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The lumbar spine age-related degenerative disease influences the BMD not the TBS: the Osteolaus cohort

Overview of attention for article published in Osteoporosis International, November 2016
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Title
The lumbar spine age-related degenerative disease influences the BMD not the TBS: the Osteolaus cohort
Published in
Osteoporosis International, November 2016
DOI 10.1007/s00198-016-3829-7
Pubmed ID
Authors

I. Padlina, E. Gonzalez-Rodriguez, D. Hans, M. Metzger, D. Stoll, B. Aubry-Rozier, O. Lamy

Abstract

We evaluated the influence of degenerative disease and fractured vertebra on lumbar spine bone mineral density (BMD) and trabecular bone score (TBS) in 1500 women aged 50-80 years. TBS was not affected by a degenerative disease. While BMD increases after 62.5 years, TBS continues to decline. TBS should play a leading role in lumbar spine evaluation. After menopause, lumbar spine (LS) BMD and TBS values decrease. Degenerative disease (DD) increases with age and affect LS BMD. The aim of this study was to measure changes in LS BMD and TBS in women 50 to 80 years old, taking into account the impact of fractured vertebrae and DD. LS BMD, TBS, and vertebral fracture assessment were evaluated in the OsteoLaus cohort (1500 women, 50-80 years old). The exams were analyzed following ISCD guidelines to identify vertebrae with fractures or DD (Vex). 1443 women were enrolled: mean age 66.7 ± 11.7 years, BMI 25.7 ± 4.4. LS BMD and TBS were weakly correlated (r2 = 0.16). The correlation (Vex excluded) between age and BMD was +0.03, between age and TBS -0.34. According to age group, LS BMD was 1.2 to 3.2% higher before excluding Vex (p < 0.001). TBS had an insignificant change of <1% after excluding Vex. LS BMD (Vex) decreased by 4.6% between 52.5 and 62.5 years, and increased by 2.6% between 62.5 and 77.5 years. TBS (Vex excluded) values decreased steadily with age with an overall loss of 8.99% between 52.5 and 77.5 years. Spine TBS, femoral neck, and total hip BMD gradually decreased with age, reaching one SD between the oldest and youngest group. TBS is not affected by DD. While BMD increases after 62.5 years, TBS continues to decline. For lumbar spine evaluation, in view of its independence from DD, TBS should play a leading role in the diagnosis in complement to BMD.

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Geographical breakdown

Country Count As %
Unknown 42 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 19%
Student > Ph. D. Student 6 14%
Researcher 5 12%
Other 4 10%
Student > Doctoral Student 3 7%
Other 10 24%
Unknown 6 14%
Readers by discipline Count As %
Medicine and Dentistry 19 45%
Nursing and Health Professions 4 10%
Engineering 4 10%
Social Sciences 1 2%
Unspecified 1 2%
Other 2 5%
Unknown 11 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2016.
All research outputs
#17,828,338
of 22,903,988 outputs
Outputs from Osteoporosis International
#2,533
of 3,616 outputs
Outputs of similar age
#287,372
of 415,970 outputs
Outputs of similar age from Osteoporosis International
#52
of 69 outputs
Altmetric has tracked 22,903,988 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
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