Osteoporosis, bone & mineral

Skeletal health status among patients with chronic hypoparathyroidism: results from the Canadian National Hypoparathyroidism Registry (CNHR)

Osteoporos IntPublished Prospective registry-based cohort study

Authors' conclusion

Overall, 35% of postmenopausal women had osteoporosis by BMD or prior fragility fracture, and 4% had both. Three men ≥ 50 years had osteoporosis by BMD or fragility fracture (33.3%; n = 3/9). This study suggests that close follow-up of skeletal health is necessary in postmenopausal women with chronic HypoPT and men ≥ 50 years.

Study context

Population
Adults with chronic hypoparathyroidism (HypoPT) from the Canadian National Hypoparathyroidism Registry; mean (SD) age at onset 40.7 (16.8) years, disease duration 11.2 (8.6) years; 74.3% postsurgicalanalysed
Participants
101 adults
Exposure
Men vs Premenopausal vs Postmenopausal
  • Menn = 18
  • Premenopausaln = 35
  • Postmenopausaln = 48
Outcome
Osteoporosis by BMD or fragility fracture
Follow-up
Baseline
Methodological detailsnational registry, baseline data
  • National registry
  • Baseline data

Main finding

As reported in the abstract

Postmenopausal

35%

Postmenopausal women with both osteoporosis by bone mineral density (BMD) and prior fragility fracture
4%
Men ≥ 50 with osteoporosis by BMD or fragility fracture
33.3%; n = 3/9

Observational data: associations, not effects.

Further findings

BMD at lumbar spine (LS), femoral neck (FN), total hip (TH) and trabecular bone score (TBS) · baseline

Significantly lower in postmenopausal vs premenopausal women

Treatment at baseline

Calcium supplements
89%
Active vitamin D
80%

Original publication

Skeletal health status among patients with chronic hypoparathyroidism: results from the Canadian National Hypoparathyroidism Registry (CNHR). Osteoporos Int. Published 16 February 2025. doi:10.1007/s00198-025-07410-7

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