Literature DB >> 23105846

Correlation of bone mineral density with biochemical markers in post menopausal women.

S Agrawal1, Anju Jain, D Mahajan, C Raghunandan.   

Abstract

To evaluate the magnitude of bone loss in postmenopausal women and to study the effect of a selective estrogen Receptor Modulator, raloxifene, on bone loss by quantitative ultrasound of calcaneus and serum bone specific alkaline phosphatase (BAP). Postmenopausal women with ostesopenia/osteoporosis were assigned randomly to receive placebo (n=30) or raloxifene (60mg/d, n=30) with calcium (500mg/day) and vitamin D (250 IU/day). The bone mineral density (BMD) and BAP levels were measured at the beginning of therapy and six months later. They were subjected to statistical analysis (t test, p value) using SPSS statistical package. 70% of postmenopausal women suffered from osteopenia/osteoporosis. After raloxifene therapy, there was improvement in the BMD but this was not statistically significant (p>0.05). There was a fall in the value of serum BAP by 26.6% (p<0.05). Raloxifene has a favourable effect on bone turnover as evident from changes in BMD and a significant fall in serum BAP.

Entities:  

Keywords:  Bone mineral density; Bone specific alkaline phosphatase; Dual X Ray Absorptiometry; Quantitative ultra sonography

Year:  2009        PMID: 23105846      PMCID: PMC3453310          DOI: 10.1007/s12291-009-0049-3

Source DB:  PubMed          Journal:  Indian J Clin Biochem        ISSN: 0970-1915


  16 in total

1.  A controlled trial of raloxifene (LY139481) HCl: impact on bone turnover and serum lipid profile in healthy postmenopausal women.

Authors:  M W Draper; D E Flowers; W J Huster; J A Neild; K D Harper; C Arnaud
Journal:  J Bone Miner Res       Date:  1996-06       Impact factor: 6.741

2.  Design and methods of the Raloxifene Use for The Heart (RUTH) study.

Authors:  L Mosca; E Barrett-Connor; N K Wenger; P Collins; D Grady; M Kornitzer; E Moscarelli; S Paul; T J Wright; J D Helterbrand; P W Anderson
Journal:  Am J Cardiol       Date:  2001-08-15       Impact factor: 2.778

3.  Ultrasonographic heel measurements to predict hip fracture in elderly women: the EPIDOS prospective study.

Authors:  D Hans; P Dargent-Molina; A M Schott; J L Sebert; C Cormier; P O Kotzki; P D Delmas; J M Pouilles; G Breart; P J Meunier
Journal:  Lancet       Date:  1996-08-24       Impact factor: 79.321

Review 4.  Selective estrogen receptor modulators: Women's panacea for the next millennium?

Authors:  C P Spencer; E P Morris; J M Rymer
Journal:  Am J Obstet Gynecol       Date:  1999-03       Impact factor: 8.661

5.  Broadband ultrasound attenuation predicts fractures strongly and independently of densitometry in older women. A prospective study. Study of Osteoporotic Fractures Research Group.

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Journal:  Arch Intern Med       Date:  1997-03-24

6.  The effect of raloxifene on risk of breast cancer in postmenopausal women: results from the MORE randomized trial. Multiple Outcomes of Raloxifene Evaluation.

Authors:  S R Cummings; S Eckert; K A Krueger; D Grady; T J Powles; J A Cauley; L Norton; T Nickelsen; N H Bjarnason; M Morrow; M E Lippman; D Black; J E Glusman; A Costa; V C Jordan
Journal:  JAMA       Date:  1999-06-16       Impact factor: 56.272

7.  Prevention of osteoporosis and uterine effects in postmenopausal women taking raloxifene for 5 years.

Authors:  Elaine E Jolly; Nina H Bjarnason; Patrick Neven; Leo Plouffe; C Conrad Johnston; Steven D Watts; Claude D Arnaud; Timothy M Mason; Gerald Crans; Robin Akers; Michael W Draper
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8.  Performance of quantitative ultrasound in the discrimination of prevalent osteoporotic fractures in a bone metabolic unit.

Authors:  F López-Rodríguez; P Mezquita-Raya; J de Dios Luna; F Escobar-Jiménez; M Muñoz-Torres
Journal:  Bone       Date:  2003-05       Impact factor: 4.398

9.  Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures.

Authors:  D Marshall; O Johnell; H Wedel
Journal:  BMJ       Date:  1996-05-18

Review 10.  Practical clinical application of biochemical markers of bone turnover: Consensus of an expert panel.

Authors:  P D Miller; D T Baran; J P Bilezikian; S L Greenspan; R Lindsay; B L Riggs; N B Watts
Journal:  J Clin Densitom       Date:  1999       Impact factor: 2.963

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  3 in total

Review 1.  Lead as a Risk Factor for Osteoporosis in Post-menopausal Women.

Authors:  Anjali Manocha; L M Srivastava; Seema Bhargava
Journal:  Indian J Clin Biochem       Date:  2016-08-26

2.  Do premenopausal hypothyroid women on levothyroxine therapy need bone status monitoring?

Authors:  Ruby P Babu; Alap Christy; Anupama Hegde; Poornima Manjrekar; Vivian D'Souza
Journal:  Clin Med Insights Womens Health       Date:  2015-03-15

Review 3.  Epidemiology and treatment of osteoporosis in women: an Indian perspective.

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