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https://www.readbyqxmd.com/read/28331114/getting-osteoporotic-fracture-risk-into-vascular-structure-and-function%C3%A3-do-you-know-your-frax-%C3%A2-score
#1
Toshihiro Tsuruda, Kazuo Kitamura
No abstract text is available yet for this article.
March 23, 2017: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/28326297/coronary-artery-calcium-score-and-bone-metabolism-a-pilot-study-in-postmenopausal-women
#2
Pooneh Salari, Abbasali Keshtkar, Shapour Shirani, Leila Mounesan
BACKGROUND: Since 1991 many studies evaluated the link between cardiovascular diseases and osteoporosis, two age-related conditions, but the main common pathologic pathway has not been determined yet. The histological similarity between arterial calcified plaque and bone matrix and involvement of similar cells and mediators provide a special field of research. Therefore in the present study, we aimed to evaluate the relationship between coronary artery calcium score (CACS) as a surrogate marker of atherosclerosis and bone mediators and parameters in postmenopausal women...
February 2017: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/28285070/time-to-clinically-relevant-fracture-risk-scores-in-postmenopausal-women
#3
Margaret L Gourlay, Robert A Overman, Jason P Fine, Carolyn J Crandall, John Robbins, John T Schousboe, Kristine E Ensrud, Erin S LeBlanc, Margery L Gass, Karen C Johnson, Catherine R Womack, Andrea Z LaCroix
BACKGROUND: Clinical practice guidelines recommend use of fracture risk scores for screening and pharmacologic treatment decisions. The timing of occurrence of treatment-level (according to 2014 National Osteoporosis Foundation guidelines) or screening-level (according to 2011 US Preventive Services Task Force guidelines) fracture risk scores has not been estimated in postmenopausal women. METHODS: We conducted a retrospective competing risk analysis of new occurrence of treatment-level and screening-level fracture risk scores in postmenopausal women aged 50 and older, before receipt of pharmacologic treatment and before first hip or clinical vertebral fracture...
March 8, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28276598/clinical-utility-of-using-lumbar-spine-trabecular-bone-score-to-adjust-fracture-probability-the-manitoba-bmd-cohort
#4
P Martineau, W D Leslie, H Johansson, A Oden, E V McCloskey, D Hans, J A Kanis
Decreased lumbar spine trabecular bone score (TBS), a DXA-derived image texture measurement, is a risk factor for major osteoporotic fracture (MOF) and hip fracture (HF) independent of ten-year fracture probability estimated using FRAX(R) . We determined how often applying the TBS adjustment to fracture probability altered treatment qualification. Using a population-based registry containing all clinical DXA results for Manitoba, Canada, we identified 34,316 women with baseline spine and hip DXA, FRAX-based fracture probability measurements (computed with femoral neck bone mineral density), lumbar spine TBS, and minimum 5 years of observation (mean 8...
March 9, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28276592/low-serum-dheas-predicts-increased-fracture-risk-in-older-men-the-mros-sweden-study
#5
Claes Ohlsson, Maria Nethander, Andreas Kindmark, Östen Ljunggren, Mattias Lorentzon, Björn E Rosengren, Magnus K Karlsson, Dan Mellström, Liesbeth Vandenput
The adrenal-derived hormones dehydroepiandrosterone (DHEA) and its sulfate (DHEAS) are the most abundant circulating hormones and their levels decline substantially with age. DHEAS is considered an inactive precursor which is converted into androgens and estrogens via local metabolism in peripheral target tissues. The predictive value of serum DHEAS for fracture risk is unknown. The aim of this study was, therefore, to assess the associations between baseline DHEAS levels and incident fractures in a large cohort of older men...
March 9, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28274799/diagnostic-accuracy-of-frax-in-predicting-the-10-year-risk-of-osteoporotic-fractures-using-the-usa-treatment-thresholds-a-systematic-review-and-meta-analysis
#6
Xuezhi Jiang, Morgan Gruner, Florence Trémollieres, Wojciech Pluskiewicz, Elisabeth Sornay-Rendu, Piotr Adamczyk, Peter F Schnatz
OBJECTIVES: The aim of this study was to conduct a systematic review and meta-analysis on the performance of the WHO's Fracture Risk Assessment (FRAX) instrument in predicting 10-year risk of Major Osteoporotic Fractures (MOF) and Hip Fractures (HF), using the USA treatment thresholds, in populations other than their derivation cohorts. DESIGN: EMBASE and MEDLINE database were searched with search engine PubMed and OVID as well as Google Scholar for the English-language literature from July 2008 to July 2016...
