Loading…
Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly men
Estrogen appears to play an important role in determining bone mineral density in men, but it remains unclear whether estrogen primarily determines peak bone mass or also affects bone loss in elderly men. Thus, we assessed longitudinal rates of change in bone mineral density in young (22-39 yr; n =...
Saved in:
Published in: | The journal of clinical endocrinology and metabolism 2001-08, Vol.86 (8), p.3555-3561 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c346t-5db1983e98b6cfd0c551a08c6dfe3cb54f607728bf0ddc7c243caa6e5acc17b93 |
---|---|
cites | |
container_end_page | 3561 |
container_issue | 8 |
container_start_page | 3555 |
container_title | The journal of clinical endocrinology and metabolism |
container_volume | 86 |
creator | KHOSLA, Sundeep MELTON, L. Joseph ATKINSON, Elizabeth J O'FALLON, W. M |
description | Estrogen appears to play an important role in determining bone mineral density in men, but it remains unclear whether estrogen primarily determines peak bone mass or also affects bone loss in elderly men. Thus, we assessed longitudinal rates of change in bone mineral density in young (22-39 yr; n = 88) vs. elderly (60-90 yr; n = 130) men and related these to circulating total and bioavailable estrogen and testosterone levels. In young men bone mineral density increased significantly over 4 yr at the mid-radius and ulna and at the total hip (by 0.32-0.43%/yr), whereas it decreased in the elderly men at the forearm sites (by 0.49-0.66%/yr), but did not change at the total hip. The rate of increase in bone mineral density at the forearm sites in the young men was significantly correlated to serum total and bioavailable estradiol and estrone levels (r = 0.22-0.35), but not with total or bioavailable testosterone levels. In the elderly men the rates of bone loss at the forearm sites were most closely associated with serum bioavailable estradiol levels (r = 0.29-0.33) rather than bioavailable testosterone levels. Moreover, elderly men with bioavailable estradiol levels below the median [40 pmol/liter (11 pg/ml)] had significantly higher rates of bone loss and levels of bone resorption markers than men with bioavailable estradiol levels above 40 pmol/liter. These data thus indicate that estrogen plays a key role both in the acquisition of peak bone mass in young men and in bone loss in elderly men. Moreover, our findings suggest that age-related decreases in bioavailable estradiol levels to below 40 pmol/liter may well be the major cause of bone loss in elderly men. This subset of men is perhaps most likely to benefit from preventive therapy. |
doi_str_mv | 10.1210/jc.86.8.3555 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_71087397</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>18585519</sourcerecordid><originalsourceid>FETCH-LOGICAL-c346t-5db1983e98b6cfd0c551a08c6dfe3cb54f607728bf0ddc7c243caa6e5acc17b93</originalsourceid><addsrcrecordid>eNqF0M9LwzAUB_AgipvTm2fJQby1Jk3TpEcZ_oKBIAreSpq8bhlpMpt22P_eDSd48_K-PPjwffAQuqQkpRklt2udyiKVKeOcH6EpLXOeCFqKYzQlJKNJKbKPCTqLcU0IzXPOTtGEUk4yIeQUuVdwqrfBx5Xd4NDgCN3Q7uYXjj10wRrsYAsu4j5gF_zS9oOxXjmsV8ovIWLrcR08YAM-2n7c72MY_BJvoYtDxOAMdG7ELfhzdNIoF-HikDP0_nD_Nn9KFi-Pz_O7RaJZXvQJNzUtJYNS1oVuDNGcU0WkLkwDTNc8bwoiRCbrhhijhc5yppUqgCutqahLNkM3P72bLnwOEPuqtVGDc8pDGGIlKJGCleJfSCWXu-P7xqsDHOoWTLXpbKu6sfp95A5cH4CKWrmmU17b-MeRnBSEfQOiAYPX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>18585519</pqid></control><display><type>article</type><title>Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly men</title><source>OUP_牛津大学出版社现刊</source><creator>KHOSLA, Sundeep ; MELTON, L. Joseph ; ATKINSON, Elizabeth J ; O'FALLON, W. M</creator><creatorcontrib>KHOSLA, Sundeep ; MELTON, L. Joseph ; ATKINSON, Elizabeth J ; O'FALLON, W. M</creatorcontrib><description>Estrogen appears to play an important role in determining bone mineral density in men, but it remains unclear whether estrogen primarily determines peak bone mass or also affects bone loss in elderly men. Thus, we assessed longitudinal rates of change in bone mineral density in young (22-39 yr; n = 88) vs. elderly (60-90 yr; n = 130) men and related these to circulating total and bioavailable estrogen and testosterone levels. In young men bone mineral density increased significantly over 4 yr at the mid-radius and ulna and at the total hip (by 0.32-0.43%/yr), whereas it decreased in the elderly men at the forearm sites (by 0.49-0.66%/yr), but did not change at the total hip. The rate of increase in bone mineral density at the forearm sites in the young men was significantly correlated to serum total and bioavailable estradiol and estrone levels (r = 0.22-0.35), but not with total or bioavailable testosterone levels. In the elderly men the rates of bone loss at the forearm sites were most closely associated with serum bioavailable estradiol levels (r = 0.29-0.33) rather than bioavailable testosterone levels. Moreover, elderly men with bioavailable estradiol levels below the median [40 pmol/liter (11 pg/ml)] had significantly higher rates of bone loss and levels of bone resorption markers than men with bioavailable estradiol levels above 40 pmol/liter. These data thus indicate that estrogen plays a key role both in the acquisition of peak bone mass in young men and in bone loss in elderly men. Moreover, our findings suggest that age-related decreases in bioavailable estradiol levels to below 40 pmol/liter may well be the major cause of bone loss in elderly men. This subset of men is perhaps most likely to benefit from preventive therapy.