Bone involvement in the early stages of Parkinson's disease: a case-control study.

Journal: The Journal of international medical research

Volume: 52

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Department of Medical and Surgical Specialties and Dentistry, University of Campania 'Luigi Vanvitelli', Naples, Italy. Istituto di Diagnosi e Cura Hermitage Capodimonte, Naples, Italy. Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Naples, Italy.

Abstract summary 

To evaluate the qualitative and quantitative alterations of bone tissue in patients with early-stage Parkinson's disease (PD) and to measure the associations between bone mineral density (BMD), trabecular bone score (TBS) and physical performance.This case-control study enrolled patients with early-stage PD and age-matched controls. BMDs for the left femoral neck (L-FN) and lumbar spine (LS) were measured. Bone microarchitecture for the LS was determined using TBS. Muscle performance was assessed using the short physical performance battery (SPPB). Patients and controls were stratified in two groups based on the SPPB score: a poor performance group (SPPB score ≤8) and high performance group (SPPB > 8).This study included 26 patients: 13 in the PD group and 13 age-matched controls. The mean ± SD BMD results in the PD group were: L1-L4 BMD = 0.935 ± 0.183 g/cm; L-FN BMD = 0.825 ± 0.037 g/cm; with bone microarchitecture degraded in four patients and partially degraded in three patients. TBS was significantly different in the patients with PD stratified according to SPPB. Among the controls, there was a significant difference in body mass index between the two SPPB groups.TBS might identify bone involvement earlier than BMD in the initial stages of PD.

Authors & Co-authors:  Liguori Moretti Paoletta Gargiulo Barra Gimigliano Iolascon

Study Outcome 

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Statistics
Citations :  Kalia LV, Lang AE. Parkinson’s disease. Lancet 2015; 386: 896–912. doi: 10.1016/S0140-6736(14)61393-3. Epub 2015 Apr 19. PMID: 25904081.
Authors :  7
Identifiers
Doi : 03000605241237880
SSN : 1473-2300
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Bone mineral density;Parkinson disease;bone quality;physical performance;trabecular bone score
Study Design
Study Approach
Quantitative,Qualitative
Country of Study
Publication Country
England