Prevalence of Primary Hyperparathyroidism and Impact on Bone Mineral Density in Elderly Men: MrOs Sweden
Background Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with...
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| Published in | World journal of surgery Vol. 35; no. 6; pp. 1266 - 1272 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer-Verlag
01.06.2011
Springer‐Verlag Springer John Wiley & Sons, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0364-2313 1432-2323 1432-2323 |
| DOI | 10.1007/s00268-011-1062-2 |
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| Abstract | Background
Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD.
Methods
Calcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m
2
) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort.
Results
The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (
p
< 0.05) was seen in the IEP group (total hip and lumbar spine).
Conclusions
Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group. |
|---|---|
| AbstractList | Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD. Calcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (< 21 ml/min/1.73 m(2)) and vitamin D deficiency (< 50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort. The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (p < 0.05) was seen in the IEP group (total hip and lumbar spine). Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group. Background Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD. Methods Calcium homeostasis and BMD, measured by dual X‐ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS‐Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m2) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above‐normal albumin‐adjusted serum (s)‐calcium and plasma intact parathyroid hormone (p‐iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s‐calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort. Results The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (p < 0.05) was seen in the IEP group (total hip and lumbar spine). Conclusions Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group. Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD.BACKGROUNDAge and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD.Calcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m2) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort.METHODSCalcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m2) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort.The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (p<0.05) was seen in the IEP group (total hip and lumbar spine).RESULTSThe prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (p<0.05) was seen in the IEP group (total hip and lumbar spine).Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group.CONCLUSIONSElderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group. Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD. Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD. Calcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m^sup 2^) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort. The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (p < 0.05) was seen in the IEP group (total hip and lumbar spine). Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group.[PUBLICATION ABSTRACT] Background Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD. Methods Calcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m 2 ) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort. Results The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD ( p < 0.05) was seen in the IEP group (total hip and lumbar spine). Conclusions Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group. Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD. Calcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m2) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort. The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (p<0.05) was seen in the IEP group (total hip and lumbar spine). Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group. BACKGROUND: Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal complications are well known at an advanced stage of PHPT, although the impact on bone mineral density (BMD) is evident in patients with mild disease. This study examines the prevalence of PHPT in elderly men and its impact on BMD. METHODS: Calcium homeostasis and BMD, measured by dual X-ray absorptiometry, were evaluated in 3014 men ages 69 to 81 years in the MrOS-Sweden cohort. Individuals with a low glomerular filtration rate (<21 ml/min/1.73 m(2)) and vitamin D deficiency (<50 nmol/l) were excluded. Among the remaining subjects, PHPT was assumed in subjects with above-normal albumin-adjusted serum (s)-calcium and plasma intact parathyroid hormone (p-iPTH) levels (PHPT group). BMD was compared between the PHPT group and men without PHPT. Subjects with inappropriately elevated iPTH (IEP group), based on both s-calcium (2.34 mmol/l) and iPTH (4.24 pmol/l) levels being above the median level, were compared to the rest of the cohort. RESULTS: The prevalence of PHPT was estimated to be 0.73%. The mean BMD in the total hip and femoral neck was lower in the PHPT group than in the PHPT controls. Significantly lower BMD (p < 0.05) was seen in the IEP group (total hip and lumbar spine). CONCLUSIONS: Elderly men appear to have a lower prevalence of PHPT than women at the same age. The impact of disturbed calcium homeostasis on BMD was also evident in this population group. |
| Author | Siilin, Helene Orwoll, Eric Ohlsson, Claes Mallmin, Hans Karlsson, Magnus Ljunggren, Östen Lundgren, Ewa Mellström, Dan |
| Author_xml | – sequence: 1 givenname: Helene surname: Siilin fullname: Siilin, Helene email: helene.siilin@surgsci.uu.se organization: Department of Surgery, University Hospital – sequence: 2 givenname: Ewa surname: Lundgren fullname: Lundgren, Ewa organization: Department of Surgery, Östersunds Hospital – sequence: 3 givenname: Hans surname: Mallmin fullname: Mallmin, Hans organization: Department of Surgical Sciences, Uppsala University – sequence: 4 givenname: Dan surname: Mellström fullname: Mellström, Dan organization: Departments of Internal Medicine and Geriatrics, Center for Bone and Arthritis Research at the Sahlgrenska Academy, University of Gothenburg – sequence: 5 givenname: Claes surname: Ohlsson fullname: Ohlsson, Claes organization: Departments of Internal Medicine and Geriatrics, Center for Bone and Arthritis Research at the Sahlgrenska Academy, University of Gothenburg – sequence: 6 givenname: Magnus surname: Karlsson fullname: Karlsson, Magnus organization: Clinical and Molecular Osteoporosis Research Unit, Department of Orthopaedics and Clinical Sciences, Skåne University Hospital, Lund University – sequence: 7 givenname: Eric surname: Orwoll fullname: Orwoll, Eric organization: Bone and Mineral Unit, Department of Medicine, Oregon Health and Science University – sequence: 8 givenname: Östen surname: Ljunggren fullname: Ljunggren, Östen organization: Department of Medical Sciences, Uppsala University |
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| CorporateAuthor | Lunds universitet Profile areas and other strong research environments Department of Clinical Sciences, Malmö Lund University Strategiska forskningsområden (SFO) EpiHealth: Epidemiology for Health Orthopedics Faculty of Medicine Strategic research areas (SRA) Medicinska fakulteten Profilområden och andra starka forskningsmiljöer Institutionen för kliniska vetenskaper, Malmö Ortopedi |
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| Issue | 6 |
| Keywords | Bone Mineral Density Calcium Homeostasis Weak Negative Correlation Primary Hyperparathyroidism Femoral Neck Endocrinopathy Human Prevalence Male Morbidity Medicine Treatment Parathyroid diseases Surgery Primary Adult Bone mineral density Elderly Hyperparathyroidism |
| Language | English |
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| PublicationSubtitle | Official Journal of the International Society of Surgery/Société Internationale de Chirurgie |
| PublicationTitle | World journal of surgery |
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| References_xml | – volume: 12 start-page: 1463 year: 1997 end-page: 1470 ident: CR26 article-title: Universal standardization of bone density measurements: a method with optimal properties for calibration among several instruments publication-title: J Bone Miner Res doi: 10.1359/jbmr.1997.12.9.1463 – volume: 63 start-page: 506 year: 2005 end-page: 513 ident: CR5 article-title: Vitamin D status, seasonal variations, parathyroid adenoma weight and bone mineral density in primary hyperparathyroidism publication-title: Clin Endocrinol (Oxf) doi: 10.1111/j.1365-2265.2005.02371.x – volume: 127 start-page: 1157 year: 1992 end-page: 1161 ident: CR4 article-title: Normocalcemic