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J Bone Metab. 2017 Feb;24(1):31-36. doi: 10.11005/jbm.2017.24.1.31. Epub 2017 Feb 28.

The Association between Dehydroepiandrosterone Sulfate (DHEA-S) and Bone Mineral Density in Korean Men and Women.

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Department of Family Medicine, Bundang CHA Medical Center, CHA University School of Medicine, Seoul, Korea.
Department of Endocrinology Internal Medicine, Chaum Life Center, CHA University School of Medicine, Seoul, Korea.
Anti-aging Center, Chaum Life Center, CHA University School of Medicine, Seoul, Korea.



The relationship between dehydroepiandrosterone sulfate (DHEA-S) and bone mineral density (BMD) is controversial. And findings of most studies that have investigated this relationship are restricted to postmenopausal women. In this study, we investigated the relationship between serum DHEA-S and BMD in both men and women.


This cross-sectional study evaluated a total of 294 healthy Korean participants through a medical examination program. And a subgroup of 154 participants was subjected to a longitudinal analysis. We measured BMD by dual energy X-ray absorptiometry and assayed DHEA-S by a chemiluminescent immunoassay.


We evaluated the association between serum DHEA-S concentration and BMD at the femur trochanter after adjusting for cofounders such as age, body mass index, lifestyle factors, serum cortisol level, serum insulin-like growth factor 1 (IGF-1) level, and sex. Through our longitudinal study, we found that the changes in BMD at the total spine, at the femur neck, and at the femur trochanter were all smaller in the ΔDHEA-S <0 group than in the ΔDHEA-S >0 group.


We found that there was a positive correlation between serum DHEA-S and femur BMD, which suggests that controlling serum DHEA-S levels may retard age-related BMD reduction in Koreans.


Aging; Bone density; Dehydroepiandrosterone sulfate; Osteoporosis

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