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Calcium Metabolism in the Postmenopause and Sex Steroid Therapy: Postmenopausal Osteoporosis and Sex Steroids

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Abstract

Considerable controversy still surrounds the etiology of osteoporosis in ageing women. Albright, Smith and Richardson in 19411 originally drew attention to its relationship to the menopause, and in a simple hypothesis proposed an etiological association between loss of ovarian function and the subsequent development of osteoporosis. Metabolic balance studies indicated that both estrogen and androgen should be effective in the treatment of osteoporosis2. However, treatment with androgens fell into disrepute when it became obvious that they were ineffective unless given in virilizing doses3 and, using the relatively insensitive techniques then available, cross-sectional studies suggested that, at best, estrogen would only prevent skeletal loss4, and that such an effect might only be temporary. Further, Donaldson and Nassim5 were unable to find any significant association between osteoporosis and oophorectomy.

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References

  1. Albright, F., Smith, P. H. and Richardson, A. M. (1941). Postmenopausal osteoporosis: its clinical features. J. Am. Med. Assoc., 116, 2465

    Article  Google Scholar 

  2. Albright, F. (1947). Osteoporosis. Ann. Intern. Med., 27, 861

    PubMed  CAS  Google Scholar 

  3. Gordan, G. S., Picchi, J. and Roof, B. S. (1973). Antifracture efficacy of long-term estrogens for osteoporosis. Trans. Assoc. Am. Phys., 86, 326

    PubMed  CAS  Google Scholar 

  4. Davis, M. E., Strandjord, N. M. and Lanzl, L. H. (1966). Estrogens and the Aging Process: The detection, prevention and retardation of osteoporosis. J. Am. Med. Assoc., 96, 129

    Google Scholar 

  5. Donaldson, A. and Nassim, J. R. (1954). The artificial menopause with particular relevance to the occurrence of spinal porosis. Br. Med. J., 1, 1228

    Article  PubMed  CAS  Google Scholar 

  6. Gordan, G. S. and Vaughan, C. (1976). Clinical Management of the Osteoporoses. ( Acton, Mass.: Publishing Sciences Group Inc. )

    Google Scholar 

  7. Smith, D. A., Anderson, J. B., Shimmins, J., Speirs, C. F. and Barnett, E. (1969). Changes in metacarpal mineral content and density in normal male and female subjects with age. Clin. Radiol., 20, 23

    Article  PubMed  CAS  Google Scholar 

  8. Lauritzen, C. (1972). Endocrinology of the menopause and postmenopausal period. In P. E. Lebech, K. Ulrich and A. Helles (eds.). Kliniakteriet, p. 17. ( Kabenhaven Frederiksberg: Bogtrykkeri )

    Google Scholar 

  9. Pincus, G., Ramanoff, L. P. and Carlo, J. (1954). The excretion of urinary steroids by men and women of different ages. J. Gerontol., 9, 113

    PubMed  CAS  Google Scholar 

  10. Cameron, J. R. and Sorenson, J. (1963). Measurement of bone mineral in vivo: an improved method. Science, 142, 230

    Article  PubMed  CAS  Google Scholar 

  11. Aitken, J. M., Hart, D. M., Anderson, J. B., Lindsay, R., Smith, D. A. and Speirs, C. F. (1973). Osteoporosis after oophorectomy for non-malignant disease in premenopausal women. Br. Med. J., 1, 325

    Article  Google Scholar 

  12. Aitken, J. M., Hart, D. M. and Lindsay, R. (1973). Oestrogen replacement therapy for prevention of osteoporosis after oophorectomy. Br. Med. J., 2. 515

    Article  Google Scholar 

  13. Lindsay, R., Hart, D. M., Aitken, J. M., MacDonald, E. B., Anderson, J. B. and Clark, A. C. (1976). Long-term prevention of postmenopausal osteoporosis by oestrogen. Lancet, 1, 1038

