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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 42(1)2017

<Originals> Effects of Alendronate on Trabecular Bone Score in Glucocorticoid-Treated Patients

https://kindai.repo.nii.ac.jp/records/18909
https://kindai.repo.nii.ac.jp/records/18909
e2a9624e-8fee-4b30-a9f0-e61947808256
名前 / ファイル ライセンス アクション
AA0050842X-20170600-0017.pdf AA0050842X-20170600-0017.pdf (187.7 kB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2017-11-02
タイトル
タイトル <Originals> Effects of Alendronate on Trabecular Bone Score in Glucocorticoid-Treated Patients
言語 en
著者 Ikeda, Terumasa

× Ikeda, Terumasa

Ikeda, Terumasa

ja-Kana イケダ, テルマサ

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Kaji, Hiroshi

× Kaji, Hiroshi

Kaji, Hiroshi

ja-Kana カジ, ヒロシ

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Akagi, Masao

× Akagi, Masao

Akagi, Masao

ja-Kana アカギ, マサオ

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言語
言語 eng
キーワード
主題 Alendronate, Bone mineral density, Bone trabecular score, Glucocorticoid, Osteoporosis
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
著者 所属
値 Division of Orthopaedic Surgery, Kindai University Faculty of Medicine
著者 所属
値 Department of Physiology and Regenerative Medicine, Kindai University Faculty of Medicine
著者 所属
値 Division of Orthopaedic Surgery, Kindai University Faculty of Medicine
版
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
出版者 名前
出版者 Kindai University Medical Association
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 42, 号 1, p. 17-23, 発行日 2017-06
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 [Abstract] Glucocorticoid(GC) therapy leads to an increase in fracture risk, and it is well recognized that bisphosphonates are effective for the treatment of GC-induced osteoporosis. We performed a non-randomized prospective study to clarify the effects of alendronate or alfacalcidol on the change in the trabecular bone score (TBS) at the lumbar spine and bone metabolic indices in 94 patients receiving high-dose GC therapy. The mean initial daily GC dose of predonisolone was 27.6±6.9 mg/day. Although the bone mineral density (BMD) at the lumbar spine continued to significantly decrease for 12 months in the alfacalcidol group, BMD increased above the baseline level at 3 and 6 months in the alendronate group. Alendronate significantly reduced urinary NTx levels from the baseline for 12 months, although alfacalcidol did not affect them. TBS was significantly decreased at 6 and 9 months in the alfacalcidol group. There were no significant differences in TBS between the alfacalcidol and alendronate groups for 12 months. TBS was significantly correlated with BMD at the lumbar spine in both groups for 12 months. In conclusion, alendronate treatment did not affect TBS at the lumbar spine in patients treated with GC, although TBS decreased with alfacalcidol.
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