<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1889-836X</journal-id>
<journal-title><![CDATA[Revista de Osteoporosis y Metabolismo Mineral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Osteoporos Metab Miner]]></abbrev-journal-title>
<issn>1889-836X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Investigaciones Óseas y Metabolismo Mineral]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1889-836X2024000400001</article-id>
<article-id pub-id-type="doi">10.20960/revosteoporosmetabminer.00051</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La regulación del fosfato y su asociación con alteraciones en el metabolismo óseo y mineral]]></article-title>
<article-title xml:lang="en"><![CDATA[The regulation of phosphate and its association with alterations in bone and mineral metabolism]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-García]]></surname>
<given-names><![CDATA[Minerva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Alonso]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avello-Llano]]></surname>
<given-names><![CDATA[Noelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Gil-Albert]]></surname>
<given-names><![CDATA[Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sobrino-Díaz]]></surname>
<given-names><![CDATA[Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Naves-Mendívil]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montero-Muñoz]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palomo-Antequera]]></surname>
<given-names><![CDATA[Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Naves-Díaz]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Investigación Sanitaria del Principado de Asturias Universidad de Oviedo Área Gestión Clínica de Nefrología. Hospital Universitario Central de Asturias]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Investigación Sanitaria del Principado de Asturias Universidad de Oviedo Unidad de Gestión Clínica de Metabolismo Óseo. Hospital Universitario Central de Asturias]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Central de Asturias Laboratorio de Medicina ]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Investigación Sanitaria del Principado de Asturias Universidad de Oviedo Servicio de Geriatría. Hospital Monte Naranco]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Investigación Sanitaria del Principado de Asturias Universidad de Oviedo Área de Gestión Clínica de Medicina Interna. Hospital Universitario Central de Asturias]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Red de Investigación Cooperativa Orientadas a Resultados en Salud 2040 (RD21/0005/0019)  ]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>16</volume>
<numero>4</numero>
<fpage>113</fpage>
<lpage>122</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1889-836X2024000400001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1889-836X2024000400001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1889-836X2024000400001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo: aunque un elevado fosfato sérico se ha relacionado con fractura y calcificación aórtica se desconoce si existe alguna asociación del fosfato urinario con la incidencia de fractura osteoporótica y calcificación aórtica.  Material y métodos: 141 mujeres posmenopáusicas &gt; 50 años realizaron radiología dorso-lumbar que se repitió 4 años después, determinando marcadores bioquímicos en sangre y orina fresca; se recogieron parámetros clínicos y antropométricos y se confirmó radiográficamente la aparición de nuevas fracturas vertebrales y no vertebrales. Radiográficamente se evaluó la aparición de nuevas calcificaciones aórticas. Se excluyeron mujeres con tratamiento estrogénico y antirresortivo &gt; 3 meses.  Resultados: se detectaron 11 nuevas fracturas no vertebrales (7 de Colles, 2 de cadera y 2 en otras localizaciones) y 10 fracturas vertebrales incidentes confirmadas radiográficamente. En las mujeres con fractura incidente se observaron niveles significativamente menores de índice de masa corporal, fosfaturia, creatinuria y filtrado glomerular estimado (FGe), mientras que la edad fue significativamente mayor. Incrementos de 10 mg/dL de fosfaturia se asociaron con 29 % menos fracturas incidentes [OR = 0,71; IC 95 % = (0,46-0,98)], tras regresión logística ajustada por edad, índice de masa corporal, creatinuria y FGe. Este efecto fue más marcado con las fracturas incidentes no vertebrales [OR = 0,50; IC 95 % = (0,10-0,91)], mientras que en vertebrales se perdió esta asociación [OR = 0,83; IC 95 % = (0,54-1,14)]. El 17 % de la cohorte tuvo nuevas calcificaciones aórticas. A nivel multivariante incrementos de 10 mg/dL de fosfaturia se asociaron con menor incidencia de calcificación aórtica [OR = 0,80; IC 95 % = (0,64-0,97)].  Conclusiones: fosfaturias bajas parecen asociarse con mayor incidencia de fractura osteoporótica y calcificación aórtica en mujeres. La fosfaturia podría ser un indicador de los efectos hormonales y renales en la regulación del fosfato y utilizarse como factor del riesgo de fractura y calcificación aórtica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction and objective: although high levels of serum phosphate have been related to the risk of fracture and aortic calcification, it is not known if there is any association of urinary phosphate with the incidence of osteoporotic fracture and aortic calcification.  Material and methods: 141 postmenopausal women &gt; 50 years of age underwent dorso-lumbar radiology that was repeated 4 years later, determining general biochemical markers and bone and mineral metabolism in blood and fresh urine, clinical and anthropometric parameters were collected. The appearance of new vertebral and non-vertebral fractures and new aortic calcification was radiographically confirmed. Women with estrogen and antiresorptive treatment &gt; 3 months were excluded.  Results: 11 new non-vertebral fractures were detected (7 Colles, 2 hip and 2 in other locations) and 10 incident vertebral fractures confirmed radiographically. Body mass index, phosphaturia, creatinuria, phosphaturia/creatinuria and estimated glomerular filtration rate (eGFR) were significantly lower and age was higher in the fractured women. Increases of 10 mg/dL in phosphaturia were associated with 29 % fewer incident fractures [OR, 0.71; 95 % CI = (0.46-0.98)], after logistic regression adjusted for age, body mass index, creatinuria and eGFR. This effect was more marked with non-vertebral incident fractures [OR, 0.50; 95 % CI = (0.10-0.91)], while in vertebral this association was lost [OR, 0.83; 95 % CI = (0.54-1.14)]. Furthermore, 17 % of the cohort had new aortic calcifications. At a multivariate level, increases of 10 mg/dL of phosphaturia were associated with a lower incidence of aortic calcification [OR, 0.80; 95 % CI = (0.64-0.97)].  Conclusions: low phosphate levels seem to be associated with a higher incidence of osteoporotic fracture and aortic calcification in women. Phosphaturia could be an indicator of hormonal and renal effects on phosphate regulation and used as a risk factor for aortic fracture and calcification.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fosfaturia]]></kwd>
<kwd lng="es"><![CDATA[Calcificación aórtica abdominal]]></kwd>
<kwd lng="es"><![CDATA[Fractura osteoporótica]]></kwd>
<kwd lng="en"><![CDATA[Phosphaturia]]></kwd>
<kwd lng="en"><![CDATA[Abdominal aortic calcification]]></kwd>
<kwd lng="en"><![CDATA[Osteporotic fracture]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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