March 5, 2017: Bone
https://www.readbyqxmd.com/read/28263008/frax-and-mandibular-sparse-trabeculation-as-fracture-predictors-a-longitudinal-study-from-1980-to-2002
#7
Valter Sundh, Dominique Hange, Margareta Ahlqwist, Magnus Hakeberg, Lauren Lissner, Grethe Jonasson
The fracture assessment tool (FRAX) is widely used for predicting fractures, but better methods are needed. The aim of this study was to determine whether visual assessments of mandibular trabecular bone could improve FRAX predictions. Three age-cohorts of women were examined twice - 499 women in 1980/1981 and 412 women in 1992/1993; 397 participated in both examinations. Information on 10-yr fracture events was available, and bone trabeculation was assessed in radiographs as 'dense', 'mixed', or 'sparse'. Fracture assessment tool values, without bone mineral density (BMD), were calculated twice...
April 2017: European Journal of Oral Sciences
https://www.readbyqxmd.com/read/28261864/total-and-visceral-adiposity-are-associated-with-prevalent-vertebral-fracture-in-women-but-not-men-at-age-62-years-the-newcastle-thousand-families-study
#8
Karen Hind, Mark Pearce, Fraser Birrell
Low body weight is an established risk factor for osteoporosis and fracture, but the skeletal risks of higher adiposity are unclear and appear sex-specific and site-dependent. The aim of this study was to investigate associations of total fat mass (TFM), visceral adipose tissue (VAT), and C-reactive protein (CRP) with bone mineral density (BMD) and prevalent vertebral fracture (VF) in men and women aged 62 years. A total of 352 men and women aged 62.5 ± 0.5 years from the Newcastle Thousand Families Study cohort received dual-energy X-ray absorptiometry (DXA) evaluations of femoral neck and lumbar spine BMD, of the lateral spine for vertebral fracture assessment, and of the whole body for TFM and VAT (GE Lunar CoreScan, Madison, WI, USA)...
March 6, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28259363/androgen-deprivation-in-prostate-cancer-and-the-long-term-risk-of-fracture
#9
S Ojeda, M Lloret, A Naranjo, F Déniz, N Chesa, C Domínguez, P C Lara
OBJECTIVES: To determine the rate of bone mass loss and the risk of fracture induced by androgen deprivation therapy in patients with prostate cancer. MATERIAL AND METHODS: Prospective study in 2 phases. In the first phase, demographic variables, FRAX(®), bone mineral density and clinical fractures were collected, before starting the therapy and up to 1 year after ending the therapy. In the second phase, we conducted a telephone interview a mean of 8.5 years after the start of the study to assess new fractures...
March 1, 2017: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/28250721/how-can-gynaecologists-cope-with-the-silent-killer-osteoporosis
#10
Marian Szamatowicz
Osteoporosis is a very common disease among women. It is frequently called a silent epidemic and, due to its impact on osteoporotic fractures with high morbidity and mortality, also a silent killer. There are a number of significant risk factors for osteoporosis, some of them very strongly related to the functioning of the reproductive system. These include menstrual irregularities, premature ovarian failure, early natural or surgical menopause, a high number of pregnancies, and long-term breast-feeding. Hence, there is every reason to include gynaecologists in the multidisciplinary team striving to cope with this dreadful disease...
