Alzheimer's disease and osteoporosis

Alzheimer's disease (AD) and osteoporosis are both common degenerative diseases in the elderly population. The incidence of both diseases increases with age and will be posing enormous societal burden worldwide. It may appear that AD and osteoporosis are two distinct diseases although many risk...

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Main Authors: Yu-Hung Chen, Raymond Y Lo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Tzu-Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=3;spage=138;epage=142;aulast=Chen
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author Yu-Hung Chen
Raymond Y Lo
author_facet Yu-Hung Chen
Raymond Y Lo
author_sort Yu-Hung Chen
collection DOAJ
description Alzheimer's disease (AD) and osteoporosis are both common degenerative diseases in the elderly population. The incidence of both diseases increases with age and will be posing enormous societal burden worldwide. It may appear that AD and osteoporosis are two distinct diseases although many risk factors are shared. Previous observational studies have shown that patients with osteoporosis have higher risks of developing AD than those who do not have osteoporosis. Although osteoporosis, falls, and fractures are more often seen in patients with AD than other older adults, the association between these two diseases may be due to a pathophysiological link rather than one condition causing the other. Several in vitro and in vivo studies lend support to this notion. Patients with AD have excessive amyloid plaques in the brain, and the pathology may extend to peripheral organs and cause skeletal amyloid deposition, which would enhance receptor activator nuclear factor-kappa B ligand signaling and lead to greater osteoclast activities. Patients with osteoporosis may have Vitamin D deficiency or lower levels of Vitamin D binding protein, which protects against amyloid aggregation, thus linking Vitamin D deficiency and AD or osteoporosis and AD. Osteoporosis coexisting with AD provides a window to examine the amyloid hypothesis from peripheral tissues. Future studies are warranted to clarify the role of genetic background regarding Vitamin D levels, exposure to sunlight, estrogen replacement therapy, and physical activity in patients with both chronic diseases.
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spelling doaj.art-d28bab97c9eb4c92a43ca0e1ff1397722022-12-21T23:10:31ZengWolters Kluwer Medknow PublicationsTzu-Chi Medical Journal1016-31902223-89562017-01-0129313814210.4103/tcmj.tcmj_54_17Alzheimer's disease and osteoporosisYu-Hung ChenRaymond Y LoAlzheimer's disease (AD) and osteoporosis are both common degenerative diseases in the elderly population. The incidence of both diseases increases with age and will be posing enormous societal burden worldwide. It may appear that AD and osteoporosis are two distinct diseases although many risk factors are shared. Previous observational studies have shown that patients with osteoporosis have higher risks of developing AD than those who do not have osteoporosis. Although osteoporosis, falls, and fractures are more often seen in patients with AD than other older adults, the association between these two diseases may be due to a pathophysiological link rather than one condition causing the other. Several in vitro and in vivo studies lend support to this notion. Patients with AD have excessive amyloid plaques in the brain, and the pathology may extend to peripheral organs and cause skeletal amyloid deposition, which would enhance receptor activator nuclear factor-kappa B ligand signaling and lead to greater osteoclast activities. Patients with osteoporosis may have Vitamin D deficiency or lower levels of Vitamin D binding protein, which protects against amyloid aggregation, thus linking Vitamin D deficiency and AD or osteoporosis and AD. Osteoporosis coexisting with AD provides a window to examine the amyloid hypothesis from peripheral tissues. Future studies are warranted to clarify the role of genetic background regarding Vitamin D levels, exposure to sunlight, estrogen replacement therapy, and physical activity in patients with both chronic diseases.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=3;spage=138;epage=142;aulast=ChenAlzheimer's diseaseAmyloidOsteoporosisVitamin D
spellingShingle Yu-Hung Chen
Raymond Y Lo
Alzheimer's disease and osteoporosis
Tzu-Chi Medical Journal
Alzheimer's disease
Amyloid
Osteoporosis
Vitamin D
title Alzheimer's disease and osteoporosis
title_full Alzheimer's disease and osteoporosis
title_fullStr Alzheimer's disease and osteoporosis
title_full_unstemmed Alzheimer's disease and osteoporosis
title_short Alzheimer's disease and osteoporosis
title_sort alzheimer s disease and osteoporosis
topic Alzheimer's disease
Amyloid
Osteoporosis
Vitamin D
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=3;spage=138;epage=142;aulast=Chen
work_keys_str_mv AT yuhungchen alzheimersdiseaseandosteoporosis
AT raymondylo alzheimersdiseaseandosteoporosis