Library

feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    ISSN: 1433-2965
    Keywords: Aging ; Bone densitometry ; Epidemiology ; European Spine Phantom ; Geographic variation ; Osteoporosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The purpose of this study was to investigate variations in bone density between 16 European populations, 13 of which were participants in the European Vertebral Osteoporosis Study (EVOS). Men and women aged 50–80 years were recruited randomly from local population registers, stratified in 5-year age bands. The other three centres recruited similarly. Random samples of 20–100% of EVOS subjects were invited for dual-energy X-ray absorptiometry (DXA) densitometry of the lumbar spine and/or proximal femur using Hologic, Lunar or Norland pencil beam machines or, in one centre, a Sopha fan-beam machine. Cross-calibration of the different machines was undertaken using the European Spine Phantom prototype (ESPp). Highly significant differences in mean bone density were demonstrated between centres, giving rise to between-centre SDs in bone density that were about a quarter of a population SD. These differences persisted when centres using Hologic machines and centres using Lunar machines were considered separately. The centres were ranked differently according to whether male or female subjects were being considered and according to site of measurement (L2–4, femoral neck or femoral trochanter). As expected, bone mineral density (BMD) had a curvilinear relationship with age, and apparent rates of decrease slowed as age advanced past 50 years in both sexes. In the spine, not only did male BMD usually appear to increase with age, but there was a highly significant difference between centres in the age effect in both sexes, suggesting a variability in the impact of osteoarthritis between centres. Weight was consistently positively associated with BMD, but the effects of height and armspan were less consistent. Logarithmic transformation was needed to normalize the regressions of BMD on the independent variates, and after transformation, all sites except the femoral neck in females showed significant increases in SD with age. Interestingly, the effect of increasing weight was to decrease dispersion in proximal femur measurements in both sexes, further accentuating the tendency in women for low body mass index to be associated with osteoporosis as defined by densitometry. It is concluded that there are major differences between BMD values in European population samples which, with variations in anthro-pometric variables, have the potential to contribute substantially to variations in rates of osteoporotic fracture risk in Europe.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    ISSN: 1433-2965
    Keywords: Body weight ; Non-attendance ; Osteoporosis ; Response bias ; Risk factors ; Screening
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Poor compliance may be detrimental to the effectiveness of a screening programme if those at greatest risk of the disease do not attend. Therefore we undertook a study to test whether non-attenders to a screening programme for low bone density, a risk factor for osteoporosis, were at a differential risk of low bone density compared with attenders. Seven hundred and eighty-nine women aged 45–49 years living within 32 km of Aberdeen were selected at random from the Community Health Index and invited to attend for screening for low bone density as a risk of factor for osteoporosis. Attenders and non-attenders were surveyed regarding their risk factors for osteoporosis. Non-attenders were significantly heavier than attenders. In addition, 6 non-attenders who subsequently chose to attend had significantly higher body weight and bone mineral density, at Ward's triangle, than initial attenders. Non-attenders to a screening service for bone density may be at lower risk of developing osteoporosis. Non-attendance, therefore, would not be detrimental to the cost-effectiveness of a screening service for bone density. However, this study indicates there is a potential for response bias in studies of bone density and osteoporosis.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 3
    ISSN: 1432-0827
    Keywords: Osteoporosis ; Ultrasound ; Hip fractures ; Bone density ; DXA
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Notes: Abstract There is considerable interest in predicting risk of hip fracture in order to allow targeting of preventive care. This study aimed to determine which of two methods best discriminates a hip fracture population from controls. Fifty women with fractured neck of femur, and 50 control subjects were scanned using dual energy X-ray absorptiometry (DXA) of the spine and hip and broadband ultrasound attenuation (BUA) of the os calcis. Significant differences between the two populations could be found for both DXA and BUA, with BUA showing the largest percentage difference (27%). The mean z-scores showed that BUA had the lowest, with the exception of DXA trochanter. However, no significant difference between BUA and DXA trochanter Z-scores was found. A receiver operator characteristic (ROC) analysis showed that BUA has a superior sensitivity and specificity compared with DXA measurements, with DXA of the hip being better than the spine. This retrospective study shows that BUA is a better discriminator of hip fracture than DXA lumbar spine of DXA hip, which may have important implications for predicting those at risk of future hip fracture.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Calcified tissue international 12 (1973), S. 101-112 
    ISSN: 1432-0827
    Keywords: Ageing ; Osteoporosis ; Bone ; Muscle ; Fat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Description / Table of Contents: Résumé Des mesures radiologiques de la masse minérale osseuse de la partie proximale du radius et l'épaisseur du muscle et du tissu graisseux sous-cutané de l'avant-bras ont été relevées chez l'homme et la femme adultes normaux. La masse minérale osseuse ne montre pas de modification significative jusqu'à 60 ans chez l'homme et 50 ans chez la femme, puis on observe une chute. L'épaisseur musculaire décroit, chez l'homme, à partir de 30 ans, alors que chez la femme on n'observe aucune modification significative avant 60 ans. Les corrélations entre ces variables diffèrent selon le sexe. Alors que la masse minérale et l'épaisseur musculaire varient positivement chez l'homme en fonction de l'âge, il n'y a pas de rapport significatif chez la femme, après 60 ans. Cependant, chez ces dernières, la masse osseuse et le tissu graisseux sous-cutané sont en corrélation nette après 60 ans, bien qu'aucun rapport significatif ne soit noté chez l'homme quel que soit le groupe d'âge. Chez des sujets ostéoporotiques, la masse minérale osseuse et l'épaisseur musculaire sont plus faibles chez les hommes par rapport à des sujets normaux du même âge. Chez des femmes ostéoporotiques, cependant, bien que la masse minérale osseuse et le tissu graisseux sous-cutané soient inférieures par rapport à des sujets normaux, l'épaisseur du muscle n'est pas modifiée.