December 2016: Przeglad Menopauzalny, Menopause Review
https://www.readbyqxmd.com/read/28241420/antiosteoporotic-activity-of-genistein-aglycone-in-postmenopausal-women-evidence-from-a-post-hoc-analysis-of-a-multicenter-randomized-controlled-trial
#11
Vincenzo Arcoraci, Marco Atteritano, Francesco Squadrito, Rosario D'Anna, Herbert Marini, Domenico Santoro, Letteria Minutoli, Sonia Messina, Domenica Altavilla, Alessandra Bitto
Genistein has a preventive role against bone mass loss during menopause. However, experimental data in animal models of osteoporosis suggest an anti-osteoporotic potential for this isoflavone. We performed a post-hoc analysis of a previously published trial investigating the effects of genistein in postmenopausal women with low bone mineral density. The parent study was a randomized, double-blind, placebo-controlled trial involving postmenopausal women with a femoral neck (FN) density <0.795 g/cm². A cohort of the enrolled women was, in fact, identified at the baseline as osteoporotic (n = 121) on the basis of their T-score and analyzed thereafter for the 24 months' treatment with either 1000 mg of calcium and 800 IU vitamin D3 (placebo; n = 59); or calcium, vitamin D3, and Genistein aglycone (54 mg/day; genistein; n = 62)...
February 22, 2017: Nutrients
https://www.readbyqxmd.com/read/28228610/increasing-risk-of-osteoporotic-fracture-is-associated-with-vascular-dysfunction-and-abnormal-vascular-structure-in-both-men-and-women
#12
Masato Kajikawa, Nozomu Oda, Shinji Kishimoto, Tatsuya Maruhashi, Yumiko Iwamoto, Akimichi Iwamoto, Shogo Matsui, Yoshiki Aibara, Farina Binti Mohamad Yusoff, Takayuki Hidaka, Yasuki Kihara, Kazuaki Chayama, Chikara Goto, Kensuke Noma, Ayumu Nakashima, Akira Taguchi, Yukihito Higashi
BACKGROUND: Osteoporosis and cardiovascular disease are major public health problems. A number of clinical studies have shown a link between osteoporosis and cardiovascular disease, but there is no information on the associations of risk of osteoporotic fracture with vascular function and vascular structure.Methods and Results:The risk of major osteoporotic fracture was calculated using the World Health Organization fracture risk assessment tool (FRAX); vascular function was assessed using flow-mediated vasodilation (FMD) and nitroglycerine-induced vasodilation (NID), and vascular structure was assessed on brachial artery intima-media thickness (IMT) in 414 subjects (241 men and 173 women) who underwent health examinations...
February 23, 2017: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/28159710/trabecular-bone-score-tbs-method-and-applications
#13
P Martineau, W D Leslie
Trabecular bone score (TBS) is a texture index derived from standard lumbar spine dual energy X-ray absorptiometry (DXA) images and provides information about the underlying bone independent of the bone mineral density (BMD). Several salient observations have emerged. Numerous studies have examined the relationship between TBS and fracture risk and have shown that lower TBS values are associated with increased risk for major osteoporotic fracture in postmenopausal women and older men, with this result being independent of BMD values and other clinical risk factors...
February 1, 2017: Bone
https://www.readbyqxmd.com/read/28151883/beyond-bone-mineral-density-frax-based-tailor-made-intervention-thresholds-for-therapeutic-decision-in-subjects-on-glucocorticoid-a-nationwide-osteoporosis-survey
#14
Shan-Fu Yu, Jia-Feng Chen, Yin-Chou Chen, Han-Ming Lai, Chi-Hua Ko, Wen-Chan Chiu, Fu-Mei Su, Chung-Yuan Hsu, Ben Yu-Jih Su, Chih-Hsing Wu, Tien-Tsai Cheng
Glucocorticoid-induced osteoporosis (GIOP) is the most common cause of secondary osteoporosis and confers a substantial risk for future fractures. Several recent guidelines for GIOP management have recommended the use of intervention thresholds to direct pharmacological therapy in those at high risk of fracture. The aim of this study was to analyze the characteristics of subjects on a glucocorticoid (GC) and to implement the Fracture Risk Assessment Tool (FRAX)-based intervention threshold for therapeutic decision-making...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28131130/trabecular-bone-score-a-new-dxa-derived-measurement-for-fracture-risk-assessment
#15
REVIEW
Barbara C Silva, William D Leslie
Trabecular bone score (TBS) is a novel method that assesses skeletal texture from spine dual-energy X-ray absorptiometry (DXA) images. TBS improves fracture-risk prediction beyond that provided by DXA bone mineral density (BMD) and clinical risk factors, and can be incorporated to the Word Health Organization Fracture Risk Assessment tool (FRAX®) to enhance fracture prediction. There is insufficient evidence that TBS can be used to monitor treatment with bisphosphonates. TBS may be particularly helpful to assess fracture risk in diabetes...
