Abstract:
:Low vitamin D status, which is endemic due to inadequate oral intake combined with sun avoidance, contributes to musculoskeletal and other pathologies. Although controversial, it is increasingly recommended that serum 25-hydroxyvitamin D (25D) concentrations less than 30 ng/mL be considered suboptimal. Clinicians should appreciate that 25(OH)D measurements, like all quantitative laboratory tests, are subject to assay and biologic variability. Additionally, international standardized calibrators do not exist for 25(OH)D measurement. As such, a single 25(OH)D value of "30 ng/mL" may have substantial variability surrounding it, thereby making 25(OH)D levels of approximately 35 to 40 ng/mL a reasonable therapeutic goal to assure vitamin D adequacy. Achieving such levels often requires vitamin D supplementation. Vitamin D3 (cholecalciferol) or D2 (ergocalciferol) may be used; whether vitamin D3 is more potent than vitamin D2 in maintaining 25(OH)D is controversial.
journal_name
Curr Osteoporos Repjournal_title
Current osteoporosis reportsauthors
Binkley N,Krueger Ddoi
10.1007/s11914-008-0017-5subject
Has Abstractpub_date
2008-09-01 00:00:00pages
95-9issue
3eissn
1544-1873issn
1544-2241journal_volume
6pub_type
杂志文章,评审abstract::A prior fracture is a well-documented risk factor for a subsequent fracture and it doubles the risk of subsequent fractures. Few studies have investigated the time that elapses between the initial and subsequent fracture. These studies show that the subsequent fracture risk is not constant, but fluctuates over time. T...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-010-0023-2
更新日期:2010-09-01 00:00:00
abstract::Osteoporotic fractures result in significant morbidity and mortality. Anabolic agents reverse the negative skeletal balance that characterizes osteoporosis by stimulating osteoblast-dependent bone formation to a greater degree than osteoclast-dependent bone resorption. Parathyroid hormone (PTH) and parathyroid hormone...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-013-0171-2
更新日期:2013-12-01 00:00:00
abstract:PURPOSE OF REVIEW:This review critiques the ability of CT-based methods to predict incident hip and vertebral fractures. RECENT FINDINGS:CT-based techniques with concurrent calibration all show strong associations with incident hip and vertebral fracture, predicting hip and vertebral fractures as well as, and sometime...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-018-0450-z
更新日期:2018-08-01 00:00:00
abstract::Metabolic bone disease is a major public health concern, especially when it manifests as hip fracture which carries significant morbidity and mortality. Individuals with neurological disease are at higher risk of osteopenia, osteoporosis and fragility fracture compared to age-matched controls, yet this is under-apprec...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-016-0320-5
更新日期:2016-10-01 00:00:00
abstract:PURPOSE OF REVIEW:Osteocytes comprise > 95% of the cellular component in bone tissue and produce a wide range of cytokines and cellular signaling molecules in response to mechanical stimuli. In this review, we aimed to summarize the molecular mechanisms involved in the osteocyte-mediated translation of mechanical stimu...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-020-00564-9
更新日期:2020-02-01 00:00:00
abstract:PURPOSE OF REVIEW:Here, we overview the latest findings from studies investigating the skeletal endocannabinoid (EC) system and its involvement in bone formation and resorption. RECENT FINDINGS:The endocannabinoid system consists of endogenous ligands, receptors, and enzymes. The main cannabinoids found in the cannabi...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-020-00607-1
更新日期:2020-10-01 00:00:00
abstract::Currently, the measurement of areal bone mineral density (aBMD) is used at NASA to evaluate the effects of spaceflight on the skeletal health of astronauts. Notably, there are precipitous declines in aBMD with losses >10 % detected in the hip and spine in some astronauts following a typical 6-month mission in space. H...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-013-0136-5
更新日期:2013-06-01 00:00:00
abstract:PURPOSE OF REVIEW:Identifying individuals at high fracture risk can be used to target those likely to derive the greatest benefit from treatment. This narrative review examines recent developments in using specific risk factors used to assess fracture risk, with a focus on publications in the last 3 years. RECENT FIND...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-020-00590-7
更新日期:2020-06-01 00:00:00
abstract::Establishing a Fracture Liaison Service (FLS) to identify and treat patients with a recent fragility fracture has been shown to be effective, save money, useful to document high quality of care, and makes good clinical sense. A FLS starts with an osteoporosis champion and encompasses identification of patients with a ...