hyperparathyroidism: biochemical and symptom profiles before and after surgery publication-title: Arch Surg – volume: 12 start-page: 195 year: 2009 end-page: 199 ident: CR12 article-title: Prevalence of cortical osteoporosis in mild and severe primary hyperparathyroidism and its relationship with bone markers and vitamin D status publication-title: J Clin Densitom doi: 10.1016/j.jocd.2008.11.005 – volume: 94 start-page: 333 year: 2009 end-page: 334 ident: CR1 article-title: The diagnosis and management of asymptomatic primary hyperparathyroidism revisited publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2008-1757 – volume: 81 start-page: 4007 year: 1996 end-page: 4012 ident: CR17 article-title: Vertebral osteopenia: a new indication for surgery in primary hyperparathyroidism publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.81.11.4007 – volume: 91 start-page: 3011 year: 2006 end-page: 3016 ident: CR37 article-title: A slight decrease in renal function further impairs bone mineral density in primary hyperparathyroidism publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2006-0070 – volume: 22 start-page: V100 issue: Suppl 2 year: 2007 end-page: V104 ident: CR30 article-title: Vitamin D deficiency and primary hyperparathyroidism publication-title: J Bone Miner Res doi: 10.1359/jbmr.07s202 – volume: 8 start-page: 489 year: 1997 end-page: 494 ident: CR19 article-title: Effects of aging and drugs on normal renal function publication-title: Coron Artery Dis – volume: 136 start-page: 1281 year: 2004 end-page: 1288 ident: CR33 article-title: Early parathyroidectomy increases bone mineral density in patients with mild primary hyperparathyroidism: a prospective and randomized study publication-title: Surgery doi: 10.1016/j.surg.2004.06.059 – volume: 93 start-page: 47 year: 2008 end-page: 53 ident: CR34 article-title: Disturbances of calcium homeostasis consistent with mild primary hyperparathyroidism in premenopausal women and associated morbidity publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2007-0600 – volume: 200 start-page: 131 year: 1976 end-page: 137 ident: CR27 article-title: Prevalence of hypercalcaemia in a health screening in Stockholm publication-title: Acta Med Scand doi: 10.1111/j.0954-6820.1976.tb08208.x – volume: 53 start-page: 1164 year: 2000 end-page: 1169 ident: CR23 article-title: Primary hyperparathyroidism detected in a health screening: the Tromso study publication-title: J Clin Epidemiol doi: 10.1016/S0895-4356(00)00239-0 – volume: 21 start-page: 529 year: 2006 end-page: 535 ident: CR25 article-title: Free testosterone is an independent predictor of BMD and prevalent fractures in elderly men: MrOS Sweden publication-title: J Bone Miner Res doi: 10.1359/jbmr.060110 – volume: 231 start-page: 309 year: 1992 end-page: 312 ident: CR22 article-title: Serum ionized calcium and the prevalence of primary hyperparathyroidism in age cohorts of 75, 80 and 85 years publication-title: J Intern Med doi: 10.1111/j.1365-2796.1992.tb00540.x – volume: 14 start-page: 199 year: 1998 end-page: 209 ident: CR18 article-title: Changes in renal function with aging publication-title: Clin Geriatr Med – volume: 27 start-page: 216 year: 2003 end-page: 222 ident: CR11 article-title: Cardiovascular events before and after surgery for primary hyperparathyroidism publication-title: World J Surg doi: 10.1007/s00268-002-6589-9 – volume: 17 start-page: N68 issue: Suppl 2 year: 2002 end-page: N74 ident: CR10 article-title: Clinical presentation of primary hyperparathyroidism in Europe: nationwide cohort analysis on mortality from nonmalignant causes publication-title: J Bone Miner Res – volume: 94 start-page: 340 year: 2009 end-page: 350 ident: CR29 article-title: Diagnosis of asymptomatic primary hyperparathyroidism: proceedings of the third international workshop publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2008-1758 – volume: 59 start-page: 1285 year: 2004 end-page: 1289 ident: CR36 article-title: Age-related femoral bone loss in men: evidence for hyperparathyroidism and insulin-like growth factor-1 deficiency publication-title: J Gerontol A Biol Sci Med Sci – volume: 92 start-page: 3001 year: 2007 end-page: 3005 ident: CR3 article-title: Normocalcemic primary hyperparathyroidism: further characterization of a new clinical phenotype publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2006-2802 – volume: 251 start-page: 476 year: 2002 