Osteoporosis, bone & mineral

C-reactive protein predicts endocortical expansion but not fracture in older men: the prospective STRAMBO study

Osteoporos IntPublished Prospective cohort study

Authors' conclusion

Higher hsCRP levels were associated with greater endocortical expansion at the distal radius and tibia. Higher hsCRP was associated with slightly faster decrease in total and cortical vBMD and failure load at distal tibia, but not with the fracture risk.

Study context

Population
Older men aged 60–88 (STRAMBO study)
Participants
823 men
Outcome
Association of hsCRP with decrease in aBMD, bone microarchitecture decline (distal radius, distal tibia) and fracture risk
Follow-up
4 and 8 years

Main finding

As reported in the abstract

Association of higher hsCRP with bone loss, microarchitecture and fracture

Higher high-sensitivity C-reactive protein (hsCRP) associated with faster decrease in cortical area and more rapid increase in trabecular area, distal radius (mm²/year/SD)

0.048

p < 0.05

Higher hsCRP associated with faster decrease in cortical area and more rapid increase in trabecular area, distal tibia (mm²/year/SD)

0.123

p < 0.001

Observational data: associations, not effects.

Original publication

C-reactive protein predicts endocortical expansion but not fracture in older men: the prospective STRAMBO study. Osteoporos Int. Published 26 December 2022. doi:10.1007/s00198-022-06652-z

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