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We studied the association of the baseline PTH and 25-hydroxycholecalciferol (25OHD) levels with the prospectively assessed deterioration of bone microarchitecture and in estimated bone strength in older men. Distal radius and tibia bone microarchitecture was assessed by high-resolution peripheral quantitative computed tomography (HR-pQCT) at baseline, then after 4 and 8\u2009years in 826 men aged 60\u201387\u2009years. At distal radius, total bone mineral density (Tt.BMD), cortical thickness (Ct.Thd), cortical area (Ct.Ar), cortical BMD (Ct.BMD), and trabecular BMD (Tb.BMD) decreased, whereas trabecular area (Tb.Ar) increased more rapidly in men with 25OHD\u2009\u226420\u2009ng\/mL versus the reference group (&amp;gt;30\u2009ng\/mL). Men with 25OHD\u2009\u226410\u2009ng\/mL had faster decrease in reaction force and failure load than men with 25OHD\u2009&amp;gt;30\u2009ng\/mL. At the distal tibia, Tt.BMD, Ct.Thd, Ct.Ar, Ct.BMD, failure load, and reaction force decreased, whereas Tb.Ar increased more rapidly in men with 25OHD between 10 and 20\u2009ng\/mL versus the reference group. The results were similar when 12\u2009ng\/mL was used as a threshold of severe vitamin D deficiency. At distal radius, men with PTH levels above the median (&amp;gt;44\u2009pg\/mL) had more rapid decrease in Tt.BMD, Ct.Ar, Ct.BMD, Ct.Thd, reaction force, and failure load, and more rapid increase in Tb.Ar versus the lowest quartile (\u226434\u2009pg\/mL). At the distal tibia, men in the highest PTH quartile had faster decrease in Tt.BMD, Ct.Thd, Ct.Ar, Ct.BMD, reaction force, and failure load and faster increase in Tb.Ar versus the lowest quartile. The results were similar in men with glomerular filtration rate\u2009&amp;gt;60\u2009mL\/min. The results were similar in men who took no vitamin D or calcium supplements for 8\u2009years. In summary, vitamin D deficiency and secondary hyperparathyroidism are associated with more rapid prospectively assessed cortical and trabecular bone decline in older men. \u00a9 2022 American Society for Bone and Mineral Research (ASBMR).<\/jats:p>","DOI":"10.1002\/jbmr.4657","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T06:19:35Z","timestamp":1658816375000},"page":"1903-1914","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Association of Vitamin D and Parathyroid Hormone Status With the Aging-Related Decline of Bone Microarchitecture in Older Men: The Prospective Structure of Aging Men's Bones (STRAMBO) Study"],"prefix":"10.1093","volume":"37","author":[{"given":"Audrey","family":"Bobillier","sequence":"first","affiliation":[{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM) Unit\u00e9 Mixtes de Recherche (UMR) 1033 University of Lyon, H\u00f4pital Edouard Herriot Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Wagner","sequence":"additional","affiliation":[{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM) Unit\u00e9 Mixtes de Recherche (UMR) 1033 University of Lyon, H\u00f4pital Edouard Herriot Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle E.","family":"Whittier","sequence":"additional","affiliation":[{"name":"McCaig Institute for Bone and Joint Health, Department of Radiology, Cumming School of Medicine University of Calgary Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"Ecochard","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Lyon Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2930-5997","authenticated-orcid":false,"given":"Steven K.","family":"Boyd","sequence":"additional","affiliation":[{"name":"McCaig Institute for Bone and Joint Health, Department of Radiology, Cumming School of Medicine University of Calgary Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8214-6385","authenticated-orcid":false,"given":"Roland","family":"Chapurlat","sequence":"additional","affiliation":[{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM) Unit\u00e9 Mixtes de Recherche (UMR) 1033 University of Lyon, H\u00f4pital Edouard Herriot Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4168-6697","authenticated-orcid":false,"given":"Pawel","family":"Szulc","sequence":"additional","affiliation":[{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM) Unit\u00e9 Mixtes de Recherche (UMR) 1033 University of Lyon, H\u00f4pital Edouard Herriot Lyon 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