Summary: Bone mineral density declines with increasing older age. We examined the levels of circulating factors known to regulate bone metabolism in healthy young and older adults. The circulating levels of dickkopf 1, osteocalcin, osteoprotegerin and sclerostin were positively associated with WBMD in older adults, despite the average WBMD being lower and circulating dickkopf 1, osteoprotegerin and sclerostin being higher in old than young.Purpose: To investigate the relationship between whole body bone mineral density (WBMD) and levels of circulating factors with known roles in bone remodelling during ‘healthy’ ageing.Methods: WBMD and fasting plasma concentrations of dickkopf 1, fibroblast growth factor 23, osteocalcin, osteoprotegerin, osteopontin and sclerostin were measured in 272 older subjects (69 to 81 years; 52% female) and 171 younger subjects (18 30 years; 53% female).Results: WBMD was lower in old than young.

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