journal_title:Current osteoporosis reports
pub_type: 杂志文章
doi:10.1007/s11914-013-0177-9
更新日期:2013-12-01 00:00:00
abstract::Surrogate markers in clinical medicine provide a useful means to assess therapeutic response to pharmacologic therapy in a wide range of chronic disease states. In the area of osteoporosis, the surrogate markers of change in bone mineral density (BMD) and bone turnover markers (BTM) provide the clinician with a means ...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-005-0018-6
更新日期:2005-09-01 00:00:00
abstract:PURPOSE OF REVIEW:This study aims to describe bone marrow fat changes in diabetes and to discuss the potential role of marrow fat in skeletal fragility. RECENT FINDINGS:Advances in non-invasive imaging have facilitated marrow fat research in humans. In contrast to animal studies which clearly demonstrate higher levels...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-016-0336-x
更新日期:2016-12-01 00:00:00
abstract::Atraumatic fractures of the skeleton in osteoporotic patients are directly related to a deterioration of bone strength. However, the failure of the bone tissue to withstand functional load bearing cannot be explained as a simple decrease in bone mineral density (quantity); strength is also significantly dependent upon...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-003-0003-x
更新日期:2003-06-01 00:00:00
abstract::The pediatric origin of osteoporosis has led many investigators to focus on determining factors that influence bone gain during growth and methods for optimizing this gain. Bone responds to bone loading activities by increasing mass or size. Overall, pediatric studies have found a positive effect of bone loading on bo...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-013-0152-5
更新日期:2013-09-01 00:00:00
abstract:PURPOSE OF REVIEW:Diabetes has a detrimental effect on bone, increasing the risk of fracture and formation of osteolytic lesions such as those seen in periodontitis. Several diabetic complications are caused by diabetes-enhanced inflammation. This review examines mechanisms by which IL-17 contributes to diabetes-enhanc...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-020-00559-6
更新日期:2020-02-01 00:00:00
abstract::Frailty is highly prevalent in the elderly, increasing the risk of poor outcomes that include falls, incident disability, hospitalization, and mortality. Thus, a great need exists to characterize the underlying mechanisms and ultimately identify strategies that prevent, delay, and even reverse frailty. Mouse models ca...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-015-0283-y
更新日期:2015-10-01 00:00:00
abstract::The occurrence of a fragility fracture is an opportunity to recognize osteoporosis and begin treatment to reduce the risk of another fracture. However, selecting the treatment may have an impact on the incident fracture and this requires careful consideration of the patient and the treatment choices. There is no conse...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-011-0061-4
更新日期:2011-09-01 00:00:00
abstract::Musculoskeletal pain disorders are the second largest contributor to global disability underlining the significance of effective treatments. However, treating chronic musculoskeletal pain, and chronic joint pain (osteoarthritis (OA)) in particular, is challenging as the underlying peripheral and central pain mechanism...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-015-0276-x
更新日期:2015-08-01 00:00:00
abstract::Osteoporosis is characterized by the occurrence of a host of fractures. According to densitometric values, an operational definition for osteoporosis corresponds to a loss of 25% to 30% (-2.5 T-scores) compared with the mean values of bone mineral density of young premenopausal women. For years, research tried to deve...
journal_title:Current osteoporosis reports
pub_type: 杂志文章
doi:10.1007/s11914-010-0024-1
更新日期:2010-09-01 00:00:00
abstract::Osteocytes, the most abundant cell type in bone, remain the least characterized. Several theories have been proposed regarding their function, including osteolysis, sensing the strains produced in response to mechanical loading of bones, and producing signals that affect the function of osteoblasts and osteoclasts and...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-007-0007-z
更新日期:2007-06-01 00:00:00
abstract::Vitamin D, acting through its active metabolite 1,25(OH)(2)D(3), exerts its influence on many physiologic processes in addition to the regulation of calcium and phosphate homeostasis. These processes include the immune system. Both the adaptive and innate immune systems are affected by 1,25(OH)(2)D(3) and its receptor...