    Abstract: Zusammenfassung Es wurden bei gesunden erwachsenen Männern und Frauen radiologische Messungen der Knochenmineralmasse im proximalen Radius, der Dicke des Muskels und des subkutanen Fettes des Vorderarmes durch die ganze Altersspanne durchgeführt. Die Knochenmineralmasse zeigte keine signifikante Veränderung bis zum 60. Altersjahr bei den Männern und bis zum 50. Altersjahr bei den Frauen; dann jedoch sank sie ab. Die Muskeldicke nahm bei den Männern über 30 Jahren ab, bei den Frauen konnte jedoch eine signifikante Abnahme erst ab 60 Jahren festgestellt werden. Die Korrelation zwischen diesen beiden Werten war bei Männern und Frauen ebenfalls verschieden. Während bei den Männern Knochenmineralmasse und Muskeldicke in jedem Alter meistens eine positive Korrelation zeigte, konnte bei den Frauen nach dem 60. Altersjahr keine signifikante Korrelation gefunden werden. Bei den Frauen zeigten hingegen Knochenmasse und subkutanes Fett eine deutliche Korrelation in der Gruppe nach dem 60. Altersjahr, während bei den Männern in keiner Altersgruppe eine signifikante Korrelation gefunden werden konnte. In einer osteoporotischen Gruppe waren Knochenmineralmasse und Muskeldicke niedriger bei Männern, verglichen mit Kontrollen bei Gesunden desselben Alters. Bei weiblichen osteoporotischen Patienten hingegen zeigte die Muskeldicke keinen Unterschied, während Knochenmineralmasse und subkutanes Fett niedriger waren als bei Gesunden.
    Notes: Abstract Radiologic measurements of bone mineral mass in the proximal radius, muscle width and thickness of the subcutaneous fat of the forearm were studied in normal men and women throughout the adult age range. Bone mineral mass showed no significant change to age 60 in men and age 50 in women, but fell thereafter. Muscle width declined from age 30 in the male population, though no significant reduction was found in women before age 60. The correlations between these variables also differed between males and females. While bone mineral mass and muscle width tended, in males, to be positively correlated at all ages, in females no significant correlation was found after age 60. In females, however, bone mass and subcutaneous fat were distinctly correlated in the over 60 age group, though no significant correlation was found in males in any age group. In an osteoporotic group, bone mineral mass and muscle width were lower in male patients than in normals of similar age. In female osteoporotic patients, however, while bone mineral mass and subcutaneous fat were less than in normals, muscle width showed no difference.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 5
    ISSN: 1433-2965
    Keywords: Bone densitometry ; Broadband ultrasound attenuation ; Dual-energy X-ray absorptiometry ; Osteoporosis ; Perimenopausal women ; Screening
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This paper compares dual-energy X-ray absorptiometry (DXA) of the spine and hip and broadband ultrasound attenuation (BUA) of the os calcis in 1000 perimenopausal women aged between 45 and 49 years who attended a randomized Osteoporosis Screening Programme. Significant correlations were found between all DXA results and BUA, with the trochanter giving the best numerical correlation with BUA (r=0.354,p〈0.0001). BUA was not successful in predicting women with low DXA measurements, with only 44.0% of the women whose spinal DXA falls within the lowest quartile being in the lowest quartile of BUA. Although BUA is a poor predictor of spinal and hip bone mineral density it may provide additional structural information important in fracture prediction.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...