The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal Osteoporosis

The objective of this blind, randomized controlled study was to evaluate effect of 12 months alendronate treatment on bone mineral density (BMD) and bone formation, resorption markers in postmenopausal osteoporotic women. Women with BMD values at least 2 standard deviations (SD) below BMD of adult p...

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Main Authors: S. Akı, R. G. Gulbaba, N. Eskiyurt
Format: Article
Language:English
Published: Galenos Publishing House 2002-03-01
Series:Türk Osteoporoz Dergisi
Subjects:
Online Access:http://www.turkosteoporozdergisi.org/article_4172/The-Effect-Of-Alendronate-Treatment-On-Bone-Density-And-Bone-Markers-In-Postmenopausal-Osteoporosis
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author S. Akı
R. G. Gulbaba
N. Eskiyurt
author_facet S. Akı
R. G. Gulbaba
N. Eskiyurt
author_sort S. Akı
collection DOAJ
description The objective of this blind, randomized controlled study was to evaluate effect of 12 months alendronate treatment on bone mineral density (BMD) and bone formation, resorption markers in postmenopausal osteoporotic women. Women with BMD values at least 2 standard deviations (SD) below BMD of adult premenopousal women were included in the study. Patients were randomized into two groups. The control group (n=ll2) received 500 mg daily elemental calcium, while the treatment group (n=l58) received 10 mg alendronate plus 500 mg daily elemental calcium for 12 months. Patient demographics were comparable in both groups before treatment. After 12 months, BMD of patients in alendronate group was increased significantly as compared to BMD before treatment and BMD in control group (p<0.001) . Increase in BMD was apparent in all measured sites but highest values were attained in the Ll-L4 region with 4.8 %. Bone formation and resorption parameters showed significant decrease in the 6 th and 12 th months of treatment as compared to control group and values before treatment (-23.1% to - 50.6 %). As a conclusion, twelve months treatment of alendronate (10 mg/day) in postmenopausal osteoporotic women causes a significant increase of BMD in all measurement sites, as compared to BMD values before treatment and BMD of control group. Likewise bone formation and resorption markers showed significant decrease in the 6 th and 12 th months of treatment as compared to values in the control group and values before treatment.
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spelling doaj-art-af221c2b0a2f4487b63f85576456beae2025-08-20T03:39:05ZengGalenos Publishing HouseTürk Osteoporoz Dergisi2147-26532002-03-01812733The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal OsteoporosisS. Akı0R. G. Gulbaba1N. Eskiyurt2İstanbul Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim DalıRIA Labaratuarı, İstanbulİstanbul Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim DalıThe objective of this blind, randomized controlled study was to evaluate effect of 12 months alendronate treatment on bone mineral density (BMD) and bone formation, resorption markers in postmenopausal osteoporotic women. Women with BMD values at least 2 standard deviations (SD) below BMD of adult premenopousal women were included in the study. Patients were randomized into two groups. The control group (n=ll2) received 500 mg daily elemental calcium, while the treatment group (n=l58) received 10 mg alendronate plus 500 mg daily elemental calcium for 12 months. Patient demographics were comparable in both groups before treatment. After 12 months, BMD of patients in alendronate group was increased significantly as compared to BMD before treatment and BMD in control group (p<0.001) . Increase in BMD was apparent in all measured sites but highest values were attained in the Ll-L4 region with 4.8 %. Bone formation and resorption parameters showed significant decrease in the 6 th and 12 th months of treatment as compared to control group and values before treatment (-23.1% to - 50.6 %). As a conclusion, twelve months treatment of alendronate (10 mg/day) in postmenopausal osteoporotic women causes a significant increase of BMD in all measurement sites, as compared to BMD values before treatment and BMD of control group. Likewise bone formation and resorption markers showed significant decrease in the 6 th and 12 th months of treatment as compared to values in the control group and values before treatment.http://www.turkosteoporozdergisi.org/article_4172/The-Effect-Of-Alendronate-Treatment-On-Bone-Density-And-Bone-Markers-In-Postmenopausal-OsteoporosisPostmenopausal osteoporosisalendronatebone mineral densitybone formationresorption markers.
spellingShingle S. Akı
R. G. Gulbaba
N. Eskiyurt
The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal Osteoporosis
Türk Osteoporoz Dergisi
Postmenopausal osteoporosis
alendronate
bone mineral density
bone formation
resorption markers.
title The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal Osteoporosis
title_full The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal Osteoporosis
title_fullStr The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal Osteoporosis
title_full_unstemmed The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal Osteoporosis
title_short The Effect of Alendronate Treatment on Bone Density and Bone Markers in Postmenopausal Osteoporosis
title_sort effect of alendronate treatment on bone density and bone markers in postmenopausal osteoporosis
topic Postmenopausal osteoporosis
alendronate
bone mineral density
bone formation
resorption markers.
url http://www.turkosteoporozdergisi.org/article_4172/The-Effect-Of-Alendronate-Treatment-On-Bone-Density-And-Bone-Markers-In-Postmenopausal-Osteoporosis
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