Skip to main content
Erschienen in: Journal of Bone and Mineral Metabolism 2/2009

01.03.2009 | Review Article

Choice of study phenotype in osteoporosis genetic research

verfasst von: Yuan Chen, Hui Shen, Fang Yang, Peng-Yuan Liu, Nelson Tang, Robert R. Recker, Hong-Wen Deng

Erschienen in: Journal of Bone and Mineral Metabolism | Ausgabe 2/2009

Einloggen, um Zugang zu erhalten

Abstract

Osteoporosis is a common disease characterized by compromised bone strength predisposing a person to an increased risk of osteoporotic fracture (OF). Recently, extensive efforts have been made to identify candidate genes underlying osteoporosis by the use of surrogate phenotypes, such as bone mineral density (BMD) and bone geometry. Among them, BMD is a suitable choice if we aim to classify the role of biological pathways for bone strength and to understand the bone conditions in the development of osteoporosis. However, evidences show that the genetic correlation between BMD and OF is very limited. In this review, we are mainly concerned with an important issue, i.e., phenotype choice in osteoporosis genetic research. For clarity, we address this issue with several arguments, and comments are made on most representative literature.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis and Therapy (2001) Osteoporosis Prevention, Diagnosis, and Therapy. JAMA 285:785–795CrossRef NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis and Therapy (2001) Osteoporosis Prevention, Diagnosis, and Therapy. JAMA 285:785–795CrossRef
2.
Zurück zum Zitat Liu YJ, Shen H, Xiao P, Xiong DH, Li LH, Recker RR, Deng HW (2006) Molecular genetic studies of gene identification for osteoporosis: a 2004 update. J Bone Miner Res 21:1511–1535PubMedCrossRef Liu YJ, Shen H, Xiao P, Xiong DH, Li LH, Recker RR, Deng HW (2006) Molecular genetic studies of gene identification for osteoporosis: a 2004 update. J Bone Miner Res 21:1511–1535PubMedCrossRef
3.
Zurück zum Zitat Fang Y, van Meurs JB, d’Alesio A, Jhamai M, Zhao H, Rivadeneira F, Hofman A, van Leeuwen JP, Jehan F, Pols HA, Uitterlinden AG (2005) Promoter and 3′-untranslated-region haplotypes in the vitamin d receptor gene predispose to osteoporotic fracture: the rotterdam study. Am J Hum Genet 77:807–823PubMedCrossRef Fang Y, van Meurs JB, d’Alesio A, Jhamai M, Zhao H, Rivadeneira F, Hofman A, van Leeuwen JP, Jehan F, Pols HA, Uitterlinden AG (2005) Promoter and 3′-untranslated-region haplotypes in the vitamin d receptor gene predispose to osteoporotic fracture: the rotterdam study. Am J Hum Genet 77:807–823PubMedCrossRef
4.
Zurück zum Zitat Mann V, Hobson EE, Li B, Stewart TL, Grant SF, Robins SP, Aspden RM, Ralston SH (2001) A COL1A1 Sp1 binding site polymorphism predisposes to osteoporotic fracture by affecting bone density and quality. J Clin Invest 107:899–907PubMedCrossRef Mann V, Hobson EE, Li B, Stewart TL, Grant SF, Robins SP, Aspden RM, Ralston SH (2001) A COL1A1 Sp1 binding site polymorphism predisposes to osteoporotic fracture by affecting bone density and quality. J Clin Invest 107:899–907PubMedCrossRef
5.
Zurück zum Zitat van Meurs JB, Schuit SC, Weel AE, van der KM, Bergink AP, Arp PP, Colin EM, Fang Y, Hofman A, van Duijn CM, van Leeuwen JP, Pols HA, Uitterlinden AG (2003) Association of 5′ estrogen receptor alpha gene polymorphisms with bone mineral density, vertebral bone area and fracture risk. Hum Mol Genet 12:1745–1754PubMedCrossRef van Meurs JB, Schuit SC, Weel AE, van der KM, Bergink AP, Arp PP, Colin EM, Fang Y, Hofman A, van Duijn CM, van Leeuwen JP, Pols HA, Uitterlinden AG (2003) Association of 5′ estrogen receptor alpha gene polymorphisms with bone mineral density, vertebral bone area and fracture risk. Hum Mol Genet 12:1745–1754PubMedCrossRef
6.
