Glossar

A

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  • Absorption

    The process of attenuation of the intensity of a beam of radiation which depends on the body being irradiated.

  • Alkaline phosphatase

    An enzyme that belongs to the hydrolase group and removes phosphate groups from many types of molecules. The optimal pH of alkaline phosphatase is pH7-8. In addition to osteocalcin, this enzyme is used as a biochemical marker for bone formation in laboratory diagnostics. Alkaline phosphatase is elevated in cases of bone disease.

  • Amenorrhea

    Pathological absence of the menstrual period for more than 3 months.

  • Anabolic

    Stimulator for new bone formation.

  • Antacids

    Medications that neutralize gastric acid; these usually contain aluminium, magnesium and calcium compounds.

  • Antiresorptive

    Bone resorption inhibitor

B

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  • Biological half-life

    The time the body needs to excrete half of a substance that has been ingested.

  • Bisphosphonates

    Synthetic versions of pyrophosphate, which occurs naturally in bone; they have high bone affinity.

  • Bone biopsy

    A sample of bone tissue is removed using a special needle for cytological and histological examinations of the bone marrow.

  • Bone mineral content (BMC)

    Mineral content of bone.

  • Bone mineral density (BMD)

    Bone density

  • Bone remodelling unit

    Small areas of bony tissue consisting of osteoblasts and osteoclasts which work together to carry out bone remodelling.

C

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  • Calcitonin

    A polypeptide consisting of 32 amino acids, which is generated by the C cells of the thyroid gland. It is a regulatory constituent of the calcium metabolism and acts to lower calcium through increased calcium deposits in the bone, reduced release of calcium from the bones, reduced calcium uptake from the gut and elevated renal excretion of calcium.

  • Calcitriol

    The primary regulatory hormone in calcium metabolism. It increases the calcium level via increased calcium uptake from the gut into the blood, and has a negative influence on the release of PTH.

  • Canaliculi

    Tiny canals in bone that connect the central canal and the lamellae in which the osteocytes are located.

  • Central canal

    The core of the bone in which small blood vessels and nerve fibers are located.

  • Cholestasis

    Blockage of bile flow.

  • Cohort study

    Long-term study of a group of patients or participants and their experiences with a particular substance. Often used when studying epidemiological issues.

  • Collagen

    A fibrous protein which forms the main constituent of connective tissue, cartilage and bone. There are different types of collagen (Type I is found primarily in bone).

  • Compliance

    The willingness of a patient to follow instructions for treatment. It is an important parameter in the evaluation of a treatment.

  • Confidence interval:

    this figure shows how close the result is to the "actual" difference between two groups.

  • Cortical bone

    Also known as compact bone. External cortical (compact) bone tissue responsible for the optimal mechanical properties with minimal weight (approximately 8 kg in adults).

  • Cushing syndrome

    A dysfunction caused by excessive secretion of corticosteroids by the adrenal glands.

D

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  • Deoxypyridinoline

    A degradation product of collagen used as a marker for bone resorption in laboratory diagnostics.

  • Double blind

    Applies to the design of a study: neither the physician nor the participant knows who is receiving what medication.

  • Dual energy X-ray absorbtiometry (DXA)

    DXA is the most commonly used method worldwide of measuring bone density. It is a two-dimensional process for the selective determination of the bone mineral content (inorganic material) within an organic body.

E

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  • Endosteum

    Bony connective tissue on the inside of a bone.

  • Evidence-based medicine

    The application of treatments based on the results of high-quality clinical studies.

F

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  • First pass effect

    After oral intake of a drug, the drug initially passes through the liver before it is distributed in the systemic circulation. The substance is thus subjected to increased metabolic degradation.

  • Fluoride

    One of the anabolics. Stimulates osteoblast division and matrix synthesis, but also causes undesirable mineralization defects.

H

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  • Haversian canal

    Central canal

  • Hematopoesis

    The production of blood cells in the body

  • HRT

    Hormone replacement therapy. Application of hormones (usually estrogens and their derivatives) to prevent and treat osteoporosis.

  • Hydroxylapatite

    A mineral salt that consists primarily of calcium phosphates and forms lattice-like crystals.

  • Hyperparathyroidism

    Hyperfunction of the parathyroid gland

  • Hyperthyroidism

    Hyperfunction of the thyroid gland which can cause osteoporosis through an increase in the bone remodelling rate.

I

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  • Idiopathic

    An illness which arises without any discernible cause

  • Incidence

    Number of new cases of an illness.

  • IU

    International unit. The amount of a vitamin or an enzyme required to act on 1 μmol substrate within one minute.

K

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  • Kyphosis

    Greek "kyphos" = bowed, so-called "widow's hump".

L

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  • Lacunae

    Small spaces containing osteocytes in bones.

  • Lamellae

    Concentrically arranged tubules.

M

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  • Menarche

    Start of the first menstruation during puberty

  • Mineralization

    Deposit of crystalline salts in bones (primarily calcium and phosphates).

O

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  • Oestrogen agonist

    Substance that triggers protein synthesis.

