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Secondary hyperparathyroidism: Predictors and relationship with vitamin D status, bone turnover markers and bone mineral density

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Abstract

Secondary hyperparathyroidism (SHPT) has adverse implications for bone health but is relatively understudied. In this study we examine the prevalence and determinants of SHPT and describe the relationship of SHPT with bone turnover markers and bone mineral density (BMD) in older Irish adults. Eligible participants (n = 4139) were identified from the Trinity-Ulster-Department of Agriculture (TUDA) study, a cohort of Irish adults aged ≥60 years. Exclusion criteria included an estimated glomerular filtration rate (eGFR) 2.5 mmol/l to remove hyperparathyroidism due to advanced chronic kidney disease (CKD) and primary hyperparathyroidism respectively. The relationship between SHPT and bone turnover markers and BMD (measured by densitometry) was examined in a subsample (n = 1488). Vitamin D deficiency was defined as 25-hydroxyvitamin D [25 (OH)D]
Original languageEnglish
Article number117108
Pages (from-to)1-10
Number of pages10
JournalBone
Volume184
Early online date18 Apr 2024
DOIs
Publication statusPublished (in print/issue) - 1 Jul 2024

Bibliographical note

Publisher Copyright:
© 2024

Funding

The authors acknowledge funding from the Mercer's Institute for Research on Ageing, the Irish Department of Agriculture, Food and the Marine and the Health Research Board (under its Food Institutional Research Measure) and the Northern Ireland Department for Employment and Learning (under its strengthening the all-Ireland research base initiative).

Funders
Department of Agriculture, Food and the Marine, Ireland
Department for Employment and Learning, Northern Ireland

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • Calcium supplementation
    • Markers
    • Secondary hyperparathyroidism
    • Vitamin D
    • Parathyroid hormone
    • Bone turnover
    • Bone mineral density

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