Zurück zum Zitat Lohmueller KE, Pearce CL, Pike M, Lander ES, Hirschhorn JN (2003) Meta-analysis of genetic association studies supports a contribution of common variants to susceptibility to common disease. Nat Genet 33:177–182PubMedCrossRef Lohmueller KE, Pearce CL, Pike M, Lander ES, Hirschhorn JN (2003) Meta-analysis of genetic association studies supports a contribution of common variants to susceptibility to common disease. Nat Genet 33:177–182PubMedCrossRef
7.
Zurück zum Zitat Lei SF, Jiang H, Deng FY, Deng HW (2007) Searching for genes underlying susceptibility to osteoporotic fracture: current progress and future prospect. Osteoporos 18:1157–1175CrossRef Lei SF, Jiang H, Deng FY, Deng HW (2007) Searching for genes underlying susceptibility to osteoporotic fracture: current progress and future prospect. Osteoporos 18:1157–1175CrossRef
9.
Zurück zum Zitat Deng HW, Chen WM, Conway T, Zhou Y, Davies KM, Stegman MR, Deng H, Recker RR (2000) Determination of bone mineral density of the hip and spine in human pedigrees by genetic and life-style factors. Genet Epidemiol 19:160–177PubMedCrossRef Deng HW, Chen WM, Conway T, Zhou Y, Davies KM, Stegman MR, Deng H, Recker RR (2000) Determination of bone mineral density of the hip and spine in human pedigrees by genetic and life-style factors. Genet Epidemiol 19:160–177PubMedCrossRef
10.
Zurück zum Zitat Kammerer CM, Schneider JL, Cole SA, Hixson JE, Samollow PB, O’Connell JR, Perez R, Dyer TD, Almasy L, Blangero J, Bauer RL, Mitchell BD (2003) Quantitative trait loci on chromosomes 2p, 4p, and 13q influence bone mineral density of the forearm and hip in Mexican Americans. J Bone Miner Res 18:2245–2252PubMedCrossRef Kammerer CM, Schneider JL, Cole SA, Hixson JE, Samollow PB, O’Connell JR, Perez R, Dyer TD, Almasy L, Blangero J, Bauer RL, Mitchell BD (2003) Quantitative trait loci on chromosomes 2p, 4p, and 13q influence bone mineral density of the forearm and hip in Mexican Americans. J Bone Miner Res 18:2245–2252PubMedCrossRef
11.
Zurück zum Zitat Shen H, Zhang YY, Long JR, Xu FH, Liu YZ, Xiao P, Zhao LJ, Xiong DH, Liu YJ, Dvornyk V, Rocha-Sanchez S, Liu PY, Li JL, Conway T, Davies KM, Recker RR, Deng HW (2004) A genome-wide linkage scan for bone mineral density in an extended sample: evidence for linkage on 11q23 and Xq27. J Med Genet 41:743–751PubMedCrossRef Shen H, Zhang YY, Long JR, Xu FH, Liu YZ, Xiao P, Zhao LJ, Xiong DH, Liu YJ, Dvornyk V, Rocha-Sanchez S, Liu PY, Li JL, Conway T, Davies KM, Recker RR, Deng HW (2004) A genome-wide linkage scan for bone mineral density in an extended sample: evidence for linkage on 11q23 and Xq27. J Med Genet 41:743–751PubMedCrossRef
12.
Zurück zum Zitat Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 312:1254–1259PubMed Marshall D, Johnell O, Wedel H (1996) Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 312:1254–1259PubMed
13.
Zurück zum Zitat Seeman E, Delmas PD (2006) Bone quality–the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261PubMedCrossRef Seeman E, Delmas PD (2006) Bone quality–the material and structural basis of bone strength and fragility. N Engl J Med 354:2250–2261PubMedCrossRef
14.
Zurück zum Zitat Stewart A, Kumar V, Reid DM (2006) Long-term fracture prediction by DXA and QUS: a 10-year prospective study. J Bone Miner Res 21:413–418PubMedCrossRef Stewart A, Kumar V, Reid DM (2006) Long-term fracture prediction by DXA and QUS: a 10-year prospective study. J Bone Miner Res 21:413–418PubMedCrossRef
15.
Zurück zum Zitat Hudelmaier M, Kuhn V, Lochmuller EM, Well H, Priemel M, Link TM, Eckstein F (2004) Can geometry-based parameters from pQCT and material parameters from quantitative ultrasound (QUS) improve the prediction of radial bone strength over that by bone mass (DXA)? Osteoporos Int 15:375–381PubMedCrossRef Hudelmaier M, Kuhn V, Lochmuller EM, Well H, Priemel M, Link TM, Eckstein F (2004) Can geometry-based parameters from pQCT and material parameters from quantitative ultrasound (QUS) improve the prediction of radial bone strength over that by bone mass (DXA)? Osteoporos Int 15:375–381PubMedCrossRef
16.