end-page: 483 ident: CR8 article-title: Cardiovascular disease, hypertension and renal function in primary hyperparathyroidism publication-title: J Intern Med doi: 10.1046/j.1365-2796.2002.00984.x – volume: 325 start-page: 807 year: 2002 ident: CR20 article-title: Risk of renal stone events in primary hyperparathyroidism before and after parathyroid surgery: controlled retrospective follow up study publication-title: BMJ doi: 10.1136/bmj.325.7368.807 – volume: 6 start-page: S111 issue: Suppl 2 year: 1991 end-page: S116 ident: CR9 article-title: Longitudinal studies of mild primary hyperparathyroidism publication-title: J Bone Miner Res – volume: 27 start-page: 481 year: 2003 end-page: 485 ident: CR2 article-title: Preoperative normal level of parathyroid hormone signifies an early and mild form of primary hyperparathyroidism publication-title: World J Surg doi: 10.1007/s00268-002-6649-1 – volume: 141 start-page: 885 year: 2006 end-page: 889 ident: CR32 article-title: The effect of parathyroidectomy on bone fracture risk in patients with primary hyperparathyroidism publication-title: Arch Surg doi: 10.1001/archsurg.141.9.885 – volume: 26 start-page: 931 year: 2002 end-page: 936 ident: CR24 article-title: Primary hyperparathyroidism revisited in menopausal women with serum calcium in the upper normal range at population-based screening 8 years ago publication-title: World J Surg doi: 10.1007/s00268-002-6621-0 – volume: 28 start-page: 108 year: 2004 end-page: 111 ident: CR7 article-title: Increased mortality in patients hospitalized with primary hyperparathyroidism during the period 1977–1993 in Denmark publication-title: World J Surg doi: 10.1007/s00268-003-7046-0 – volume: 6 start-page: S97 issue: Suppl 2 year: 1991 end-page: S101 ident: CR16 article-title: Asymptomatic primary hyperparathyroidism discovered by multichannel biochemical screening: clinical course and considerations bearing on the need for surgical intervention publication-title: J Bone Miner Res – volume: 21 start-page: 93 year: 1997 end-page: 99 ident: CR15 article-title: Primary hyperparathyroidism: biochemical markers and bone mineral density at multiple skeletal sites in Danish patients publication-title: Bone doi: 10.1016/S8756-3282(97)00078-1 – volume: 73 start-page: 300 year: 2007 end-page: 305 ident: CR13 article-title: Primary hyperparathyroidism and pathological fractures: a review publication-title: Acta Orthop Belg – volume: 14 start-page: 1133 year: 2008 end-page: 1136 ident: CR21 article-title: Distal renal tubular acidosis due to primary hyperparathyroidism publication-title: Endocr Pract – volume: 73 start-page: 86 year: 2006 end-page: 94 ident: CR14 article-title: Bone status in primary hyperparathyroidism assessed by regional bone mineral density from the whole body scan and QUS imaging at calcaneus publication-title: Joint Bone Spine doi: 10.1016/j.jbspin.2004.08.015 – volume: 107 start-page: 561 year: 1999 end-page: 567 ident: CR6 article-title: The effects of vitamin D insufficiency in patients with primary hyperparathyroidism publication-title: Am J Med doi: 10.1016/S0002-9343(99)00294-6 – volume: 18 start-page: 298 year: 2009 end-page: 302 ident: CR31 article-title: Parathyroid hormone signaling in bone and kidney publication-title: Curr Opin Nephrol Hypertens doi: 10.1097/MNH.0b013e32832c2264 – volume: 90 start-page: 1525 year: 2005 end-page: 1530 ident: CR35 article-title: Association between primary hyperparathyroidism and increased body weight: a meta-analysis publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2004-1891 – volume: 107 start-page: 457 year: 1999 end-page: 461 ident: CR28 article-title: Prevalence of primary hyperparathyroidism in 13387 patients with thyroid diseases, newly diagnosed by screening of serum calcium publication-title: Exp Clin Endocrinol Diabetes doi: 10.1055/s-0029-1212138 – volume: 18 start-page: 298 year: 2009 end-page: 302 article-title: Parathyroid hormone signaling in bone and kidney publication-title: Curr Opin Nephrol Hypertens – volume: 21 start-page: 93 year: 1997 end-page: 99 article-title: Primary hyperparathyroidism: biochemical markers and bone mineral density at multiple skeletal sites in Danish patients publication-title: Bone – volume: 200 start-page: 131 year: 1976 end-page: 137 article-title: Prevalence of hypercalcaemia in a health screening in Stockholm publication-title: Acta Med Scand – volume: 107 start-page: 457 year: 