  • Oestrogen antagonist

    Substance that blocks protein synthesis and subsequent effects of the oestrogen compound.

  • Oestrogens

    Steroid hormones. They are produced primarily in the ovaries and act on the reproductive system and on numerous other body systems such as the skeletal system, breasts, the cardiovascular system and the brain. The most important natural estrogens are oestradiol, oestrone and oestriol.

  • Osteoblasts

    Cells which are responsible for bone formation.

  • Osteocalcin

    A protein produced by osteoblasts which is found in the extracellular matrix of bone and in the serum. The determination of this protein in the serum is a marker for osteoblast activity and enables an assessment of the bone growth rate.

  • Osteoclasts

    Cells which are responsible for bone resorption.

  • Osteocytes

    Cells responsible for cellular communication, supply and calcium metabolism.

  • Osteoid

    Primary constituent of bone, consisting of proteins (mainly collagen).

  • Osteomalacia

    Suspected mineral deficiency resulting from the inadequate mineralization of bones in adults; corresponds to rickets in children.

  • Osteon (Haversian system)

    Extended cylinder made up of a group of concentrically arranged tubules (lamellae).

  • Osteopenia

    A reduction in bone mineral density that leads to a reduction in bone density with increasing age. Spongy bone is more strongly affected than cortical bone.

P

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  • Paget's disease

    Osteitis deformans, localized osteopathy. The number and activity of the osteoclasts is elevated, which leads to accelerated bone resorption with secondary formation of undermineralized fibrous bone, which is more highly vascularised and reduces load-bearing capacity. The result is deformation and fractures of the affected bones.

  • Parathyroid hormone (PTH)

    Primary regulatory hormone in calcium metabolism. Causes an increase in calcium via increased bone resorption, reduced calcium excretion in the kidneys and stimulates the formation of calcitriol.

  • Peak bone mass

    Optimal bone mass developed by approximately 30 years of age.

  • Periosteum

    A membrane that lines the outer surface of all bones.

  • Placebo-controlled

    Applies to the design of a study: the participant is given an ineffective treatment that looks and tastes exactly like the real treatment. This is used as a control to determine whether a measured effect is truly an effect of the treatment.

  • Prevalence

    Frequency of an illness in a particular population.

  • Prospective

    Applies to the design of a study: anticipatory; participants in a study are divided into groups with different treatments before the therapeutic effect appears.

  • Prothrombin

    A coagulation factor which is important for clotting of the blood.

  • Prothrombin time

    The time required for blood to clot after a substance has been added.

  • Pulmonary embolism

    Blood clot which has broken loose and moved to the lungs.

R

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  • Randomized

    Patients are randomly distributed among different treatment groups so that all groups are similar on the average. This facilitates avoiding a distortion of the study results.

  • Remodelling

    Continuous bone remodelling. The purpose of this is to adapt the skeleton to various stress situations and loads, to repair damage and to regulate the calcium level. The functional adaptation and repair of damaged bone is done via bone resorption and subsequent bone formation.

  • Retinal vein thrombosis

    A blood clot in the veins of the eye.

  • Retrospective

    Applies to the design of a study: looking back (e.g. analysis of existing data from patient files).

S

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  • Senile osteoporosis

    Osteoporosis caused by the general aging process.

  • SERM

    Selective estrogen receptor modulator

  • Spongy bone

    Also known as cancellous bone or trabecular bone. Contains bone marrow and is responsible for optimal mechanical properties with minimal weight (approximately 8 kg in adults).

  • Standard deviation (SD)

    Measure of the deviation of individual measured values of a measuring sequence in their arithmetic mean.

T

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  • T value

    Number of standard deviations by which the measured value deviates from the mean of young, healthy adults of the same gender around 30 years of age (at the time of peak bone mass).

  • Thrombophlebitis

    Inflammation of the venous wall which accompanies a thrombosis.

  • Thrombosis

    Blood clot formation within blood vessels, primarily in veins.

  • Thyroxin

    A thyroid hormone which influences the calcium metabolism and increases the remodelling rate (similar to hyperthyroidism).

  • Trabeculae

    Small plate-like pieces formed from irregularly arranged lamellae and connected with each other in a lattice-like structure.

  • Trochanter

    The bony prominence below the neck of the femur. There is the greater trochanter (T. major) and the lesser trochanter (T. minor).

V

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  • Volkmann's canals

    Perforated canals which run at right angles to the bony axis. They connect nerves and blood vessels of the Haversian systems with those on the outside and inside of the bone.

W

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  • Ward's triangle

    A small area that connects the trochanter, intertrochanter and neck of the femur.

Z

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  • Z value

    Number of standard deviations by which the mean value deviates from the mean of the age standard; defined as Z = (measured value minus the mean of the same-age reference group)/standard deviation of the same-age reference group.

Glossary

In the glossary you will find terms that we have provided with some extra-information.

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What you can do

Reduce your risk for osteoporosis – with some basic lifestyle changes. You could start with reviewing your diet and eating habits.