Trends in trabecular architecture and bone mineral density distribution in 152 individuals aged 30–90 years

Abstract The strength of trabecular bone depends on its microarchitecture and its tissue level properties. However, the interrelation between these two determinants of bone quality and their relation to age remain to be clarified. Iliac crest bone cores ( n = 152) from individuals aged 30–90 years w...

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Veröffentlicht in:Bone (New York, N.Y.) N.Y.), 2014-09, Vol.66, p.31-38
Hauptverfasser: Koehne, Till, Vettorazzi, Eik, Küsters, Natalie, Lüneburg, Rike, Kahl-Nieke, Bärbel, Püschel, Klaus, Amling, Michael, Busse, Björn
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container_title Bone (New York, N.Y.)
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creator Koehne, Till
Vettorazzi, Eik
Küsters, Natalie
Lüneburg, Rike
Kahl-Nieke, Bärbel
Püschel, Klaus
Amling, Michael
Busse, Björn
description Abstract The strength of trabecular bone depends on its microarchitecture and its tissue level properties. However, the interrelation between these two determinants of bone quality and their relation to age remain to be clarified. Iliac crest bone cores ( n = 152) from individuals aged 30–90 years were analyzed by quantitative backscattered electron imaging. Univariate and multivariate analyses were conducted to determine whether epidemiological parameters (age, sex or BMI), structural histomorphometrical variables (BV/TV, Tb.Th, Tb.N and Tb.Sp) and osteoid-related indices (OV/BV, OS/BS or O.Th) predict the degree of bone mineralization. While sex and BMI were not associated with bone mineralization, age was positively correlated with the most frequently occurring calcium concentrations (Ca peak), the percentage of highly mineralized bone areas (Ca high) and, in the case of adjusted covariates, also the mean calcium content (Ca mean). Bone volume fraction and trabecular thickness were both negatively correlated with Ca mean. However, trabecular thickness was additionally associated with Ca peak, Ca high as well as the amount of low mineralized bone (Ca low) and was the only structural parameter predicting bone mineralization independent of age. Furthermore, our analyses demonstrated that osteoid variables – within a normal range (< 2% OV/BV) – were significantly associated with all mineralization parameters and represent the only predictor for the mineralization heterogeneity (Ca width). Taken together, we showed that elevated trabecular bone mineralization correlates with aging and bone loss. However, these associations are attributable to trabecular thinning that comes along with high bone mineralization due to the loss of low mineralized bone surfaces. Therefore, we demonstrated that the degree of areally resolved bone mineral is primarily associated with the amount of physiological osteoid present and the thickness of mineralized bone in trabeculae.
doi_str_mv 10.1016/j.bone.2014.05.010
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However, the interrelation between these two determinants of bone quality and their relation to age remain to be clarified. Iliac crest bone cores ( n = 152) from individuals aged 30–90 years were analyzed by quantitative backscattered electron imaging. Univariate and multivariate analyses were conducted to determine whether epidemiological parameters (age, sex or BMI), structural histomorphometrical variables (BV/TV, Tb.Th, Tb.N and Tb.Sp) and osteoid-related indices (OV/BV, OS/BS or O.Th) predict the degree of bone mineralization. While sex and BMI were not associated with bone mineralization, age was positively correlated with the most frequently occurring calcium concentrations (Ca peak), the percentage of highly mineralized bone areas (Ca high) and, in the case of adjusted covariates, also the mean calcium content (Ca mean). Bone volume fraction and trabecular thickness were both negatively correlated with Ca mean. However, trabecular thickness was additionally associated with Ca peak, Ca high as well as the amount of low mineralized bone (Ca low) and was the only structural parameter predicting bone mineralization independent of age. Furthermore, our analyses demonstrated that osteoid variables – within a normal range (&lt; 2% OV/BV) – were significantly associated with all mineralization parameters and represent the only predictor for the mineralization heterogeneity (Ca width). Taken together, we showed that elevated trabecular bone mineralization correlates with aging and bone loss. However, these associations are attributable to trabecular thinning that comes along with high bone mineralization due to the loss of low mineralized bone surfaces. 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However, trabecular thickness was additionally associated with Ca peak, Ca high as well as the amount of low mineralized bone (Ca low) and was the only structural parameter predicting bone mineralization independent of age. Furthermore, our analyses demonstrated that osteoid variables – within a normal range (&lt; 2% OV/BV) – were significantly associated with all mineralization parameters and represent the only predictor for the mineralization heterogeneity (Ca width). Taken together, we showed that elevated trabecular bone mineralization correlates with aging and bone loss. However, these associations are attributable to trabecular thinning that comes along with high bone mineralization due to the loss of low mineralized bone surfaces. 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Therefore, we demonstrated that the degree of areally resolved bone mineral is primarily associated with the amount of physiological osteoid present and the thickness of mineralized bone in trabeculae.</abstract><cop>Amsterdam</cop><pub>Elsevier</pub><pmid>24859568</pmid><doi>10.1016/j.bone.2014.05.010</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Aged
Aged, 80 and over
Aging - physiology
Biological and medical sciences
Bone Density - physiology
Calcification, Physiologic - physiology
Diseases of the osteoarticular system
Female
Fundamental and applied biological sciences. Psychology
Humans
Image Processing, Computer-Assisted
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Multivariate Analysis
Orthopedics
Osteoarticular system. Muscles
Osteoporosis. Osteomalacia. Paget disease
Pelvis - diagnostic imaging
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Tomography, X-Ray Computed
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Trends in trabecular architecture and bone mineral density distribution in 152 individuals aged 30–90 years
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