1999 end-page: 461 article-title: Prevalence of primary hyperparathyroidism in 13387 patients with thyroid diseases, newly diagnosed by screening of serum calcium publication-title: Exp Clin Endocrinol Diabetes – volume: 325 start-page: 807 year: 2002 article-title: Risk of renal stone events in primary hyperparathyroidism before and after parathyroid surgery: controlled retrospective follow up study publication-title: BMJ – volume: 21 start-page: 529 year: 2006 end-page: 535 article-title: Free testosterone is an independent predictor of BMD and prevalent fractures in elderly men: MrOS Sweden publication-title: J Bone Miner Res – volume: 107 start-page: 561 year: 1999 end-page: 567 article-title: The effects of vitamin D insufficiency in patients with primary hyperparathyroidism publication-title: Am J Med – volume: 90 start-page: 1525 year: 2005 end-page: 1530 article-title: Association between primary hyperparathyroidism and increased body weight: a meta‐analysis publication-title: J Clin Endocrinol Metab – volume: 81 start-page: 4007 year: 1996 end-page: 4012 article-title: Vertebral osteopenia: a new indication for surgery in primary hyperparathyroidism publication-title: J Clin Endocrinol Metab – volume: 22 start-page: V100 issue: Suppl 2 year: 2007 end-page: V104 article-title: Vitamin D deficiency and primary hyperparathyroidism publication-title: J Bone Miner Res – volume: 6 start-page: S97 issue: Suppl 2 year: 1991 end-page: S101 article-title: Asymptomatic primary hyperparathyroidism discovered by multichannel biochemical screening: clinical course and considerations bearing on the need for surgical intervention publication-title: J Bone Miner Res – volume: 141 start-page: 885 year: 2006 end-page: 889 article-title: The effect of parathyroidectomy on bone fracture risk in patients with primary hyperparathyroidism publication-title: Arch Surg – volume: 17 start-page: N68 issue: Suppl 2 year: 2002 end-page: N74 article-title: Clinical presentation of primary hyperparathyroidism in Europe: nationwide cohort analysis on mortality from nonmalignant causes publication-title: J Bone Miner Res – volume: 94 start-page: 340 year: 2009 end-page: 350 article-title: Diagnosis of asymptomatic primary hyperparathyroidism: proceedings of the third international workshop publication-title: J Clin Endocrinol Metab – volume: 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Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women.... Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women. Skeletal... BACKGROUND: Age and sex are of importance in the development of primary hyperparathyroidism (PHPT), and the disease is most common in postmenopausal women.... |
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| SubjectTerms | 80 and over Abdominal Surgery Absorptiometry Absorptiometry, Photon Age Distribution Aged Aged, 80 and over Biological and medical sciences Bone Density Bone Density - physiology Bone Mineral Density Calcium Homeostasis Cardiac Surgery Clinical Medicine Cohort Studies diagnosis Endocrinology and Diabetes Endocrinopathies Endokrinologi och diabetes epidemiology Female Femoral Neck Fractures Fractures, Spontaneous - diagnosis Fractures, Spontaneous - epidemiology General aspects General Surgery Geriatric Assessment Humans Hyperparathyroidism Hyperparathyroidism, Primary - diagnosis Hyperparathyroidism, Primary - epidemiology Investigative techniques, diagnostic techniques (general aspects) Kirurgi Klinisk medicin Male Medical and Health Sciences Medical sciences MEDICIN Medicin och hälsovetenskap MEDICINE Medicine & Public Health metabolism Middle Aged Non tumoral diseases. Target tissue resistance. Benign neoplasms Osteoarticular system. Muscles Osteoporosis Osteoporosis - diagnosis Osteoporosis - epidemiology Parathyroid Hormone Parathyroid Hormone - metabolism Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases) Photon physiology Prevalence Primary Primary Hyperparathyroidism Prognosis Prospective Studies Radiodiagnosis. Nmr imagery. Nmr spectrometry Reference Values Risk Assessment Severity of Illness Index Spontaneous Surgery Sweden Sweden - epidemiology Thoracic Surgery Vascular Surgery Weak Negative Correlation |
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| Title | Prevalence of Primary Hyperparathyroidism and Impact on Bone Mineral Density in Elderly Men: MrOs Sweden |
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