title: Differences in zinc status between patients with osteoarthritis and osteoporosis.
abstract: Zinc has been suggested to play an important role in the development of osteoporosis, whereas the influence of zinc on osteoarthritis has attracted much less attention. The aim of the study was to investigate and compare the zinc status and bone turnover, density, and biomechanical properties of osteoarthritic and osteoporotic patients. The study comprised 40 women who underwent hip replacement due to osteoarthritis or osteoporosis. Serum and urine zinc content, and bone resorption markers and serum bone formation markers were determined. The unaffected hip and the exarticulated affected femoral head underwent DEXA scanning. Bone biopsies were obtained from the femoral heads and the biomechanical properties were determined. The biopsies were ashed and the bone zinc content was ascertained. Osteoarthritic patients had significantly higher serum zinc concentrations and lower urine zinc concentrations than osteoporotic patients, whereas the bone zinc content did not differ. The zinc status was not found to be a predictor for the bone strength. In conclusion, the finding that the zinc status of osteoporotic patients is significantly different from that of osteoartritic patients is new and supports the view that osteoporosis and osteoarthritis rarely occur in the same individual.
authors.affiliation: Department of Orthopaedic Surgery, Randers Regional Hospital, DK-8900 Randers, Denmark. jo@jorto.dk
authors.forename: Janne
authors.initials: J
authors.lastname: Ovesen
authors.forename: Bjarne
authors.initials: B
authors.lastname: Møller-Madsen
authors.forename: Poul Torben
authors.initials: PT
authors.lastname: Nielsen
authors.forename: Poul Hedevang
authors.initials: PH
authors.lastname: Christensen
authors.forename: Ole
authors.initials: O
authors.lastname: Simonsen
authors.forename: Hans Christian
authors.initials: HC
authors.lastname: Hoeck
authors.forename: Mogens Berg
authors.initials: MB
authors.lastname: Laursen
authors.forename: Jesper Skovhus
authors.initials: JS
authors.lastname: Thomsen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D015415:Biomarkers / Q000378:metabolism; D001696:Biomechanical Phenomena; D015519:Bone Density; D016723:Bone Remodeling; D005260:Female; D006801:Humans; D010003:Osteoarthritis / Q000378:metabolism* / Q000473:pathology / Q000601:surgery; D010024:Osteoporosis / Q000378:metabolism* / Q000473:pathology / Q000601:surgery; D015032:Zinc / Q000378:metabolism*
chemical_list: D015415:Biomarkers; D015032:Zinc