The role of bone turnover markers in monitoring treatment in postmenopausal osteoporosis.

Abstract:

:Bone metabolism is assessed using biochemical bone turnover markers (BTM). BTM reflect the metabolic effect of drugs on bone turnover, help to establish the lowest dose inducing the largest change in the BTM, predict treatment-related reduction in fracture risk, and are helpful in bridging studies. Changes in BTM during anti-osteoporotic therapy depend on the cellular mechanism of action of the drug, degree of change in bone turnover rate and route of administration. BTM help to establish the optimal dose of anti-osteoporotic drugs because treatment-related changes in BTM are more rapid compared with change in BMD. A greater decrease in BTM levels during the first year of tantiresorptive treatment is associated with greater antifracture efficacy over 3 years. According to preliminary data, measurement of BTM can improve persistence with anti-resorptive treatment. The use of BTM to monitor anti-osteoporotic therapy in "real life" is limited at this stage.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Szulc P

doi

10.1016/j.clinbiochem.2012.01.022

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

907-19

issue

12

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(12)00051-3

journal_volume

45

pub_type

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