Skip to main content
Log in

Bone changes in postmenopausal Spanish women

  • Clinical Investigations
  • Published:
Calcified Tissue International Aims and scope Submit manuscript

Summary

Total body bone mass (TBBM), axial bone mass (trunk=chest and spine), and peripheral bone mass (arms and legs) were determined in 258 normal, slow bone mass loser, postmenopausal women, as determined by previous biochemical studies, in order to study the degree of bone mass reduction due to menopause. The subjects of this study were divided into 5-year groups on a year-since-menopause basis. The first group corresponded to 1–5 years since menopause, and the last group to 25 years or over since menopause. An important and significant reduction in trunk bone mass (-12.3%, P<0.001) and TBBD (-5.8%, P<0.002), without changes in head, arms, and legs was observed in the first 5-year group. In the next 5-year group, a significant reduction was observed in all body areas, but at a higher rate in the peripheral skeleton (-9% in arms and -7.3% in legs). A slow down in bone mass loss was observed in the period between 10 and 25 years since menopause. These values became significant again after 25 years since menopause at the axial (-28.9%, P<0.001) and TBBD (-20.3%, P<0.05) level. Aside from providing percentages of bone mass reduction with respect to age and time since menopause, these data also indicate that measurements of specific body areas may not be extrapolated to others due to different loss in different body areas, and that there is a marked bone loss rate in the axial skeleton in the first 5 years since menopause.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Gordan GS (1984) Prevention of bone loss and fracture in women. Maturitas 6:225–242

    Google Scholar 

  2. Ross PD, Davis JW, Wasnich RD, Vogel JM (1991) The clinical application of serial bone mass measurements. Bone Miner 12:189–199

    Google Scholar 

  3. Nilas L, Gotfredsen A, Riis BJ, Christiansen C (1986) The diagnostic validity of local and total bone mineral measurements in postmenopausal osteoporosis and osteoarthritis. Clin Endocrinol 25:711–720

    Google Scholar 

  4. Riggs BL, Wahner HW, Melton J, Richelson LS, Judd HL, O'Fallon M (1987) Dietary calcium intake and rates of bone loss in women. J Clin Invest 80:979–982

    Google Scholar 

  5. Gallagher JC, Goldgar D, Moy A (1987) Total bone calcium in normal women: effect of age and menopause status. J Bone Miner Res 2:491–496

    Google Scholar 

  6. Falch JA, Sandvik L (1990) Perimenopausal appendicular bone loss: a 10-year prospective study. Bone 11:425–428

    Google Scholar 

  7. Nordin BEC, Polley KJ (1987) Metabolic consequences of the menopause. Calcif Tissue Int 41 (suppl):S1-S59

    Google Scholar 

  8. Delmas PD (1990) Biochemical markers of bone turnover for the clinical assessment of metabolic bone disease. Endocrinol Metab Clin North Am 19:1–18

    Google Scholar 

  9. Lindsay R, Mellish R, Cosman F, Dempster DW (1990) Biochemical markers of bone remodeling. In: Nordin BEC (ed) Osteoporosis: contributions to modern management. Parthenon Publisher Group, Lancaster pp 47–56

    Google Scholar 

  10. Laitinen K, Valimaki M, Keto P (1991) Bone mineral density measured by dual-energy X-ray absorptiometry in healthy Finnish women. Calcif Tissue Int 48:224–231

    Google Scholar 

  11. Sartoris DJ, Resnick D (1990) Current and innovative methods for noninvasive bone densitometry. Radiol Clin North Am 28:257–278

    Google Scholar 

  12. Gotfredsen A, Podenphant J, Nilas L, Christiansen C (1989) Discriminative ability of total body bone-mineral measured by dual photon absorptiometry. Scan J Clin Lab Invest 49:125–134

    Google Scholar 

  13. Lindsay R, Fey C, Haboubi A (1987) Dual photon absorptiometric measurements of bone mineral density increased with source life. Calcif Tissue Int 41:293–294

    Google Scholar 

  14. Rico H, Irita M, Arribas I, Revilla M (1990) Perfil biológico de la fosfatasa ácida tartrato resistente como marcador del remodelamiento óseo. Rev Esp Fisiol 46:379–384

    Google Scholar 

  15. Rico H, Hernandez ER, Diaz-Mediavilla J, Alvarez A, Martinez R, Espinos D (1990) Treatment of multiple myeloma with nasal spray calcitonin: a histomorphometric and biochemical study. Bone Miner 8:231–237

    Google Scholar 

  16. Revilla M, Iritia M, Arribas I, Alvarez de los Heros JI, Villa LF, Rico H (1992) Tartrate-resistant acid phosphatase as a biological marker of bone modelling and turnover in women in relation to their gonadal state. J Obstetr Gynaecol 12:191–194

    Google Scholar 

  17. MacLennan WJ (1990) Osteoporosis. Br Med Bull 40:94–112

    Google Scholar 

  18. Hui SL, Slemenda CW, Johnston CC (1990) The contribution of bone loss to postmenopausal women. Osteoporosis Int 1:30–34

