Display options
Share it on
Full text links
Wiley

Eur J Clin Invest. 1992 Aug;22(8):542-5. doi: 10.1111/j.1365-2362.1992.tb01503.x.

Bone mass and biochemical parameters of bone metabolism in men with spinal osteoporosis.

European journal of clinical investigation

H Resch, P Pietschmann, W Woloszczuk, E Krexner, P Bernecker, R Willvonseder

Affiliations

  1. Department of Medicine, Krankenhaus Barmherzige BrĂ¼der, Vienna, Austria.

PMID: 1425860 DOI: 10.1111/j.1365-2362.1992.tb01503.x

Abstract

With advancing age both sexes have an increased incidence of osteoporotic fractures, although fractures are more common in women than in men. Whereas in women several potential risk factors have been identified, less is known about osteoporosis in men. A total of 27 Austrian men (mean age: 65 +/- 2 years) with atraumatic spine fractures were studied. In all patients, medical history gave no evidence of disease or medications causing osteoporosis. Peripheral bone mass was determined by single-photonabsorptiometry on the distal non-dominant forearm; lumbal bone density was measured by quantitative computed tomography. Serum levels of calcium, phosphate, alkaline phosphatase, osteocalcin, testosterone, estrogen, parathyroid hormone and 25-hydroxy-vitamin D as well as 2-h-urinary-OH proline and calcium excretion were measured. All data were compared with those of an age and sex matched control group consisting of 19 healthy males. A significant difference in mean peripheral and axial bone mass (SPA: P less than 0.004; QCT: P less than 0.0001) was observed between osteoporotic men and controls. When compared to controls, serum levels of alkaline phosphatase (P less than 0.012), urinary OH proline (P less than 0.05) and urinary calcium excretion (P less than 0.003) were significantly higher in the osteoporotic males. Additionally, there was a significant positive correlation between serum alkaline phosphatase and urinary OH proline excretion (r = 0.32; P less than 0.04) in the osteoporotics. All other biochemical parameters showed no significant differences. Our results may lead to the assumption that osteopenia in men is related to increased bone turnover.

Similar articles

Cited by

Substances

MeSH terms

Publication Types

LinkOut - more resources