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. 2020 Aug 26;8:509. doi: 10.3389/fped.2020.00509

Table 3.

Frequency of aberrant findings suggesting impaired bone health.

BPH score items Fraction of patients affected Percentage of patients affected
Elevated PTH 18/122 14.8
Elevated or decreased TSAP/ BAP 43/128 33.6
Elevated or decreased DPD/NTX 10/98 10.2
Elevated or decreased Osteocalcin 11/79 13.9
Decreased urinary Ca excretion 3/118 2.5
Pathological fractures 8/121 6.6
Low BMD (DXA Z/HAZ < −2) 5/55 9.1
Bone pain (Knee or Back) 37/118 31.3
Osteonecrosis 16/128 12.5
Fractures of long bones 26/120 (4x2, 3x3) 15.9
25-OH VD deficiency (<20ng/ml) 89/124 71.8
Severe 25-OH VD def. (<10ng/ml) 43/124 34.7

Number and percentage of patients affected by altered parameters of calcium metabolism, bone metabolism, or notable clinical findings are displayed. For the assessment of the calcium metabolism, the following parameters were used: decreased calcium excretion in the urine (Ca:Crea ratio <0.01 mg/mg). For the assessment of bone metabolism, the following parameters were used: elevated levels of urinary N-terminal telopeptide (NTX) or urinary deoxypyridinoline (DPD), elevated total serum alkaline phosphatase (TSAP) and/or bone-specific alkaline phosphatase (BSAP) and elevated PTH. Bone-related pain in form of knee pain associated with exercise and recurrent back pain in the last month as well as the history of fractures of long bones was also included. “•” indicates a variable which is included in the BPH score.