PMID- 26244490 OWN - NLM STAT- MEDLINE DCOM- 20160113 LR - 20151007 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) VI - 100 IP - 10 DP - 2015 Oct TI - The Role of Bone Marrow Fat in Skeletal Health: Usefulness and Perspectives for Clinicians. PG - 3613-21 LID - 10.1210/jc.2015-2338 [doi] AB - CONTEXT: There is growing interest in the relationship between bone marrow fat (BMF), bone mineral density (BMD), and fractures. Moreover, BMF might be influenced by metabolic diseases associated with bone loss and fractures, such as type 2 diabetes mellitus (T2DM), anorexia nervosa (AN), and obesity. METHODS: The primary-source literature for this review was acquired using a PubMed search for articles published between January 2000 and April 2015. Search terms included BMF, BMD, fractures, T2DM, AN, and obesity. The titles and abstracts of all articles were reviewed for relevant subjects. RESULTS: Magnetic resonance imaging, with or without spectroscopy, was used to noninvasively quantify BMF in humans. A negative relationship was found between BMD and BMF in both healthy and osteopenic/osteoporotic populations. Data are lacking on the relationship between BMF and fractures. Studies in populations of individuals with metabolic diseases such as T2DM, AN, and obesity have shown BMF abnormalities. CONCLUSIONS: We conclude that most human data demonstrate an inverse relationship between BMF and BMD, but data on the relationship with fractures are inconsistent and need further study. In daily practice, the usefulness for clinicians of assessing BMF using magnetic resonance imaging is still limited. However, the perspectives are exciting, particularly in terms of improving the diagnosis and management of osteoporosis. FAU - Paccou, Julien AU - Paccou J AD - Universite de Lille (J.P., A.C., G.P., B.C.), Faculte de Chirurgie Dentaire, Place de Verdun, 59000 Lille, France; Service de Rhumatologie (J.P., B.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France; Universite du Littoral Cote (P.H.), 62327 Boulogne-sur-Mer, France; and Service d'Imagerie Musculo-Squelettique (A.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France. FAU - Hardouin, Pierre AU - Hardouin P AD - Universite de Lille (J.P., A.C., G.P., B.C.), Faculte de Chirurgie Dentaire, Place de Verdun, 59000 Lille, France; Service de Rhumatologie (J.P., B.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France; Universite du Littoral Cote (P.H.), 62327 Boulogne-sur-Mer, France; and Service d'Imagerie Musculo-Squelettique (A.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France. FAU - Cotten, Anne AU - Cotten A AD - Universite de Lille (J.P., A.C., G.P., B.C.), Faculte de Chirurgie Dentaire, Place de Verdun, 59000 Lille, France; Service de Rhumatologie (J.P., B.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France; Universite du Littoral Cote (P.H.), 62327 Boulogne-sur-Mer, France; and Service d'Imagerie Musculo-Squelettique (A.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France. FAU - Penel, Guillaume AU - Penel G AD - Universite de Lille (J.P., A.C., G.P., B.C.), Faculte de Chirurgie Dentaire, Place de Verdun, 59000 Lille, France; Service de Rhumatologie (J.P., B.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France; Universite du Littoral Cote (P.H.), 62327 Boulogne-sur-Mer, France; and Service d'Imagerie Musculo-Squelettique (A.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France. FAU - Cortet, Bernard AU - Cortet B AD - Universite de Lille (J.P., A.C., G.P., B.C.), Faculte de Chirurgie Dentaire, Place de Verdun, 59000 Lille, France; Service de Rhumatologie (J.P., B.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France; Universite du Littoral Cote (P.H.), 62327 Boulogne-sur-Mer, France; and Service d'Imagerie Musculo-Squelettique (A.C.), Centre Hospitalier Regional Universitaire, 59000 Lille, France. LA - eng PT - Journal Article PT - Review DEP - 20150805 PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 SB - IM MH - Adipose Tissue/metabolism/*pathology MH - *Bone Density MH - Bone Marrow/metabolism/*pathology MH - Fractures, Bone/*metabolism/pathology MH - Humans MH - Osteoporosis/metabolism/*pathology EDAT- 2015/08/06 06:00 MHDA- 2016/01/14 06:00 CRDT- 2015/08/06 06:00 PHST- 2015/08/06 06:00 [entrez] PHST- 2015/08/06 06:00 [pubmed] PHST- 2016/01/14 06:00 [medline] AID - 10.1210/jc.2015-2338 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2015 Oct;100(10):3613-21. doi: 10.1210/jc.2015-2338. Epub 2015 Aug 5.