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Osteoporosis International

Erschienen in:

10.10.2018 | Original Article

Associations between radius low-frequency axial ultrasound velocity and bone fragility in elderly men and women

verfasst von: E. Biver, J. Pepe, A. de Sire, T. Chevalley, S. Ferrari

Erschienen in: Osteoporosis International | Ausgabe 2/2019

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Abstract

Summary

An exploratory study in elderly women and men from the Geneva Retirees Cohort indicates that low-frequency quantitative ultrasound measurement at the radius captures aBMD, bone size, and cortical tissue mineral density and might be used for screening purposes prior to DXA to evaluate fracture risk_.

Introduction

The contribution of distal radius bone mineral density (BMD) and cortical microstructure to fracture risk has recently been demonstrated. In this exploratory study, we investigated whether low-frequency quantitative ultrasound measurement at the distal radius may capture the peripheral determinants of bone fragility assessed with dual-energy X-ray absorptiometry (DXA) and high-resolution peripheral quantitative computed tomography (HR-pQCT).

Methods

Low-frequency velocity (V_LF) was measured at the radius using OsCare Sono®, a portable axial transmission ultrasonometer, in 271 community-dwelling postmenopausal women and men (age 71.5 ± 1.4 years) from the Geneva Retirees Cohort. Cortical (Ct) and trabecular (Tb) volumetric (v) BMD and microstructure at the distal radius were assessed by HR-pQCT, in addition to areal (a) BMD by DXA, at the same time point.

Results

V_LF was highly correlated with aBMD at the distal third radius (r = 0.72, p < 0.001). For microstructure parameters, the highest correlation was observed with cortical area (r = 0.59, p < 0.001). V_LF also captured bone geometry (total area) and cortical tissue mineral density independently of aBMD. In models adjusted for age and sex, V_LF was significantly associated with prevalent low-trauma fractures [OR 95%CI for one SD decrease of V_LF 1.50 (1.05, 2.14), p = 0.024], with discrimination performance comparable to femoral neck or distal radius aBMD.

Conclusion

Measurement of V_LF at the radius captures aBMD, bone size, and cortical tissue mineral density and might be used for screening purposes prior to DXA to evaluate fracture risk_.

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Titel: Associations between radius low-frequency axial ultrasound velocity and bone fragility in elderly men and women
verfasst von: E. Biver
J. Pepe
A. de Sire
T. Chevalley
S. Ferrari
Publikationsdatum: 10.10.2018
Verlag: Springer London
Erschienen in: Osteoporosis International / Ausgabe 2/2019
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-018-4725-0

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Associations between radius low-frequency axial ultrasound velocity and bone fragility in elderly men and women

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