Zurück zum Zitat Siu WS, Qin L, Leung KS (2003) pQCT bone strength index may serve as a better predictor than bone mineral density for long bone breaking strength. J Bone Miner Metab 21:316–322PubMedCrossRef Siu WS, Qin L, Leung KS (2003) pQCT bone strength index may serve as a better predictor than bone mineral density for long bone breaking strength. J Bone Miner Metab 21:316–322PubMedCrossRef
17.
Zurück zum Zitat Formica CA, Nieves JW, Cosman F, Garrett P, Lindsay R (1998) Comparative assessment of bone mineral measurements using dual X-ray absorptiometry and peripheral quantitative computed tomography. Osteoporos Int 8:460–467PubMedCrossRef Formica CA, Nieves JW, Cosman F, Garrett P, Lindsay R (1998) Comparative assessment of bone mineral measurements using dual X-ray absorptiometry and peripheral quantitative computed tomography. Osteoporos Int 8:460–467PubMedCrossRef
18.
Zurück zum Zitat Cummings SR, Karpf DB, Harris F, Genant HK, Ensrud K, LaCroix AZ, Black DM (2002) Improvement in spine bone density and reduction in risk of vertebral fractures during treatment with antiresorptive drugs. Am J Med 112:281–289PubMedCrossRef Cummings SR, Karpf DB, Harris F, Genant HK, Ensrud K, LaCroix AZ, Black DM (2002) Improvement in spine bone density and reduction in risk of vertebral fractures during treatment with antiresorptive drugs. Am J Med 112:281–289PubMedCrossRef
19.
Zurück zum Zitat Marcus R, Wong M, Heath H III, Stock JL (2002) Antiresorptive treatment of postmenopausal osteoporosis: comparison of study designs and outcomes in large clinical trials with fracture as an endpoint. Endocr Rev 23:16–37PubMedCrossRef Marcus R, Wong M, Heath H III, Stock JL (2002) Antiresorptive treatment of postmenopausal osteoporosis: comparison of study designs and outcomes in large clinical trials with fracture as an endpoint. Endocr Rev 23:16–37PubMedCrossRef
20.
Zurück zum Zitat Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, Cauley J, Black D, Vogt TM (1995) Risk factors for hip fracture in white women. Study of osteoporotic fractures research group. N Engl J Med 332:767–773PubMedCrossRef Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, Cauley J, Black D, Vogt TM (1995) Risk factors for hip fracture in white women. Study of osteoporotic fractures research group. N Engl J Med 332:767–773PubMedCrossRef
21.
Zurück zum Zitat Lei SF, Deng FY, Li MX, Dvornyk V, Deng HW (2004) Bone mineral density in elderly Chinese: effects of age, sex, weight, height, and body mass index. J Bone Miner Metab 22:71–78PubMedCrossRef Lei SF, Deng FY, Li MX, Dvornyk V, Deng HW (2004) Bone mineral density in elderly Chinese: effects of age, sex, weight, height, and body mass index. J Bone Miner Metab 22:71–78PubMedCrossRef
22.
Zurück zum Zitat Hemenway D, Feskanich D, Colditz GA (1995) Body height and hip fracture: a cohort study of 90,000 women. Int J Epidemiol 24:783–786PubMedCrossRef Hemenway D, Feskanich D, Colditz GA (1995) Body height and hip fracture: a cohort study of 90,000 women. Int J Epidemiol 24:783–786PubMedCrossRef
23.
Zurück zum Zitat Williams JT, Van Eerdewegh P, Almasy L, Blangero J (1999) Joint multipoint linkage analysis of multivariate qualitative and quantitative traits. I. Likelihood formulation and simulation results. Am J Hum Genet 65:1134–1147PubMedCrossRef Williams JT, Van Eerdewegh P, Almasy L, Blangero J (1999) Joint multipoint linkage analysis of multivariate qualitative and quantitative traits. I. Likelihood formulation and simulation results. Am J Hum Genet 65:1134–1147PubMedCrossRef
24.
