Osteoporosis, bone & mineral

The Vitamin D Metabolite Ratio Is Associated With Volumetric Bone Density in Older Men

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Among older men, a higher VMR was associated with greater vBMD and bone strength while 25(OH)D3 was not. The VMR may serve as a valuable marker of skeletal health in older men.

Study context

Population
Older men in the Osteoporotic Fractures in Men (MrOS) Study; mean age 84 ± 4 years, 88.3% White, 32% eGFR <60 mL/min/1.73 m²
Participants
545 men
Exposure
VMR and 25D3 vs volumetric BMD (vBMD) and bone strength
Outcome
vBMD and estimated failure load (EFL, bone strength) at the distal radius and tibia, by high-resolution peripheral quantitative computed tomography (HR-pQCT)

Main finding

As reported in the abstract

Higher total vBMD at distal radius per twofold higher VMR

9%

3%, 16%

Higher estimated failure load (EFL) at distal radius per twofold higher VMR

13%

5%, 21%

Observational data: associations, not effects.

Original publication

The Vitamin D Metabolite Ratio Is Associated With Volumetric Bone Density in Older Men. J Clin Endocrinol Metab. Published 6 October 2023. doi:10.1210/clinem/dgad587

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