Source:http://linkedlifedata.com/resource/pubmed/id/19938151
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2010-3-3
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pubmed:abstractText |
We investigated whether homocysteine (Hcy)- lowering therapy or an antioxidant prevented bone loss in Parkinson's disease (PD) patients taking levodopa. Forty-two PD patients with low bone mineral density (BMD) taking levodopa were randomly assigned to Hcy-lowering therapy (5 mg folate and 1500 microg vitamin B(12) daily), alpha-lipoic acid (alpha-LA) therapy (1200 mg daily), or control groups. Primary outcomes were BMD changes from baseline to 12 months. Secondary outcomes were changes in Hcy level, and C-telopeptide (CTX) levels at 12 months. Forty-one patients completed the study. Hcy-lowering therapy resulted in significantly greater BMD changes at the lumbar spine (4.4%), total femur (2.8%), and femur shaft (2.8%) than control (P = 0.005-0.023). BMD changes in the alpha-LA therapy group were similar to those of the control group, but changes at the trochanter (4.6%) were significantly greater in the alpha-LA therapy group than in the control group after adjustment for body mass index changes. Hcy concentrations decreased to 35.2% +/- 13.4% in the Hcy-lowering therapy group, but increased in other groups. Serum CTX levels at 12 months tended to be lower in the Hcy-lowering group (0.442 +/- 0.024 ng/mL) than control group (0.628 +/- 0.039 ng/mL) (P = 0.159). This small trial suggests that Hcy-lowering therapy may prevent bone loss in PD patients taking levodopa.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antioxidants,
http://linkedlifedata.com/resource/pubmed/chemical/Collagen Type I,
http://linkedlifedata.com/resource/pubmed/chemical/Homocysteine,
http://linkedlifedata.com/resource/pubmed/chemical/Peptides,
http://linkedlifedata.com/resource/pubmed/chemical/Thioctic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/collagen type I trimeric...
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1531-8257
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pubmed:author | |
pubmed:copyrightInfo |
(c) 2009 Movement Disorder Society.
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pubmed:issnType |
Electronic
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pubmed:day |
15
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
332-40
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pubmed:meshHeading |
pubmed-meshheading:19938151-Absorptiometry, Photon,
pubmed-meshheading:19938151-Aged,
pubmed-meshheading:19938151-Analysis of Variance,
pubmed-meshheading:19938151-Anthropometry,
pubmed-meshheading:19938151-Antioxidants,
pubmed-meshheading:19938151-Bone Demineralization, Pathologic,
pubmed-meshheading:19938151-Bone Density,
pubmed-meshheading:19938151-Collagen Type I,
pubmed-meshheading:19938151-Female,
pubmed-meshheading:19938151-Follow-Up Studies,
pubmed-meshheading:19938151-Homocysteine,
pubmed-meshheading:19938151-Humans,
pubmed-meshheading:19938151-Male,
pubmed-meshheading:19938151-Middle Aged,
pubmed-meshheading:19938151-Parkinson Disease,
pubmed-meshheading:19938151-Peptides,
pubmed-meshheading:19938151-Thioctic Acid
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pubmed:year |
2010
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pubmed:articleTitle |
Homocysteine-lowering therapy or antioxidant therapy for bone loss in Parkinson's disease.
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pubmed:affiliation |
Division of Endocrinology and Metabolism, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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