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.86.8.3555</identifier><identifier>PMID: 11502778</identifier><identifier>CODEN: JCEMAZ</identifier><language>eng</language><publisher>Bethesda, MD: Endocrine Society</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aging - physiology ; Biological and medical sciences ; Body Mass Index ; Bone Density - physiology ; Bone Resorption ; Estradiol - blood ; Estrone - blood ; Fundamental and applied biological sciences. Psychology ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Radius ; Skeleton and joints ; Spine ; Testosterone - blood ; Ulna ; Vertebrates: osteoarticular system, musculoskeletal system</subject><ispartof>The journal of clinical endocrinology and metabolism, 2001-08, Vol.86 (8), p.3555-3561</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c346t-5db1983e98b6cfd0c551a08c6dfe3cb54f607728bf0ddc7c243caa6e5acc17b93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1104060$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11502778$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KHOSLA, Sundeep</creatorcontrib><creatorcontrib>MELTON, L. Joseph</creatorcontrib><creatorcontrib>ATKINSON, Elizabeth J</creatorcontrib><creatorcontrib>O'FALLON, W. M</creatorcontrib><title>Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly men</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Estrogen appears to play an important role in determining bone mineral density in men, but it remains unclear whether estrogen primarily determines peak bone mass or also affects bone loss in elderly men. Thus, we assessed longitudinal rates of change in bone mineral density in young (22-39 yr; n = 88) vs. elderly (60-90 yr; n = 130) men and related these to circulating total and bioavailable estrogen and testosterone levels. In young men bone mineral density increased significantly over 4 yr at the mid-radius and ulna and at the total hip (by 0.32-0.43%/yr), whereas it decreased in the elderly men at the forearm sites (by 0.49-0.66%/yr), but did not change at the total hip. The rate of increase in bone mineral density at the forearm sites in the young men was significantly correlated to serum total and bioavailable estradiol and estrone levels (r = 0.22-0.35), but not with total or bioavailable testosterone levels. In the elderly men the rates of bone loss at the forearm sites were most closely associated with serum bioavailable estradiol levels (r = 0.29-0.33) rather than bioavailable testosterone levels. Moreover, elderly men with bioavailable estradiol levels below the median [40 pmol/liter (11 pg/ml)] had significantly higher rates of bone loss and levels of bone resorption markers than men with bioavailable estradiol levels above 40 pmol/liter. These data thus indicate that estrogen plays a key role both in the acquisition of peak bone mass in young men and in bone loss in elderly men. Moreover, our findings suggest that age-related decreases in bioavailable estradiol levels to below 40 pmol/liter may well be the major cause of bone loss in elderly men. This subset of men is perhaps most likely to benefit from preventive therapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Bone Density - physiology</subject><subject>Bone Resorption</subject><subject>Estradiol - blood</subject><subject>Estrone - blood</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radius</subject><subject>Skeleton and joints</subject><subject>Spine</subject><subject>Testosterone - blood</subject><subject>Ulna</subject><subject>Vertebrates: osteoarticular system, musculoskeletal system</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqF0M9LwzAUB_AgipvTm2fJQby1Jk3TpEcZ_oKBIAreSpq8bhlpMpt22P_eDSd48_K-PPjwffAQuqQkpRklt2udyiKVKeOcH6EpLXOeCFqKYzQlJKNJKbKPCTqLcU0IzXPOTtGEUk4yIeQUuVdwqrfBx5Xd4NDgCN3Q7uYXjj10wRrsYAsu4j5gF_zS9oOxXjmsV8ovIWLrcR08YAM-2n7c72MY_BJvoYtDxOAMdG7ELfhzdNIoF-HikDP0_nD_Nn9KFi-Pz_O7RaJZXvQJNzUtJYNS1oVuDNGcU0WkLkwDTNc8bwoiRCbrhhijhc5yppUqgCutqahLNkM3P72bLnwOEPuqtVGDc8pDGGIlKJGCleJfSCWXu-P7xqsDHOoWTLXpbKu6sfp95A5cH4CKWrmmU17b-MeRnBSEfQOiAYPX</recordid><startdate>20010801</startdate><enddate>20010801</enddate><creator>KHOSLA, Sundeep</creator><creator>MELTON, L. Joseph</creator><creator>ATKINSON, Elizabeth