    Article  PubMed  CAS  Google Scholar 

  14. Callagher, J. C., Aaron, J., Horsman, A., Marshall, D. H., Wilkinson, R. and Nordin, B. E. C. (1973). The crush fracture syndrome in postmenopausal women. J. Clin. Endocr. Metab., 2, 293

    Article  Google Scholar 

  15. Aitken, J. M., Smith, C. B., Horton, P. W., Clark, D. L., Boyd, J. F. and Smith, D. A. (1974). The interrelationships between bone mineral at different skeletal sites in male and female cadavera. J. Bone Jt. Surg., 56B, 370

    CAS  Google Scholar 

  16. Lindsay, R. and Hart, D. M. (1978). Oestrogens and postmenopausal bone loss. Scott. Med. J., 23, 13

    PubMed  CAS  Google Scholar 

  17. Daniel, H. W. (1976). Osteoporosis of the slender smoker. Arch. Intern. Med., 136, 298

    Article  Google Scholar 

  18. Grodin, J. M., Siiteri, P. K. and McDonald, P. C. (1973). Source of oestrogen production in postmenopausal women. J. Clin. Endocrinol. Metab., 36, 207

    Article  PubMed  CAS  Google Scholar 

  19. Lindsay, R., Coutts, J. R. T. and Hart, D. M. (1977). The effect of endogenous oestrogen on plasma and urinary calcium and phosphate in oophorectomised women. Clin. Endocrinol., 6, 87

    Article  CAS  Google Scholar 

  20. Lindsay, R., Coutts, J. R. T., Sweeney, A. and Hart, D. M. (1976). Endogenous oestrogen and bone loss following oophorectomy. Calcified Tissues Res., 22 Suppl., 213

    Article  Google Scholar 

  21. Marshall, D. H., Crilly, R. G. and Nordin, B. E. C. (1977). Plasma androstenedione and oestrone levels in normal and osteoporotic postmenopausal women. Br. Med. J., 2, 1 177

    Google Scholar 

  22. Lindsay, R., Hart, D. M., Manolagas, S., Anderson, D. C., Coutts, J. R. T. and Maclean, A. (1979). Sex steroids in pathogenesis and prevention of postmenopausal osteoporosis. In U. Barzel (ed.). Osteoporosis II, pp. 135–146. ( New York: Grune and Stratton )

    Google Scholar 

  23. Manolagas, S. C., Anderson, D. C. and Lindsay, R. (1979). Adrenal steroids and the development of osteoporosis in oophorectomised women. Lancet. (In press)

    Google Scholar 

  24. Heaney, R. P., Recker, R. R. and Saville, P. D. (1978). Menopausal changes in calcium balance performance. J. Lab. Clin. Med., 92, 953

    PubMed  CAS  Google Scholar 

  25. Heaney, R. P., Recker, R. R. and Saville, P. D. (1978). Menopausal changes in bone remodelling. J. Lab. Clin. Med., 92, 964

    PubMed  CAS  Google Scholar 

  26. Recker, R. R., Saville, P. D. and Heaney, R. P. (1977). Effect of estrogens and calcium carbonate on bone loss in postmenopausal women. Ann. Intern. Med., 87, 649

    PubMed  CAS  Google Scholar 

  27. Horsman, A., Gallagher, J. C., Simpson, M. and Nordin, B. E. C. (1977). Prospective trial of oestrogen and calcium in postmenopausal women. Br. Med. J., 2, 789

    Article  PubMed  CAS  Google Scholar 

  28. Lindsay, R., Hart, D. M., Maclean, A., Garwood, J., Clark, A. C. and Kraszewski, A. (1979). Bone loss during oestriol therapy in postmenopausal women. Maturitas. (In press)

    Google Scholar 

  29. Lindsay, R. and Anderson, J. B. (1978). Radiographic determination of bone density. Radiography, 517, 21

    Google Scholar 

  30. Aitken, J. M., Hart, D. M., Lindsay, R., Smith, D. A. and Wilson, G. M. (1974). Prevention of bone loss following oophorectomy in premenopausal women. Isr. J. Med. Sei., 12, 608