journal_title:Current osteoporosis reports
pub_type: 杂志文章
doi:10.1007/s11914-009-0011-6
更新日期:2009-07-01 00:00:00
abstract::Bone metastasis is a deadly complication of cancers arising from many different primary tumor locations. Cross talk between cancer and bone cells is a well-established driver of bone metastasis, and recent work reveals microRNA (miRNA) as key players in this communication. Functional significance of miRNA was first de...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-016-0316-1
更新日期:2016-10-01 00:00:00
abstract:PURPOSE OF REVIEW:Mechanical loading is an essential stimulus for skeletal tissues. Osteocytes are primarily responsible for sensing mechanical stimuli in bone and for orchestrating subsequent responses. This is critical for maintaining homeostasis, and responding to injury/disease. The osteocyte mechanotransduction pa...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-018-0485-1
更新日期:2018-12-01 00:00:00
abstract::Stem cells differ from other cells of the body in their potential for multilineage differentiation and their continued proliferation without substantial loss of potential (so-called self-renewal). These properties are maintained and regulated by a specific microenvironment referred to as "niche." This term has been us...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-011-0075-y
更新日期:2011-12-01 00:00:00
abstract::The past decade has seen a significant expansion of our understanding of the interaction between the neural system and bone. While innervation of bone was long appreciated, the discovery of central relays from the hypothalamus to the cells of bone has seen the identification of a number of efferent neural pathways to ...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-012-0102-7
更新日期:2012-06-01 00:00:00
abstract::Although vitamin D is used mainly as a nutritional supplement in osteoporosis treatment, its active form, 1,25-dihydroxyvitamin D [1,25(OH)(2)D], has an effect to maintain bone remodeling balance as well. Eldecalcitol is an analog of 1,25(OH) (2)D(3) with stronger effects than its native form in improving bone remodel...
journal_title:Current osteoporosis reports
pub_type: 杂志文章
doi:10.1007/s11914-012-0116-1
更新日期:2012-12-01 00:00:00
abstract::Although traditional diagnosis and treatment of renal osteodystrophy focused on changes in bone turnover, current data demonstrate that abnormalities in skeletal mineralization are also prevalent in pediatric chronic kidney disease (CKD) and likely contribute to skeletal morbidities that continue to plague this popula...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-015-0253-4
更新日期:2015-04-01 00:00:00
abstract::The greatest cause of preventable morbidity and mortality is smoking, and one of the often-underappreciated effects of smoking is profound bone loss. The existing clinical paradigm for smoking is that there is a low turnover osteoporosis. This review highlights findings from recent clinical trials and animal research ...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-011-0068-x
更新日期:2011-12-01 00:00:00
abstract:PURPOSE OF REVIEW:The aim of this review was to compile a list of tools currently available to study bone cells and in particular osteocytes. As the interest (and importance) in osteocyte biology has greatly expanded over the past decade, new tools and techniques have become available to study these elusive cells, RECE...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-020-00613-3
更新日期:2020-10-01 00:00:00
abstract::Statistical models (SMs) of shape (SSM) and appearance (SAM) have been acquiring popularity in medical image analysis since they were introduced in the early 1990s. They have been primarily used for segmentation, but they are also a powerful tool for 3D reconstruction and classification. All these tasks may be require...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-014-0206-3
更新日期:2014-06-01 00:00:00
abstract:PURPOSE OF REVIEW:Authors review the safety and efficacy of romosozumab for the treatment of osteoporosis as demonstrated in three phase III clinical trials and offer insights into the potential cardiovascular risk associated with its use. RECENT FINDINGS:Incidence of new vertebral fracture is dramatically reduced wit...
journal_title:Current osteoporosis reports
pub_type: 杂志文章,评审
doi:10.1007/s11914-020-00652-w
更新日期:2021-01-07 00:00:00