    Google Scholar 

  19. Cleghorn D, Nordin BEC, Morris H, Need A (1990) Predictors of bone loss in a five-year prospective study on postmenopausal women. Bone Miner 10:S279

    Google Scholar 

  20. Muller A, Ruegsegger E, Ruegsegger P (1989) Peripheral QTC: a low-risk procedure to identify women predisposed to osteoporosis. Phys Med Biol 6:741–749

    Google Scholar 

  21. Smith DM, Norton JA, Khairi R, Johnston CC (1976) The measurement of rate of mineral loss with aging. J Lab Clin Med 1 87:882–892

    Google Scholar 

  22. Christiansen C, Riis BJ, Rodbro P (1990) Screening procedure for women at risk of developing postmenopausal osteoporosis. Osteoporosis Int 1:35–40

    Google Scholar 

  23. Christiansen C, Riis BJ, Rodbro P (1987) Prediction of rapid bone loss in postmenopausal women. Lancet 1:1105–1108

    Google Scholar 

  24. Johnell O, Bjerre B, Jeppson S, Nilsson B, Rannevik G, Svanberg L (1987) Pre- and postmenopausal changes in bone mass: a longitudinal study over 10 years. In: Christiansen C, Johansen JS, Riis BJ (eds). Osteoporosis 1987. Osteopress ApS. Kobenhavn, Danmark, p 150

    Google Scholar 

  25. Mazess RB, Peppler WW, Chesney RW, Lange TA, Lindgren U, Smith E (1984) Total body and regional bone mineral by dual-photon absorptiometry in metabolic disease. Calcif Tissue Int 36:8–13

    Google Scholar 

  26. Gotfredsen A, Nilas L, Podenphant J, Hadberg A, Christiansen C (1989) Regional bone mineral in healthy and osteoporotic women: a cross sectional study. Scand J Clin Lab Invest 49:739–749

    Google Scholar 

  27. Russo MS, Panebianco P, Scornavaca G, Receputo G, Mazzoleni MG, Maugeri D (1991) Differences in the loss of cortical and trabecular bone mineral contents after ovariectomy during fertile age. Arch Gerontol Geriatr (suppl) 2:471–474

    Google Scholar 

  28. Rüegsegger P, Durand EP, Dambacher MA (1991) Differential effects of aging and disease on trabecular and compact bone density of the radius. Bone 12:99–105

    Google Scholar 

  29. Riggs BL, Wahner HW, Duun WL, Mazess RB, Offord KP, Melton LJ (1981) Differential changes in bone mineral density of the appendicular and axial skeleton with aging: relationship to spinal osteoporosis. J Clin Invest 67:328–335

    Google Scholar 

  30. Stevenson JC, Lees B, Devenport M, Cust MP, Ganger KF (1989) Determinants of bone density in normal women: risk factors for future osteoporosis? Br Med J 298:924–928

    Google Scholar 

  31. Nagant de Deuxchaisnes Ch, Devogelaer JP (1988) Endocrinological status of postmenopausal osteoporosis. Clin Rheum Dis 12:559–635

    Google Scholar 

  32. Nilas L, Gotfredsen A, Hadberg A, Christiansen C (1988) Agerelated bone loss in women evaluated by the single and dual photon techniques. Bone Miner 4:95–103

    Google Scholar 

  33. Pun KK, Wong FHW, Loh T (1991) Rapid postmenopausal loss of total body and regional mass in normal southern chinese females in Hong Kong. Osteoporosis Int 1:87–94

    Google Scholar 

  34. Ortolani S, Trevisan C, Bianchi ML, Caraceni MP, Ulivieri FM, Gandolini G, Montesano A, Polli EE (1991) Spinal and forearm bone mass in relation to ageing and menopause in healthy Italian women. Eur J Clin Invest 21:33–39

    Google Scholar 

  35. Geusens P, Dequeker J, Verstraeten A, Nijs J (1986) Age-, sex-, and menopause-related changes of vertebral and peripheral bone: population study using dual and single photon absorptiometry and radiogrametry. J Nucl Med 27:1540–1549

    Google Scholar 

  36. Mazess RB, Barden HS (1990) Interrelationships among bone densitometry sites in normal young women. Bone Miner 11:347–356

    Google Scholar 

  37. Stevenson JC, Banks LM, Spinks TJ, Fremantle Ch, MacIntyre I, Hesp R, Lane G, Endacott JA, Padwick M, Whitehead MI (1987). Regional and total skeletal measurements in the early postmenopause. J Clin Invest 80:258–262

    Google Scholar 

  38. Nilas L, Podenphant J, Riis BJ, Gotfredsen A, Christiansen C (1987) Usefulness of regional bone measurements in patients with osteoporotic fractures of the spine and distal forearm. J Nucl Med 28:960–965

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rico, H., Hernández, E.R., Revilla, M. et al. Bone changes in postmenopausal Spanish women. Calcif Tissue Int 52, 103–106 (1993). https://doi.org/10.1007/BF00308317

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00308317

Key words

Navigation