Urine calcium excretion predicts bone loss in idiopathic hypercalciuria

Although idiopathic hypercalciuria (IH) is associated with reduced bone mineral density (BMD), no studies to date have identified predictors of BMD change over an extended period of observation. We have studied change in femoral neck and spine BMD z-scores in men and women with IH and stone disease...

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Veröffentlicht in:Kidney international 2006-10, Vol.70 (8), p.1463-1467
Hauptverfasser: Asplin, J.R., Donahue, S., Kinder, J., Coe, F.L.
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creator Asplin, J.R.
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Coe, F.L.
description Although idiopathic hypercalciuria (IH) is associated with reduced bone mineral density (BMD), no studies to date have identified predictors of BMD change over an extended period of observation. We have studied change in femoral neck and spine BMD z-scores in men and women with IH and stone disease (IHSF) and their first-degree relatives in order to determine the predictive value of commonly made clinical measurements. Urine calcium excretion was inversely correlated with change in femoral neck z-score over 3 years, and marginally correlated with fall in spine z-score. Markers of bone turnover, serum calcitriol, and urine measurements of acid–base balance such as ammonium and sulfate had no predictive value, nor did calcium intake assessed using a well-established questionnaire. It would appear that IHSF with the highest 24-h urine calcium excretion rates are at highest risk for loss of femoral neck bone mineral over a 3-year period.
doi_str_mv 10.1038/sj.ki.5001778
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subjects Absorptiometry, Photon
Adult
Aged
Alkaline Phosphatase - blood
Biological and medical sciences
Bone and Bones - metabolism
Bone and Bones - physiopathology
Bone Density - physiology
bone resorption
Bone Resorption - blood
Bone Resorption - physiopathology
Bone Resorption - urine
bone turnover
calcitriol
Calcitriol - blood
Calcium - urine
Cohort Studies
Collagen - blood
Diseases of the osteoarticular system
Female
Femur Neck - metabolism
Femur Neck - physiopathology
Humans
Hydroxyproline - blood
Male
Medical sciences
Middle Aged
nephrolithiasis
Nephrology. Urinary tract diseases
osteopenia
Osteoporosis. Osteomalacia. Paget disease
Predictive Value of Tests
Prospective Studies
Quaternary Ammonium Compounds - urine
Spine - metabolism
Spine - physiopathology
telopeptide
Urinary lithiasis
title Urine calcium excretion predicts bone loss in idiopathic hypercalciuria
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