Use of bone turnover markers in the management of osteoporosis
- 1 December 2018
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Endocrinology, Diabetes and Obesity
- Vol. 25 (6), 366-372
- https://doi.org/10.1097/med.0000000000000446
Abstract
Osteoporosis is a common public health problem that is often undertreated and underdiagnosed. The clinical management of osteoporosis is often reactionary to devastating fracture events. Bone turnover markers may improve the ease and rapidity at which osteoporosis is monitored and treated. Bone turnover markers are biochemical byproducts of bone formation or bone resorption. The clinical use of bone turnover markers is limited by significant preanalytical variability. Effective interpretation of bone turnover markers requires a detailed understanding of the variables that can affect their responses to osteoporosis treatment and monitoring. Progress is continuously being made on the standardization of bone turnover markers. The literature on the response of bone turnover markers to unique clinical situations is expanding. Data for evidence-based reference intervals for bone turnover markers has increased. Variables that affect the appropriate timing of lab draws like diurnal variation, postprandial status, exercise and alcohol use have been described. Studies examining the expected response of bone turnover markers to treatments of osteoporosis and other medications that affect bone health continue to increase. Bone turnover markers have clinical utility in the comprehensive evaluation of osteoporosis. When interpreted with caution and with a good understanding of their natural variability, bone turnover markers provide information that supplements osteoporosis management and provides useful clinical information about conditions that alter bone turnover.Keywords
This publication has 67 references indexed in Scilit:
- Age-related reference intervals for bone turnover markers from an Australian reference populationBone, 2013
- The clinical utility of bone marker measurements in osteoporosisJournal of Translational Medicine, 2013
- Reference intervals of bone turnover markers in healthy premenopausal women: Results from a cross-sectional European studyBone, 2012
- The effects of hormonal contraceptives on bone turnover markers and bone healthClinical Endocrinology, 2010
- Effect of Fracture on Bone Turnover Markers: A Longitudinal Study Comparing Marker Levels Before and After Injury in 113 Elderly WomenJournal of Bone and Mineral Research, 2007
- Changes in Biochemical Markers after Lower Limb FracturesClinical Chemistry, 2007
- Fracture risk reduction during treatment with teriparatide is independent of pretreatment bone turnoverBone, 2006
- Effect of Age-Related Chronic Immobility on Markers of Bone TurnoverJournal of Bone and Mineral Research, 2006
- Role of Gastrointestinal Hormones in Postprandial Reduction of Bone ResorptionJournal of Bone and Mineral Research, 2003
- The Type I Collagen Fragments ICTP and CTX Reveal Distinct Enzymatic Pathways of Bone Collagen DegradationJournal of Bone and Mineral Research, 2003