    Google Scholar 

  31. Lindsay, R., Hart, D. M., Purdie, D., Ferguson, M. M., Clark, A. C. and Kraszewski, A. (1978). Comparative effects of oestrogen and a progestogen on bone loss in postmenopausal women. Clin. Sei. Mol. Med., 54, 193

    CAS  Google Scholar 

  32. Lindsay, R., Hart, D. M., Maclean, A., Clark, A. C., Kraszewski, A. and Garwood, J. (1978). Bone response to termination of oestrogen treatment. Lancet, 1, 1325

    Article  PubMed  CAS  Google Scholar 

  33. Peters, H. (1979). The ageing ovary. In P. A. Van Keep. D. M. Serr and R. B. Greenblatt (eds.). Female and Male Climacteric: Current Opinion 1978. ( Lancaster: MTP Press )

    Google Scholar 

  34. Chalmers, J. and Ho, K. (1970). Geographical variations in senile osteoporosis. J. Bone Jt. Surg., 52, 667

    CAS  Google Scholar 

  35. Gallagher, J. C., Aaron, J., Horsman, A., Marshall, D. H., Wilkinson, R. and Nordin, B. E. C. (1973). The crush fracture syndrome in postmenopausal women. Clin. Endocrinol. Metab., 2, 293

    Article  PubMed  CAS  Google Scholar 

  36. Baker, M. R., McDonnell, H., Peacock, M. and Nordin, B. E. C. (1979). Plasma 25-hydroxyvitamin D concentrations in patients with fractures of the femoral neck. Br. Med. J., 1, 589

    Article  PubMed  CAS  Google Scholar 

  37. Klotz, P. (1979). Estrogen therapy of calcium metabolism disorders due to estrogen deficiency. Chapter 16, this volume

    Google Scholar 

  38. Gordan, G. S. (1979). Prevention and treatment of postmenopausal osteoporosis. Chapter 18, this volume

    Google Scholar 

  39. Marx, S. J. (1978). Restraint in use of high-dose fluorides to treat skeletal disorders. J. Am. Med. Assoc., 240, 1630

    Article  CAS  Google Scholar 

  40. Baylink, D. J. and Bernstein, D. S. (1967). The effects of fluoride therapy on metabolic bone disease. Clin. Orthop., 55, 51

    PubMed  CAS  Google Scholar 

  41. Inkovaara, J., Heikinheimo, R. and Jarvinen, K. (1975). Prophylactic fluoride treatment and aged bones. Br. Med. J., 3, 73

    Article  PubMed  CAS  Google Scholar 

  42. Hutchinson, T., Polansky, S. M. and Fernstein, A. R. (1978). A new application of case-control research demonstrating that postmenopausal estrogens protect against hip and radial fractures. Clin. Res., 26, 486A

    Google Scholar 

  43. Lindsay, R. and Hart, D. McK. (1979). Prevention of axial bone loss by long-term oestrogen therapy. Endocrinology ‘79. (Demonstration)

    Google Scholar 

  44. Editorial (1979). Oestrogen therapy and endometrial cancer. Lancet, 1, 1121

    Google Scholar 

  45. Lindsay, R., Hart, D. M., Maclean, A., Garwood, Jane, Aitken, J. M., Clark, A. C. and Coutts, J. R. T. (1978). In I. D. Cooke (ed.). The Role of Estrogen/Progestogen in the Management of the Menopause. ( Lancaster: MTP Press )

    Google Scholar 

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Lindsay, R. (1980). Calcium Metabolism in the Postmenopause and Sex Steroid Therapy: Postmenopausal Osteoporosis and Sex Steroids. In: Pasetto, N., Paoletti, R., Ambrus, J.L. (eds) The Menopause and Postmenopause. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-7230-1_17

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  • DOI: https://doi.org/10.1007/978-94-011-7230-1_17

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-011-7232-5

  • Online ISBN: 978-94-011-7230-1

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