The Link Between Osteoporosis and Brain Health in Older Adults

Published on September 16, 2022

Imagine your brain as a magnificent library, with shelves full of books that hold your memories and knowledge. Well, it turns out that the strength of your bones may play a role in preserving the health of this brain library. In a recent study, scientists investigated the connection between osteoporosis, a condition characterized by weak and brittle bones, and brain health among older people. They found that individuals with osteoporosis had higher levels of certain biomarkers in their cerebrospinal fluid, which suggests an association between bone health and the risk of developing Alzheimer’s disease. Additionally, those with osteoporosis showed faster shrinkage of specific brain regions over time. This exciting research sheds light on the complex relationship between our skeletons and brains, highlighting the importance of taking care of both. Want to delve deeper into this fascinating topic? Check out the full study for a closer look at how bone strength and brain health might be interconnected!

ObjectiveThe aim of this study was to examine whether osteoporosis (OP) is associated with Alzheimer’s disease-related cerebrospinal fluid (CSF) biomarkers and brain structures among older people.MethodsFrom the Alzheimer’s disease Neuroimaging Initiative database, we grouped participants according to the OP status (OP+/OP−) and compared the Alzheimer’s disease (AD)-related CSF biomarker levels and the regional brain structural volumes between the two groups using multivariable models. These models were adjusted for covariates including age, education, gender, diagnosis of Alzheimer’s disease, and apolipoprotein E4 carrier status.ResultsIn the cross-sectional analyses at baseline, OP was related to higher CSF t-tau (total tau) and p-tau181 (tau phosphorylated at threonine-181) but not to CSF amyloid-beta (1–42) or the volumes of entorhinal cortex and hippocampus. In the longitudinal analyses, OP was not associated with the change in the three CSF biomarkers over time but was linked to a faster decline in the size of the entorhinal cortex and hippocampus.ConclusionOP was associated with elevated levels of CSF t-tau and p-tau181 at baseline, and accelerated entorhinal cortex and hippocampal atrophies over time among older people.

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