Zurück zum Zitat Deng HW, Mahaney MC, Williams JT, Li J, Conway T, Davies KM, Li JL, Deng H, Recker RR (2002) Relevance of the genes for bone mass variation to susceptibility to osteoporotic fractures and its implications to gene search for complex human diseases. Genet Epidemiol 22:12–25PubMedCrossRef Deng HW, Mahaney MC, Williams JT, Li J, Conway T, Davies KM, Li JL, Deng H, Recker RR (2002) Relevance of the genes for bone mass variation to susceptibility to osteoporotic fractures and its implications to gene search for complex human diseases. Genet Epidemiol 22:12–25PubMedCrossRef
25.
Zurück zum Zitat Andrew T, Antioniades L, Scurrah KJ, Macgregor AJ, Spector TD (2005) Risk of wrist fracture in women is heritable and is influenced by genes that are largely independent of those influencing BMD. J Bone Miner Res 20:67–74PubMedCrossRef Andrew T, Antioniades L, Scurrah KJ, Macgregor AJ, Spector TD (2005) Risk of wrist fracture in women is heritable and is influenced by genes that are largely independent of those influencing BMD. J Bone Miner Res 20:67–74PubMedCrossRef
26.
Zurück zum Zitat Broeckel U, Hengstenberg C, Mayer B, Holmer S, Martin LJ, Comuzzie AG, Blangero J, Nurnberg P, Reis A, Riegger GA, Jacob HJ, Schunkert H (2002) A comprehensive linkage analysis for myocardial infarction and its related risk factors. Nat Genet 30:210–214PubMedCrossRef Broeckel U, Hengstenberg C, Mayer B, Holmer S, Martin LJ, Comuzzie AG, Blangero J, Nurnberg P, Reis A, Riegger GA, Jacob HJ, Schunkert H (2002) A comprehensive linkage analysis for myocardial infarction and its related risk factors. Nat Genet 30:210–214PubMedCrossRef
27.
Zurück zum Zitat Ye Z, Liu EH, Higgins JP, Keavney BD, Lowe GD, Collins R, Danesh J (2006) Seven haemostatic gene polymorphisms in coronary disease: meta-analysis of 66, 155 cases and 91, 307 controls. Lancet 367:651–658PubMedCrossRef Ye Z, Liu EH, Higgins JP, Keavney BD, Lowe GD, Collins R, Danesh J (2006) Seven haemostatic gene polymorphisms in coronary disease: meta-analysis of 66, 155 cases and 91, 307 controls. Lancet 367:651–658PubMedCrossRef
28.
Zurück zum Zitat Shen H, Liu Y, Liu P, Recker RR, Deng HW (2005) Nonreplication in genetic studies of complex diseases–lessons learned from studies of osteoporosis and tentative remedies. J Bone Miner Res 20:365–376PubMedCrossRef Shen H, Liu Y, Liu P, Recker RR, Deng HW (2005) Nonreplication in genetic studies of complex diseases–lessons learned from studies of osteoporosis and tentative remedies. J Bone Miner Res 20:365–376PubMedCrossRef
29.
Zurück zum Zitat Carles VG, Matthew AB (2005) Bigger is better, but it’s not just size that counts: the estrogen receptor gene and osteoporosis. Bonekey Osteovision 2:14–20 Carles VG, Matthew AB (2005) Bigger is better, but it’s not just size that counts: the estrogen receptor gene and osteoporosis. Bonekey Osteovision 2:14–20
30.
Zurück zum Zitat Michaelsson K, Melhus H, Ferm H, Ahlbom A, Pedersen NL (2005) Genetic liability to fractures in the elderly. Arch Intern Med 165:1825–1830PubMedCrossRef Michaelsson K, Melhus H, Ferm H, Ahlbom A, Pedersen NL (2005) Genetic liability to fractures in the elderly. Arch Intern Med 165:1825–1830PubMedCrossRef
31.
Zurück zum Zitat Nyberg L, Gustafson Y, Berggren D, Brannstrom B, Bucht G (1996) Falls leading to femoral neck fractures in lucid older people. J Am Geriatr Soc 44:156–160PubMed Nyberg L, Gustafson Y, Berggren D, Brannstrom B, Bucht G (1996) Falls leading to femoral neck fractures in lucid older people. J Am Geriatr Soc 44:156–160PubMed
32.
