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Neuro
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Kardio
Lipid
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Holstein, JH; Herrmann, M; Splett, C; Herrmann, W; Garcia, P; Histing, T; Graeber, S; Ong, MF; Kurz, K; Siebel, T; Menger, MD; Pohlemann, T.
Low serum folate and vitamin B-6 are associated with an altered cancellous bone structure in humans.
Am J Clin Nutr. 2009; 90(5):1440-1445
Doi: 10.3945/ajcn.2009.28116
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PubMed
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- Co-Autor*innen der Med Uni Graz
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Herrmann Markus
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- Abstract:
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Several clinical trials have reported B vitamins to be associated with osteoporosis.
Our objective was to investigate whether low serum B vitamins are associated with altered structural and biomechanical properties of human bone.
Femoral heads of 94 men and women who underwent hip arthroplasty were analyzed by using dual-energy X-ray absorptiometry (DXA), biomechanical testing (indentation method), and histomorphometry. In addition, blood was collected to measure serum concentrations of homocysteine, folate, vitamin B-6, vitamin B-12, the bone formation marker osteocalcin, and the bone resorption marker tartrate-resistant acid phosphatase (TRAP). Measurement outcomes were grouped according to subjects with high and low serum concentrations, respectively, of folate, vitamin B-6, and vitamin B-12 (n = 47 for each group).
Histomorphometric analysis showed a significantly lower trabecular thickness and trabecular area in subjects with low serum folate concentrations than in those with high serum folate concentrations and a significantly lower trabecular number in subjects with low serum vitamin B-6 concentrations than in those with high serum vitamin B-6 concentrations. In contrast, we found a comparable trabecular structure in subjects with high and low serum vitamin B-12 concentrations. DXA and biomechanical testing did not show significant differences between subjects with high and low serum B vitamin concentrations. Osteocalcin was significantly lowered in subjects with a low serum B vitamin concentration, whereas there was no association between serum B vitamins and TRAP.
The results of the present study indicate that low serum folate and vitamin B-6 concentrations, but not low serum vitamin B-12 concentrations, are associated with an altered morphology of human bone.
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Absorptiometry, Photon -
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Aged -
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Arthroplasty, Replacement, Hip - methods
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Body Height -
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Body Weight -
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Bone Density -
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Bone and Bones - pathology
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Female -
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Femur Head - pathology
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Folic Acid - blood
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Folic Acid Deficiency - blood
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Humans -
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Male -
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Middle Aged -
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Osteoporosis - blood
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Vitamin B 12 - blood
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Vitamin B 12 Deficiency - blood
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Vitamin B 6 Deficiency - blood