Maria J Lloret, Maria Fusaro, Hanne S Jørgensen, Mathias Haarhaus, Laia Gifre, Carlo M Alfieri, Elisabet Massó, Luis D'Marco, Pieter Evenepoel, Jordi Bover
Bone strength is determined not only by bone quantity [bone mineral density (BMD)] but also by bone quality, including matrix composition, collagen fiber arrangement, microarchitecture, geometry, mineralization, and bone turnover, among others. These aspects influence elasticity, the load-bearing and repair capacity of bone, and microcrack propagation and are thus key to fractures and their avoidance. In chronic kidney disease (CKD)-associated osteoporosis, factors traditionally associated with a lower bone mass (advanced age or hypogonadism) often coexist with non-traditional factors specific to CKD (uremic toxins or renal osteodystrophy, among others), which will have an impact on bone quality...
February 9, 2024: Journal of Clinical Medicine