Zurück zum Zitat Styrkarsdottir U, Cazier JB, Kong A, Rolfsson O, Larsen H, Bjarnadottir E, Johannsdottir VD, Sigurdardottir MS, Bagger Y, Christiansen C, Reynisdottir I, Grant SF, Jonasson K, Frigge ML, Gulcher JR, Sigurdsson G, Stefansson K (2003) Linkage of osteoporosis to chromosome 20p12 and association to BMP2. PLoS Biol 1:E69PubMedCrossRef Styrkarsdottir U, Cazier JB, Kong A, Rolfsson O, Larsen H, Bjarnadottir E, Johannsdottir VD, Sigurdardottir MS, Bagger Y, Christiansen C, Reynisdottir I, Grant SF, Jonasson K, Frigge ML, Gulcher JR, Sigurdsson G, Stefansson K (2003) Linkage of osteoporosis to chromosome 20p12 and association to BMP2. PLoS Biol 1:E69PubMedCrossRef
33.
Zurück zum Zitat Ralston SH, Uitterlinden AG, Brandi ML, Balcells S, Langdahl BL, Lips P, Lorenc R, Obermayer-Pietsch B, Scollen S, Bustamante M, Husted LB, Carey AH, Diez-Perez A, Dunning AM, Falchetti A, Karczmarewicz E, Kruk M, van Leeuwen JP, van Meurs JB, Mangion J, McGuigan FE, Mellibovsky L, del Monte F, Pols HA, Reeve J, Reid DM, Renner W, Rivadeneira F, van Schoor NM, Sherlock RE, Ioannidis JP, GENOMOS Investigators (2006) Large-scale evidence for the effect of the COLIA1 Sp1 polymorphism on osteoporosis outcomes: the GENOMOS study. PLoS Med 3:e90PubMedCrossRef Ralston SH, Uitterlinden AG, Brandi ML, Balcells S, Langdahl BL, Lips P, Lorenc R, Obermayer-Pietsch B, Scollen S, Bustamante M, Husted LB, Carey AH, Diez-Perez A, Dunning AM, Falchetti A, Karczmarewicz E, Kruk M, van Leeuwen JP, van Meurs JB, Mangion J, McGuigan FE, Mellibovsky L, del Monte F, Pols HA, Reeve J, Reid DM, Renner W, Rivadeneira F, van Schoor NM, Sherlock RE, Ioannidis JP, GENOMOS Investigators (2006) Large-scale evidence for the effect of the COLIA1 Sp1 polymorphism on osteoporosis outcomes: the GENOMOS study. PLoS Med 3:e90PubMedCrossRef
34.
Zurück zum Zitat Kanis JA, Black D, Cooper C, Dargent P, Dawson-Hughes B, De Laet C, Delmas P, Eisman J, Johnell O, Jonsson B, Melton L, Oden A, Papapoulos S, Pols H, Rizzoli R, Silman A, Tenenhouse A (2002) A new approach to the development of assessment guidelines for osteoporosis. Osteoporos Int 13:527–536PubMedCrossRef Kanis JA, Black D, Cooper C, Dargent P, Dawson-Hughes B, De Laet C, Delmas P, Eisman J, Johnell O, Jonsson B, Melton L, Oden A, Papapoulos S, Pols H, Rizzoli R, Silman A, Tenenhouse A (2002) A new approach to the development of assessment guidelines for osteoporosis. Osteoporos Int 13:527–536PubMedCrossRef
35.
Zurück zum Zitat Kannus P, Palvanen M, Kaprio J, Parkkari J, Koskenvuo M (1999) Genetic factors and osteoporotic fractures in elderly people: prospective 25 year follow up of a nationwide cohort of elderly Finnish twins. BMJ 319:1334–1337PubMed Kannus P, Palvanen M, Kaprio J, Parkkari J, Koskenvuo M (1999) Genetic factors and osteoporotic fractures in elderly people: prospective 25 year follow up of a nationwide cohort of elderly Finnish twins. BMJ 319:1334–1337PubMed
36.
Zurück zum Zitat Keen RW, Hart DJ, Arden NK, Doyle DV, Spector TD (1999) Family history of appendicular fracture and risk of osteoporosis: a population-based study. Osteoporos Int 10:161–166PubMedCrossRef Keen RW, Hart DJ, Arden NK, Doyle DV, Spector TD (1999) Family history of appendicular fracture and risk of osteoporosis: a population-based study. Osteoporos Int 10:161–166PubMedCrossRef
37.
