Factors that characterize bone health with aging in healthy postmenopausal women

Verfasser / Beitragende:
[Shota Ikegami, Shigeharu Uchiyama, Yukio Nakamura, Keijiro Mukaiyama, Hiroki Hirabayashi, Mikio Kamimura, Kiichi Nonaka, Hiroyuki Kato]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Bone and Mineral Metabolism, 33/4(2015-07-01), 440-447
Format:
Artikel (online)
ID: 605463301
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024 7 0 |a 10.1007/s00774-014-0608-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00774-014-0608-4 
245 0 0 |a Factors that characterize bone health with aging in healthy postmenopausal women  |h [Elektronische Daten]  |c [Shota Ikegami, Shigeharu Uchiyama, Yukio Nakamura, Keijiro Mukaiyama, Hiroki Hirabayashi, Mikio Kamimura, Kiichi Nonaka, Hiroyuki Kato] 
520 3 |a The exponential increase in the incidence of fragility fractures in older people is attributed to attenuation of both bone strength and neuromuscular function. Decrease in bone mineral density (BMD) does not entirely explain this increase. The objective of this study is to investigate the effect of age on various parameters related to bone health with aging, and to identify combinations of factors that collectively express the bone metabolic state in healthy postmenopausal women. Height, weight, and grip strength were measured in 135 healthy postmenopausal volunteer women. Hip BMD, biomechanical indices derived from quantitative computed tomography (QCT), cross-sectional areas of muscle and fat of the proximal thigh, and various biochemical markers of bone metabolism were measured. A smaller group of factors explanatory for bone health was identified using factor analysis and each was newly named. As a result, the factors bone mass, bone turnover, bone structure, and muscle strength had the greatest explanatory power for assessing the bone health of healthy postmenopausal women. Whereas dual X-ray absorptiometry parameters only loaded on the factor bone mass, QCT parameters loaded on both the factors bone mass and bone structure. Most bone turnover markers loaded on the factor bone turnover, but deoxypyridinoline loaded on both bone turnover and muscle strength. Age was negatively correlated with bone mass (r=−0.49, p<0.001) and muscle strength (r=−0.67, p<0.001). We conclude that aging is associated as much with muscle weakening as with low BMD. More attention should be paid to the effects of muscle weakening during aging in assessments of bone health. 
540 |a The Japanese Society for Bone and Mineral Research and Springer Japan, 2014 
690 7 |a Bone turnover markers  |2 nationallicence 
690 7 |a Quantitative computed tomography  |2 nationallicence 
690 7 |a Postmenopausal women  |2 nationallicence 
690 7 |a Muscle strength  |2 nationallicence 
690 7 |a Sarcopenia  |2 nationallicence 
700 1 |a Ikegami  |D Shota  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
700 1 |a Uchiyama  |D Shigeharu  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
700 1 |a Nakamura  |D Yukio  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
700 1 |a Mukaiyama  |D Keijiro  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
700 1 |a Hirabayashi  |D Hiroki  |u Department of Orthopaedic Surgery, Marunouchi Hospital, Matsumoto, Japan  |4 aut 
700 1 |a Kamimura  |D Mikio  |u Center for Osteoporosis and Spinal Disorders, Kamimura Orthopaedic Clinic, Matsumoto, Japan  |4 aut 
700 1 |a Nonaka  |D Kiichi  |u Canon Lifecare Solutions Inc., Tokyo, Japan  |4 aut 
700 1 |a Kato  |D Hiroyuki  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
773 0 |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/4(2015-07-01), 440-447  |x 0914-8779  |q 33:4<440  |1 2015  |2 33  |o 774 
856 4 0 |u https://doi.org/10.1007/s00774-014-0608-4  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00774-014-0608-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ikegami  |D Shota  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Uchiyama  |D Shigeharu  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakamura  |D Yukio  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mukaiyama  |D Keijiro  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hirabayashi  |D Hiroki  |u Department of Orthopaedic Surgery, Marunouchi Hospital, Matsumoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kamimura  |D Mikio  |u Center for Osteoporosis and Spinal Disorders, Kamimura Orthopaedic Clinic, Matsumoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nonaka  |D Kiichi  |u Canon Lifecare Solutions Inc., Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kato  |D Hiroyuki  |u Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, 390-8621, Matsumoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/4(2015-07-01), 440-447  |x 0914-8779  |q 33:4<440  |1 2015  |2 33  |o 774