{"id":"https://openalex.org/W2338413622","doi":"https://doi.org/10.1056/nejm197601292940502","title":"Effects of Diabetes Mellitus on Bone Mass in Juvenile and Adult-Onset Diabetes","display_name":"Effects of Diabetes Mellitus on Bone Mass in Juvenile and Adult-Onset Diabetes","publication_year":1976,"publication_date":"1976-01-29","ids":{"openalex":"https://openalex.org/W2338413622","doi":"https://doi.org/10.1056/nejm197601292940502","mag":"2338413622","pmid":"https://pubmed.ncbi.nlm.nih.gov/1244549"},"language":"en","primary_location":{"id":"doi:10.1056/nejm197601292940502","doi":"https://doi.org/10.1056/nejm197601292940502","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm197601292940502","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019561397","display_name":"Marvin E. Levin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marvin E. Levin","raw_affiliation_strings":["Division of Bone and Mineral Metabolism, Jewish Hospital and Washington University School of Medicine, St. Louis, MO (address reprint requests to Dr. Levin, at 777 South New Ballas Rd., St. Louis, MO 63141)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Bone and Mineral Metabolism, Jewish Hospital and Washington University School of Medicine, St. Louis, MO (address reprint requests to Dr. Levin, at 777 South New Ballas Rd., St. Louis, MO 63141)","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070503591","display_name":"Vincenza C. Boisseau","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vincenza C. Boisseau","raw_affiliation_strings":["Division of Bone and Mineral Metabolism, Jewish Hospital and Washington University School of Medicine, St. Louis, MO (address reprint requests to Dr. Levin, at 777 South New Ballas Rd., St. Louis, MO 63141)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Bone and Mineral Metabolism, Jewish Hospital and Washington University School of Medicine, St. Louis, MO (address reprint requests to Dr. Levin, at 777 South New Ballas Rd., St. Louis, MO 63141)","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113990799","display_name":"Louis V. Avioli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Louis V. Avioli","raw_affiliation_strings":["Division of Bone and Mineral Metabolism, Jewish Hospital and Washington University School of Medicine, St. Louis, MO (address reprint requests to Dr. Levin, at 777 South New Ballas Rd., St. Louis, MO 63141)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Bone and Mineral Metabolism, Jewish Hospital and Washington University School of Medicine, St. Louis, MO (address reprint requests to Dr. Levin, at 777 South New Ballas Rd., St. Louis, MO 63141)","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I204465549"],"apc_list":null,"apc_paid":null,"fwci":40.0898,"has_fulltext":false,"cited_by_count":520,"citation_normalized_percentile":{"value":0.99932751,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"294","issue":"5","first_page":"241","last_page":"245"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10071","display_name":"Bone health and osteoporosis research","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10071","display_name":"Bone health and osteoporosis research","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11219","display_name":"Bone Metabolism and Diseases","score":0.009100000374019146,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.007400000002235174,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9950000047683716},{"id":"https://openalex.org/keywords/bone-mass","display_name":"bone mass","score":0.847000002861023},{"id":"https://openalex.org/keywords/bone-loss","display_name":"bone loss","score":0.9359999895095825},{"id":"https://openalex.org/keywords/type-1-diabetes","display_name":"type 1 diabetes","score":0.824999988079071},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9660000205039978},{"id":"https://openalex.org/keywords/forearm-bones","display_name":"forearm bones","score":0.5239999890327454},{"id":"https://openalex.org/keywords/bone-metabolism","display_name":"bone metabolism","score":0.8529999852180481},{"id":"https://openalex.org/keywords/oral-antidiabetic-drugs","display_name":"oral antidiabetic drugs","score":0.9070000052452087},{"id":"https://openalex.org/keywords/insulin-therapy","display_name":"insulin therapy","score":0.9259999990463257},{"id":"https://openalex.org/keywords/disease-duration","display_name":"disease