Zurück zum Zitat MacGregor A, Snieder H, Spector TD (2000) Genetic factors and osteoporotic fractures in elderly people. Twin data support genetic contribution to risk of fracture. BMJ 320:1669–1670PubMedCrossRef MacGregor A, Snieder H, Spector TD (2000) Genetic factors and osteoporotic fractures in elderly people. Twin data support genetic contribution to risk of fracture. BMJ 320:1669–1670PubMedCrossRef
38.
Zurück zum Zitat Deng HW, Chen WM, Recker S, Stegman MR, Li JL, Davies KM, Zhou Y, Deng H, Heaney R, Recker RR (2000) Genetic determination of Colles’ fracture and differential bone mass in women with and without Colles’ fracture. J Bone Miner Res 15:1243–1252PubMedCrossRef Deng HW, Chen WM, Recker S, Stegman MR, Li JL, Davies KM, Zhou Y, Deng H, Heaney R, Recker RR (2000) Genetic determination of Colles’ fracture and differential bone mass in women with and without Colles’ fracture. J Bone Miner Res 15:1243–1252PubMedCrossRef
39.
Zurück zum Zitat Allison DB, Heo M, Kaplan N, Martin ER (1999) Sibling-based tests of linkage and association for quantitative traits. Am J Hum Genet 64:1754–1763PubMedCrossRef Allison DB, Heo M, Kaplan N, Martin ER (1999) Sibling-based tests of linkage and association for quantitative traits. Am J Hum Genet 64:1754–1763PubMedCrossRef
40.
41.
Zurück zum Zitat Melton LJ III (2000) Who has osteoporosis? A conflict between clinical and public health perspectives. J Bone Miner Res 15:2309–2314PubMedCrossRef Melton LJ III (2000) Who has osteoporosis? A conflict between clinical and public health perspectives. J Bone Miner Res 15:2309–2314PubMedCrossRef
42.
Zurück zum Zitat Cummings SR, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767PubMedCrossRef Cummings SR, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767PubMedCrossRef
43.
Zurück zum Zitat Grisso JA, Kelsey JL, Strom BL, O’Brien LA, Maislin G, LaPann K, Samelson L, Hoffman S (1994) Risk factors for hip fracture in black women. The Northeast hip fracture study group. N Engl J Med 330:1555–1559PubMedCrossRef Grisso JA, Kelsey JL, Strom BL, O’Brien LA, Maislin G, LaPann K, Samelson L, Hoffman S (1994) Risk factors for hip fracture in black women. The Northeast hip fracture study group. N Engl J Med 330:1555–1559PubMedCrossRef
44.
Zurück zum Zitat Kanis JA, Johnell O, Oden A, Jonsson B, De Laet C, Dawson A (2000) Risk of hip fracture according to the World Health Organization criteria for osteopenia and osteoporosis. Bone 27:585–590PubMedCrossRef Kanis JA, Johnell O, Oden A, Jonsson B, De Laet C, Dawson A (2000) Risk of hip fracture according to the World Health Organization criteria for osteopenia and osteoporosis. Bone 27:585–590PubMedCrossRef
45.
Zurück zum Zitat Johnell O, Oden A, De Laet C, Garnero P, Delmas PD, Kanis JA (2002) Biochemical indices of bone turnover and the assessment of fracture probability. Osteoporos Int 13:523–526PubMedCrossRef Johnell O, Oden A, De Laet C, Garnero P, Delmas PD, Kanis JA (2002) Biochemical indices of bone turnover and the assessment of fracture probability. Osteoporos Int 13:523–526PubMedCrossRef
46.
Zurück zum Zitat Xiong D, Wang W, Chen Y, Jiang H, Deng HW (2007) Genetic determination in onset age of wrist fracture. J Hum Genet 52:481–484PubMedCrossRef Xiong D, Wang W, Chen Y, Jiang H, Deng HW (2007) Genetic determination in onset age of wrist fracture. J Hum Genet 52:481–484PubMedCrossRef
Metadaten
Titel
Choice of study phenotype in osteoporosis genetic research
verfasst von
Yuan Chen
Hui Shen
Fang Yang
Peng-Yuan Liu
Nelson Tang
Robert R. Recker
Hong-Wen Deng
Publikationsdatum
01.03.2009
Verlag
Springer Japan
Erschienen in
Journal of Bone and Mineral Metabolism / Ausgabe 2/2009
Print ISSN: 0914-8779
Elektronische ISSN: 1435-5604
DOI
https://doi.org/10.1007/s00774-008-0020-z

Weitere Artikel der Ausgabe 2/2009

Journal of Bone and Mineral Metabolism 2/2009 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.