Increase in lumbar spine but not distal radius bone mineral density in adults after pancreas kidney transplantation

Autor: Simona Kratochvílová, Klara Maratova, Zdenek Sumnik, Jana Brunová, Zdeněk Hlávka, Peter Girman, František Saudek, Ondrej Soucek
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Bone Reports, Vol 21, Iss , Pp 101764- (2024)
Druh dokumentu: article
ISSN: 2352-1872
DOI: 10.1016/j.bonr.2024.101764
Popis: Osteoporosis occurs in every third individual after simultaneous pancreas kidney transplantation (SPKT). Currently used bone measures insufficiently predict their fracture risk. Lumbar spine Trabecular bone score (TBS) and distal radius areal and volumetric bone mineral density (BMD) were monitored for the first time in patients with type 1 diabetes and chronic renal failure after SPKT with steroid-sparing protocol. In 33 subjects (mean age 43.4 ± 9.8 years), dual-energy X-ray absorptiometry and peripheral quantitative computed tomography were performed just after SPKT (baseline) and one and three years later. While TBS Z-scores increased (−1.1 ± 1.2 and −0.3 ± 1.0; p˂0.001, at baseline and year three, respectively), trabecular volumetric BMD Z-scores at distal radius metaphysis did not change during the study (−1.3 ± 1.3 and −1.3 ± 1.0; p = 0.38). Similarly, areal BMD Z-scores increased at lumbar spine, total hip and femoral neck (all p
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