March 2017: Endocrinology and Metabolism Clinics of North America
https://www.readbyqxmd.com/read/28127556/trabecular-bone-score-reflects-trabecular-microarchitecture-deterioration-and-fragility-fracture-in-female-adult-patients-receiving-glucocorticoid-therapy-a-pre-post-controlled-study
#16
Mei-Hua Chuang, Tzyy-Ling Chuang, Malcolm Koo, Yuh-Feng Wang
A recently developed diagnostic tool, trabecular bone score (TBS), can provide quality of trabecular microarchitecture based on images obtained from dual-energy X-ray absorptiometry (DXA). Since patients receiving glucocorticoid are at a higher risk of developing secondary osteoporosis, assessment of bone microarchitecture may be used to evaluate risk of fragility fractures of osteoporosis. In this pre-post study of female patients, TBS and fracture risk assessment tool (FRAX) adjusted with TBS (T-FRAX) were evaluated along with bone mineral density (BMD) and FRAX...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28119181/the-impact-of-fragility-fracture-and-approaches-to-osteoporosis-risk-assessment-worldwide
#17
Elizabeth M Curtis, Rebecca J Moon, Nicholas C Harvey, Cyrus Cooper
Osteoporosis constitutes a major public health problem, through its association with age-related fractures, particularly of the hip, vertebrae, distal forearm and humerus. Substantial geographic variation has been noted in the incidence of osteoporotic fractures worldwide, with Western populations (North America, Europe and Oceania), reporting increases in hip fracture throughout the second half of the 20th century, with a stabilisation or decline in the last two decades. In developing populations however, particularly in Asia, the rates of osteoporotic fracture appears to be increasing...
January 22, 2017: Bone
https://www.readbyqxmd.com/read/28118961/agreement-of-mexican-frax-with-and-without-the-value-of-bone-mineral-density-in-assessing-the-risk-of-fracture-in-daily-clinical-practice
#18
Gabriel Horta-Baas, Arturo Pérez Bolde-Hernández, Argelia Pérez-Pérez, Imelda Vergara-Sánchez, María Del Socorro Romero-Figueroa
INTRODUCTION: The use of FRAX without the inclusion of bone mineral density (FRAX-BMI) may be useful in clinical practice to identify patients at high risk of fracture and inform treatment decisions, but its usefulness is debated. The aim of the study is to evaluate the agreement between the risk of fracture calculated by FRAX with or without bone mineral density (BMD). PATIENTS AND METHODS: A cross-sectional study was conducted with 431 women (40-90 years) without treatment...
January 21, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/28104610/external-validation-and-comparison-of-three-prediction-tools-for-risk-of-osteoporotic-fractures-using-data-from-population-based-electronic-health-records-retrospective-cohort-study
#19
Noa Dagan, Chandra Cohen-Stavi, Maya Leventer-Roberts, Ran D Balicer
OBJECTIVE:  To directly compare the performance and externally validate the three most studied prediction tools for osteoporotic fractures-QFracture, FRAX, and Garvan-using data from electronic health records. DESIGN:  Retrospective cohort study. SETTING:  Payer provider healthcare organisation in Israel. PARTICIPANTS:  1 054 815 members aged 50 to 90 years for comparison between tools and cohorts of different age ranges, corresponding to those in each tools' development study, for tool specific external validation...
January 19, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28074251/hyponatremia-and-fractures-should-hyponatremia-be-further-studied-as-a-potential-biochemical-risk-factor-to-be-included-in-frax-algorithms
#20
REVIEW
J C Ayus, T Bellido, A L Negri
The Fracture Risk Assessment Tool (FRAX®) was developed by the WHO Collaborating Centre for metabolic bone diseases to evaluate fracture risk of patients. It is based on patient models that integrate the risk associated with clinical variables and bone mineral density (BMD) at the femoral neck. The clinical risk factors included in FRAX were chosen to include only well-established and independent variables related to skeletal fracture risk. The FRAX tool has acquired worldwide acceptance despite having several limitations...
January 10, 2017: Osteoporosis International
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