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Bone turnover markers are correlated with quantitative ultrasound of the calcaneus: 5-year longitudinal data




TekijätLenora J, Gerdhem P, Obrant KJ, Ivaska KK

KustantajaSPRINGER LONDON LTD

Julkaisuvuosi2009

JournalOsteoporosis International

Tietokannassa oleva lehden nimiOSTEOPOROSIS INTERNATIONAL

Lehden akronyymiOSTEOPOROSIS INT

Vuosikerta20

Numero7

Aloitussivu1225

Lopetussivu1232

Sivujen määrä8

ISSN0937-941X

DOIhttps://doi.org/10.1007/s00198-008-0769-x


Tiivistelmä
Associations between bone turnover markers and calcaneal ultrasound (quantitative ultrasound, QUS) were studied in a population-based sample of 810 elderly women. Baseline bone turnover markers correlated with baseline QUS as well as with 5-year prospective changes in QUS.Bone turnover markers are associated with areal bone mineral density, but the knowledge on the association with QUS is limited.Eight hundred ten women, all 75 years old, were investigated at baseline. Five hundred six completed a 5-year follow-up. Bone turnover markers and calcaneal QUS [speed of sound (SoS), broadband ultrasound attenuation (BUA), stiffness] were investigated at baseline. QUS was investigated at follow-up.All bone turnover markers were correlated with baseline QUS [standardized regression (Beta(std)) values from -0.07, p < 0.05 to -0.23, p < 0.001], with the exception of bone-specific alkaline phosphatase (S-Bone ALP) which was not correlated with BUA and stiffness index. When the correlations between baseline bone turnover markers and 5-year changes in QUS were analyzed, three serum osteocalcins were correlated with changes of SoS and stiffness index (Beta(std) = -0.11, p < 0.05 to -0.17, p < 0.001). Also S-CTX-I correlated with changes of SoS and stiffness index (Beta(std) = -0.10 and -0.09, respectively, p < 0.05). S-TRACP5b, urinary deoxypyridinoline/crea, and U-MidOC/crea correlated with changes of SoS (Beta(std) = -0.10 and p < 0.05 for all). S-Bone ALP did not correlate with change of QUS. None of the bone turnover markers correlated with changes of BUA.Bone turnover markers correlate with concomitantly assessed QUS as well as with longitudinal change in QUS.



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