Osteoporosis, bone & mineral

Bone Marrow Adipose Tissue Is Increased in Postmenopausal Women With Postsurgical Hypoparathyroidism

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

We demonstrate for the first time that BMAT is increased in postmenopausal women with postsurgical hypoparathyroidism and negatively associated with trabecular microarchitecture.

Study context

Population
Postmenopausal women with chronic postsurgical hypoparathyroidism and healthy postmenopausal women, ambulatory referral center
Participants
29 vs 31
Exposure
Postmenopausal women with postsurgical hypoparathyroidism (HypoPT) vs healthy postmenopausal controls
  • HypoPTn = 29
  • Controlsn = 31reference
Outcome
Bone marrow adipose tissue (BMAT) by magnetic resonance imaging (MRI) and 1H-MRS (PRESS sequences on L3 body)
Methodological detailspilot study, single ambulatory referral center
  • Pilot study
  • Single ambulatory referral center

Main finding

As reported in the abstract

BMAT (L3, 1H-MRS)
  • HypoPT vs Controls: P < 0.0001
  • HypoPT vs Controls: P < 0.001
  • HypoPT vs Controls: P < 0.0001

Observational data: associations, not effects.

Further findings

Correlates of fat content in HypoPT

Fat content (FC) correlated with years since menopause and body weight in HypoPT
P < 0.05

Trabecular bone score (TBS) vs bone marrow adipose tissue (BMAT) parameters

TBS negatively correlated with FC and SL%
P < 0.05
TBS positively correlated with residual lipids and water content
P < 0.05

Original publication

Bone Marrow Adipose Tissue Is Increased in Postmenopausal Women With Postsurgical Hypoparathyroidism. J Clin Endocrinol Metab. Published 28 February 2023. doi:10.1210/clinem/dgad116

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