duration","score":0.5680000185966492}],"concepts":[{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.8975923657417297},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8967599868774414},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7164850234985352},{"id":"https://openalex.org/C2779306644","wikidata":"https://www.wikidata.org/wiki/Q2002370","display_name":"Insulin","level":2,"score":0.6787999868392944},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.6644242405891418},{"id":"https://openalex.org/C115961737","wikidata":"https://www.wikidata.org/wiki/Q1516282","display_name":"Juvenile","level":2,"score":0.5463829040527344},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.04891306161880493},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001842","descriptor_name":"Bone and Bones","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":true},{"descriptor_ui":"D001842","descriptor_name":"Bone and Bones","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":true},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":true},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D003926","descriptor_name":"Diabetic Coma","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007004","descriptor_name":"Hypoglycemic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D007328","descriptor_name":"Insulin","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010024","descriptor_name":"Osteoporosis","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D010024","descriptor_name":"Osteoporosis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012737","descriptor_name":"Sex Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D048909","descriptor_name":"Diabetes Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1056/nejm197601292940502","doi":"https://doi.org/10.1056/nejm197601292940502","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejm197601292940502","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:1244549","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1244549","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New England journal of medicine","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W285909116","https://openalex.org/W633883572","https://openalex.org/W1508757311","https://openalex.org/W1596671341","https://openalex.org/W1979079152","https://openalex.org/W1983730575","https://openalex.org/W1993503733","https://openalex.org/W2016576879","https://openalex.org/W2022226480","https://openalex.org/W2029758998","https://openalex.org/W2047672134","https://openalex.org/W2049895503","https://openalex.org/W2061297254","https://openalex.org/W2065223541","https://openalex.org/W2080612757","https://openalex.org/W2092806269","https://openalex.org/W2094894662","https://openalex.org/W2132556078","https://openalex.org/W2400748375","https://openalex.org/W2409385610","https://openalex.org/W2468097359","https://openalex.org/W4250627797"],"related_works":["https://openalex.org/W2037415919","https://openalex.org/W2057919790","https://openalex.org/W2108088189","https://openalex.org/W2161502244","https://openalex.org/W2156181025","https://openalex.org/W2289369435","https://openalex.org/W2039501712","https://openalex.org/W2415555105","https://openalex.org/W2561803872","https://openalex.org/W2417103603"],"abstract_inverted_index":{"To":[0],"assess":[1],"the":[2,15,87,92,101,111,114,122,138],"influence":[3],"of":[4,17,45,76,86,116],"diabetes":[5,22,53,75,88,120],"mellitus":[6],"on":[7,23,32],"bone":[8,46,96],"metabolism,":[9],"we":[10],"measured":[11],"skeletal":[12,117],"mass":[13,47,97],"in":[14,48,72,95,100,119],"forearms":[16],"35":[18],"patients":[19,28,73,102],"with":[20,29,74,110,147],"juvenile":[21,50],"insulin":[24,148],"and":[25,51,65,84,129],"101":[26],"stable":[27],"adult-onset":[30,52],"diabetes,":[31],"diet":[33,150],"alone,":[34],"insulin,":[35,141],"or":[36,144,149],"oral":[37,104],"hypoglycemic":[38],"agents.":[39,105],"There":[40],"was":[41,69,98],"a":[42],"significant":[43],"loss":[44,83,115],"both":[49],"(P":[54],"less":[55,77],"than":[56,78],"0.01)":[57],"as":[58,135],"compared":[59],"to":[60,133,142,145],"controls":[61],"matched":[62],"for":[63,140],"age":[64],"sex.":[66],"The":[67],"decrease":[68,94],"already":[70],"present":[71],"five":[79],"years'":[80],"duration.":[81],"Bone":[82],"duration":[85],"did":[89],"not":[90,131],"correlate;":[91],"greatest":[93],"observed":[99],"receiving":[103],"These":[106],"data":[107],"are":[108],"consistent":[109],"hypothesis":[112],"that":[113],"tissue":[118],"reflects":[121],"underlying":[123],"disease":[124],"since":[125],"it":[126],"occurs":[127],"early":[128],"is":[130],"related":[132],"severity":[134],"evidenced":[136],"by":[137],"need":[139],"duration,":[143],"treatment":[146],"alone.":[151]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":10},{"year":2014,"cited_by_count":16},{"year":2013,"cited_by_count":8},{"year":2012,"cited_by_count":11}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}