J</creator><creator>O'FALLON, W. M</creator><general>Endocrine Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>20010801</creationdate><title>Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly men</title><author>KHOSLA, Sundeep ; MELTON, L. Joseph ; ATKINSON, Elizabeth J ; O'FALLON, W. M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-5db1983e98b6cfd0c551a08c6dfe3cb54f607728bf0ddc7c243caa6e5acc17b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Bone Density - physiology</topic><topic>Bone Resorption</topic><topic>Estradiol - blood</topic><topic>Estrone - blood</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radius</topic><topic>Skeleton and joints</topic><topic>Spine</topic><topic>Testosterone - blood</topic><topic>Ulna</topic><topic>Vertebrates: osteoarticular system, musculoskeletal system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KHOSLA, Sundeep</creatorcontrib><creatorcontrib>MELTON, L. Joseph</creatorcontrib><creatorcontrib>ATKINSON, Elizabeth J</creatorcontrib><creatorcontrib>O'FALLON, W. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KHOSLA, Sundeep</au><au>MELTON, L. Joseph</au><au>ATKINSON, Elizabeth J</au><au>O'FALLON, W. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly men</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>86</volume><issue>8</issue><spage>3555</spage><epage>3561</epage><pages>3555-3561</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-1</notes><notes>content type line 23</notes><notes>ObjectType-Article-1</notes><notes>ObjectType-Feature-2</notes><abstract>Estrogen appears to play an important role in determining bone mineral density in men, but it remains unclear whether estrogen primarily determines peak bone mass or also affects bone loss in elderly men. Thus, we assessed longitudinal rates of change in bone mineral density in young (22-39 yr; n = 88) vs. elderly (60-90 yr; n = 130) men and related these to circulating total and bioavailable estrogen and testosterone levels. In young men bone mineral density increased significantly over 4 yr at the mid-radius and ulna and at the total hip (by 0.32-0.43%/yr), whereas it decreased in the elderly men at the forearm sites (by 0.49-0.66%/yr), but did not change at the total hip. The rate of increase in bone mineral density at the forearm sites in the young men was significantly correlated to serum total and bioavailable estradiol and estrone levels (r = 0.22-0.35), but not with total or bioavailable testosterone levels. In the elderly men the rates of bone loss at the forearm sites were most closely associated with serum bioavailable estradiol levels (r = 0.29-0.33) rather than bioavailable testosterone levels. Moreover, elderly men with bioavailable estradiol levels below the median [40 pmol/liter (11 pg/ml)] had significantly higher rates of bone loss and levels of bone resorption markers than men with bioavailable estradiol levels above 40 pmol/liter. These data thus indicate that estrogen plays a key role both in the acquisition of peak bone mass in young men and in bone loss in elderly men. Moreover, our findings suggest that age-related decreases in bioavailable estradiol levels to below 40 pmol/liter may well be the major cause of bone loss in elderly men. This subset of men is perhaps most likely to benefit from preventive therapy.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>11502778</pmid><doi>10.1210/jc.86.8.3555</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0021-972X |
ispartof | The journal of clinical endocrinology and metabolism, 2001-08, Vol.86 (8), p.3555-3561 |
issn | 0021-972X 1945-7197 |
language | eng |
recordid | cdi_proquest_miscellaneous_71087397 |
source | OUP_牛津大学出版社现刊 |
subjects | Adult Aged Aged, 80 and over Aging - physiology Biological and medical sciences Body Mass Index Bone Density - physiology Bone Resorption Estradiol - blood Estrone - blood Fundamental and applied biological sciences. Psychology Humans Longitudinal Studies Male Middle Aged Radius Skeleton and joints Spine Testosterone - blood Ulna Vertebrates: osteoarticular system, musculoskeletal system |
title | Relationship of serum sex steroid levels to longitudinal changes in bone density in young versus elderly men |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T11%3A43%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Relationship%20of%20serum%20sex%20steroid%20levels%20to%20longitudinal%20changes%20in%20bone%20density%20in%20young%20versus%20elderly%20men&rft.jtitle=The%20journal%20of%20clinical%20endocrinology%20and%20metabolism&rft.au=KHOSLA,%20Sundeep&rft.date=2001-08-01&rft.volume=86&rft.issue=8&rft.spage=3555&rft.epage=3561&rft.pages=3555-3561&rft.issn=0021-972X&rft.eissn=1945-7197&rft.coden=JCEMAZ&rft_id=info:doi/10.1210/jc.86.8.3555&rft_dat=%3Cproquest_pubme%3E18585519%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c346t-5db1983e98b6cfd0c551a08c6dfe3cb54f607728bf0ddc7c243caa6e5acc17b93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=18585519&rft_id=info:pmid/11502778&rfr_iscdi=true |