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Elderly men with a history of distal radius fracture have significantly lower calcaneal bone density and free androgen index than age-matched controls
Linköping University, Department of Clinical and Experimental Medicine, Orthopaedics and Sports Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine. Linköping University, Faculty of Health Sciences.
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2012 (English)In: The Aging Male, ISSN 1368-5538, E-ISSN 1473-0790, Vol. 15, no 1, 59-62 p.Article in journal (Refereed) Published
Abstract [en]

Background: Age related bone loss is widely accepted as related to decreased serum levels of circulating sex hormones. Epidemiological data also show distal radius fractures in men to be a sensitive marker of bone fragility. The aim of this study was to assess if men with a history of distal radius fracture have lower bone mass density (BMD), lower free androgen index (FAI), lower total testosterone (T) and lower bio-available testosterone (Bio-T) than healthy age-matched controls. Patients and methods: A case-control study is based on consecutive cases treated for low energy distal radius fracture at our department and age-matched controls. Thirty-nine men treated between 1997-2004 and 45 age-matched controls underwent calcaneal bone density measurements (t-score) and analyses of T, Bio-T and serum hormone binding globulin (SHBG). Results: The fracture group had lower BMD (p andlt; 0.01) and lower FAI (p = 0.01). Linear regression analysis showed a correlation between Bio-T and t-scores (p = 0.03). Using analysis of covariance, a significant difference with lower Bio-T in the fracture group was shown. Conclusion: Bio-T seems to correlate with BMD in elderly men and may serve as a marker for increased fracture risk in this patient group.

Place, publisher, year, edition, pages
Informa Healthcare , 2012. Vol. 15, no 1, 59-62 p.
Keyword [en]
Bone mineral density, male, fractures, osteoporosis, testosterone
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-75464DOI: 10.3109/13685538.2011.593659ISI: 000299840800010OAI: oai:DiVA.org:liu-75464DiVA: diva2:507096
Note
Funding Agencies|County Council of Ostergotland||Available from: 2012-03-02 Created: 2012-03-02 Last updated: 2017-12-07

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Risto, OlofFredrikson, MatsHammar, MatsWahlström, Ola

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Orthopaedics and Sports MedicineFaculty of Health SciencesDepartment of Orthopaedics in LinköpingObstetrics and gynecologyOccupational and Environmental MedicineDepartment of Gynecology and Obstetrics in Linköping
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The Aging Male
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