661316
PMCPMC12886325

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.