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Bone density, parathyroid hormone, calcium and vitamin D nutritional status of institutionalized elderly subjects.
J Nutr Health Aging. 2004; 8(5):400-4.JN

Abstract

INTRODUCTION

Osteoporosis is characterized by a decrease in bone mass and a change in bone microarchitecture. This causes skeletal fragility and may result in fractures. Fractures of the femur neck (FM) are frequent and have major consequences in terms of morbidity and mortality in elderly subjects. We carried out a cross-sectional study to evaluate bone and nutritional status in an elderly population from a same geriatrics department.

AIMS OF THE STUDY

We aimed to screen for nutritional deficiencies and to measure bone mineral density (BMD) in the femur neck by dual-energy X-ray absorptiometry (DEXA).

RESULTS

The study included 64 white Caucasian subjects, 44 of whom were women. The mean age of the subjects was 80.6 +/- 7.1 years. The mean time since the menopause was 31.45 +/- 7.8 years and 31 subjects presented previous fractures, 12 of which concerned the FM. Mean body mass index (BMI) was 25.8 +/- 4.4 and mean calcium intake was 670 +/- 258.3 mg/d. Mean PTH level was 48.5 +/- 30.34. Thirty-five subjects presented vitamin D deficiencies (mean concentration 8.56 +/- 5.2 microg/L), and 11 of these patients had associated secondary hyperparathyroidism. Fifty-four subjects had osteoporosis (T score <-2.5 standard deviation). Mean bone mineral density (BMD) was 0.596 +/- 0.157 g/cm2 for the femur neck (T score = -3.15 +/- 1.39 standard deviation) and 0.501 +/- 0.169 g/cm2 for the trochanter (T score = - 2.55 +/- 1.68 standard deviation).

CONCLUSIONS

Vitamin D deficiency and low calcium intake were observed in a large number of elderly subjects. The patients with the lowest BMD values had secondary hyperparathyroidism.

Authors+Show Affiliations

Service de rhumatologie, CHU la miletrie. 86000 Poitiers. France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15359360

Citation

Deplas, A, et al. "Bone Density, Parathyroid Hormone, Calcium and Vitamin D Nutritional Status of Institutionalized Elderly Subjects." The Journal of Nutrition, Health & Aging, vol. 8, no. 5, 2004, pp. 400-4.
Deplas A, Debiais F, Alcalay M, et al. Bone density, parathyroid hormone, calcium and vitamin D nutritional status of institutionalized elderly subjects. J Nutr Health Aging. 2004;8(5):400-4.
Deplas, A., Debiais, F., Alcalay, M., Bontoux, D., & Thomas, P. (2004). Bone density, parathyroid hormone, calcium and vitamin D nutritional status of institutionalized elderly subjects. The Journal of Nutrition, Health & Aging, 8(5), 400-4.
Deplas A, et al. Bone Density, Parathyroid Hormone, Calcium and Vitamin D Nutritional Status of Institutionalized Elderly Subjects. J Nutr Health Aging. 2004;8(5):400-4. PubMed PMID: 15359360.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bone density, parathyroid hormone, calcium and vitamin D nutritional status of institutionalized elderly subjects. AU - Deplas,A, AU - Debiais,F, AU - Alcalay,M, AU - Bontoux,D, AU - Thomas,P, PY - 2004/9/11/pubmed PY - 2005/5/27/medline PY - 2004/9/11/entrez SP - 400 EP - 4 JF - The journal of nutrition, health & aging JO - J Nutr Health Aging VL - 8 IS - 5 N2 - INTRODUCTION: Osteoporosis is characterized by a decrease in bone mass and a change in bone microarchitecture. This causes skeletal fragility and may result in fractures. Fractures of the femur neck (FM) are frequent and have major consequences in terms of morbidity and mortality in elderly subjects. We carried out a cross-sectional study to evaluate bone and nutritional status in an elderly population from a same geriatrics department. AIMS OF THE STUDY: We aimed to screen for nutritional deficiencies and to measure bone mineral density (BMD) in the femur neck by dual-energy X-ray absorptiometry (DEXA). RESULTS: The study included 64 white Caucasian subjects, 44 of whom were women. The mean age of the subjects was 80.6 +/- 7.1 years. The mean time since the menopause was 31.45 +/- 7.8 years and 31 subjects presented previous fractures, 12 of which concerned the FM. Mean body mass index (BMI) was 25.8 +/- 4.4 and mean calcium intake was 670 +/- 258.3 mg/d. Mean PTH level was 48.5 +/- 30.34. Thirty-five subjects presented vitamin D deficiencies (mean concentration 8.56 +/- 5.2 microg/L), and 11 of these patients had associated secondary hyperparathyroidism. Fifty-four subjects had osteoporosis (T score <-2.5 standard deviation). Mean bone mineral density (BMD) was 0.596 +/- 0.157 g/cm2 for the femur neck (T score = -3.15 +/- 1.39 standard deviation) and 0.501 +/- 0.169 g/cm2 for the trochanter (T score = - 2.55 +/- 1.68 standard deviation). CONCLUSIONS: Vitamin D deficiency and low calcium intake were observed in a large number of elderly subjects. The patients with the lowest BMD values had secondary hyperparathyroidism. SN - 1279-7707 UR - https://www.unboundmedicine.com/medline/citation/15359360/Bone_density_parathyroid_hormone_calcium_and_vitamin_D_nutritional_status_of_institutionalized_elderly_subjects_ L2 - https://medlineplus.gov/bonedensity.html DB - PRIME DP - Unbound Medicine ER -