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Inicio Endocrinología y Nutrición Actualización sobre la determinación de marcadores de remodelado óseo
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Vol. 50. Núm. 6.
Páginas 237-243 (Junio 2003)
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Vol. 50. Núm. 6.
Páginas 237-243 (Junio 2003)
Acceso a texto completo
Actualización sobre la determinación de marcadores de remodelado óseo
Determination of markers of bone remodeling: an update
Visitas
9916
E. Torres
Autor para correspondencia
etove@eresmas.net

Correspondencia: Dra. E. Torres. Granada, 33. 18193 Barrio de Monachil. Granada. España.
, P. Mezquita, M. De La Higuera, D. Fernández, M. Muñoz
Servicio de Endocrinología y Nutrición. Hospital Clínico San Cecilio. Granada. España
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Los marcadores bioquímicos de remodelado óseo son sustancias liberadas a la circulación durante la formación y resorción ósea que reflejan la actividad metabólica del hueso en un momento puntual. Pueden ser determinados en sangre y en orina.

Se clasifican en marcadores de formación ósea y marcadores de resorción ósea.

Su determinación puede ser de utilidad en la investigación clínica y básica de las enfermedades metabólicas del hueso.

Aunque algunos de estos marcadores tienen capacidad para predecir el riesgo de fracturas, no permiten cuantificar la masa ósea.

En el momento actual, la amplia variabilidad en la sensibilidad y especificidad de los marcadores disponibles cuestiona su utilidad en la práctica clínica.

Biochemical markers of bone turnover are products released to circulation during bone formation or bone resorption, and they reflect the bone metabolic activity at a certain moment.

We can measured them in serum or in orine and they are usually classified, according to the metabolic process they are considered to reflect, in: markers of bone formation or markers of bone resorption.

Their measurement can be useful in clinical research and routine clinical practice in metabolic bone diseases. Although some of these markers are able to predict risk fracture, they can't quantify bone mass.

At the present time, the use of these markers in the routine clinical practice is questionable because of the wide variability in sensibility and specifity

Key words:
Bone markers
Bone formation
Bone resorption
Fracture
Bone mineral density
Palabras clave:
Marcadores de remodelado óseo
Formación ósea
Resorción ósea
Fractura
Densidad mineral ósea
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Copyright © 2003. Sociedad Española de Endocrinología y Nutrición
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