Reference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry

Abstract The aim of this study was to provide definitive reference values for bone mineral density (BMD) and bone turnover markers in the general elderly population. Registered citizens of 50 to 89 years old were targeted for this survey. After random sampling from the resident registry of Obuse tow...

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Autores principales: Ryosuke Tokida, Masashi Uehara, Masaki Nakano, Takako Suzuki, Noriko Sakai, Shota Ikegami, Jun Takahashi, Yukio Nakamura, Hiroyuki Kato
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/533d6f2bf20f4792ae7eb12d64e8141f
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spelling oai:doaj.org-article:533d6f2bf20f4792ae7eb12d64e8141f2021-12-02T14:26:57ZReference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry10.1038/s41598-021-87393-72045-2322https://doaj.org/article/533d6f2bf20f4792ae7eb12d64e8141f2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87393-7https://doaj.org/toc/2045-2322Abstract The aim of this study was to provide definitive reference values for bone mineral density (BMD) and bone turnover markers in the general elderly population. Registered citizens of 50 to 89 years old were targeted for this survey. After random sampling from the resident registry of Obuse town, we established eight groups based on age (50 s, 60 s, 70 s, and 80 s) and gender. A total of 411 people were enrolled. We used a dual-energy x-ray absorptiometry device to measure and evaluate BMD. The bone formation marker bone alkaline phosphatase (BAP) was measured as a bone turnover marker. Bone quality marker pentosidine, and bone resorption markers including urinary total deoxypyridinoline (DPD), tartrate-resistant acid phosphatase 5b (TRACP-5b), 25-hydroxyvitamin D (25[OH]D), and whole parathyroid hormone (PTH) were also measured as bone turnover markers. Sixty-three people (15.3%) were diagnosed as osteoporosis. BMD decreased with age in the femoral neck and total hip. On the other hand, there was no characteristic change with age in the lumber spine. As for bone markers, pentosidine and DPD increased with aging, although 25(OH)D, whole PTH, and BAP showed no characteristic associations with gender and aging. In terms of the relationship between low BMD and bone markers, there was a significant independent association between low BMD and TRACP-5b in females. In conclusions, hip BMD decreased with aging in men and women. However, there was no characteristic decline with aging in the lumbar spine. All bone markers showed no significant independent characteristics associated with age or gender in a multivariate analysis model, except for a significant association between low BMD and TRACP-5b in females. TRACP-5b was a potentially useful marker for the detection of low BMD.Ryosuke TokidaMasashi UeharaMasaki NakanoTakako SuzukiNoriko SakaiShota IkegamiJun TakahashiYukio NakamuraHiroyuki KatoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ryosuke Tokida
Masashi Uehara
Masaki Nakano
Takako Suzuki
Noriko Sakai
Shota Ikegami
Jun Takahashi
Yukio Nakamura
Hiroyuki Kato
Reference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry
description Abstract The aim of this study was to provide definitive reference values for bone mineral density (BMD) and bone turnover markers in the general elderly population. Registered citizens of 50 to 89 years old were targeted for this survey. After random sampling from the resident registry of Obuse town, we established eight groups based on age (50 s, 60 s, 70 s, and 80 s) and gender. A total of 411 people were enrolled. We used a dual-energy x-ray absorptiometry device to measure and evaluate BMD. The bone formation marker bone alkaline phosphatase (BAP) was measured as a bone turnover marker. Bone quality marker pentosidine, and bone resorption markers including urinary total deoxypyridinoline (DPD), tartrate-resistant acid phosphatase 5b (TRACP-5b), 25-hydroxyvitamin D (25[OH]D), and whole parathyroid hormone (PTH) were also measured as bone turnover markers. Sixty-three people (15.3%) were diagnosed as osteoporosis. BMD decreased with age in the femoral neck and total hip. On the other hand, there was no characteristic change with age in the lumber spine. As for bone markers, pentosidine and DPD increased with aging, although 25(OH)D, whole PTH, and BAP showed no characteristic associations with gender and aging. In terms of the relationship between low BMD and bone markers, there was a significant independent association between low BMD and TRACP-5b in females. In conclusions, hip BMD decreased with aging in men and women. However, there was no characteristic decline with aging in the lumbar spine. All bone markers showed no significant independent characteristics associated with age or gender in a multivariate analysis model, except for a significant association between low BMD and TRACP-5b in females. TRACP-5b was a potentially useful marker for the detection of low BMD.
format article
author Ryosuke Tokida
Masashi Uehara
Masaki Nakano
Takako Suzuki
Noriko Sakai
Shota Ikegami
Jun Takahashi
Yukio Nakamura
Hiroyuki Kato
author_facet Ryosuke Tokida
Masashi Uehara
Masaki Nakano
Takako Suzuki
Noriko Sakai
Shota Ikegami
Jun Takahashi
Yukio Nakamura
Hiroyuki Kato
author_sort Ryosuke Tokida
title Reference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry
title_short Reference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry
title_full Reference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry
title_fullStr Reference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry
title_full_unstemmed Reference values for bone metabolism in a Japanese cohort survey randomly sampled from a basic elderly resident registry
title_sort reference values for bone metabolism in a japanese cohort survey randomly sampled from a basic elderly resident registry
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/533d6f2bf20f4792ae7eb12d64e8141f
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