Parathyroid hormone secretion in women in late menopause submitted to EDTA-induced hypocalcemia.

Abstract:

OBJECTIVE:The physiological role of parathormone (PTH) in the maintenance of bone mass in humans has not been fully defined. The main objective of the present study was to evaluate basal and EDTA-stimulated PTH levels in young women (Group Y=30.9 years, N=7) and in women in late menopause (Group M=64.7 years, N=7) and their relationship to bone mineral density. METHODS:The PTH secretion test was performed by induction of hypocalcemia through intravenous administration of EDTA for 2h. Blood samples were collected every 10 min and used for ionic calcium and PTH measurements. During the basal period, an additional sample was collected for the determination of osteocalcin, FSH, and estradiol. A sample of early morning second voided urine was collected for analysis of deoxypiridinoline and creatinine as well as bone mass density (BMD) was determined by dual X-ray energy absorptiometry (DEXA). RESULTS:The aged patients presented lower femoral BMD (Y=0.860 g/cm(2) vs. M=0.690 g/cm(2), p<0.01), with four of them having a T score lower than -2.5 S.D. Basal, and during the EDTA infusion, PTH values were similar in both groups. However, among aged volunteers, the rise in PTH levels was higher for subjects with normal bone mass (NM: peak=236 pg/ml) than for subjects with osteoporosis (OM: peak=134.4 pg/ml). CONCLUSIONS:The present results suggest that PTH can have a modulating effect on the rate of bone loss during late menopause.

journal_name

Maturitas

journal_title

Maturitas

authors

Pereira LC,Pereira FA,Sá MF,Foss MC,de Paula FJ

doi

10.1016/j.maturitas.2007.10.002

subject

Has Abstract

pub_date

2008-01-20 00:00:00

pages

91-4

issue

1

eissn

0378-5122

issn

1873-4111

pii

S0378-5122(07)00293-9

journal_volume

59

pub_type

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