OSTPRE Publications

Occupational risk factors for lumbar spinal stenosis: a systematic review. Kim, S Y, Salo S, Sund R, Sirola J, Kröger H, Yang M, Yoo H, Kang M-Y. Occupational Medicine (Accepted for publication).

A Multi-View Deep Evidential Learning Approach for Mammogram Density Classification. Gudhe NR, Mazen S, Sund R, Kosma V-M, Behravan H, Mannermaa A. IEEE Access. 2024; 12: 67889-67909. doi: 10.1109/ACCESS.2024.3399204.

A meta-analysis of previous falls and subsequent fracture risk in cohort studies. Vandenput L, Johansson H, McCloskey EV, Liu E, Schini M, Åkesson KE, Anderson FA, Azagra R, Bager CL, Beaudart C, Bischoff-Ferrari HA, Biver E, Bruyère O, Cauley JA, Center JR, Chapurlat R, Christiansen C, Cooper C, Crandall CJ, Cummings SR, da Silva JAP, Dawson-Hughes B, Diez-Perez A, Dufour AB, Eisman JA, Elders PJM, Ferrari S, Fujita Y, Fujiwara S, Glüer CC, Goldshtein I, Goltzman D, Gudnason V, Hall J, Hans D, Hoff M, Hollick RJ, Huisman M, Iki M, Ish-Shalom S, Jones G, Karlsson MK, Khosla S, Kiel DP, Koh WP, Koromani F, Kotowicz MA, Kröger H, Kwok T, Lamy O, Langhammer A, Larijani B, Lippuner K, McGuigan FEA, Mellström D, Merlijn T, Nguyen TV, Nordström A, Nordström P, O’Neill TW, Obermayer-Pietsch B, Ohlsson C, Orwoll ES, Pasco JA, Rivadeneira F, Schott AM, Shiroma EJ, Siggeirsdottir K, Simonsick EM, Sornay-Rendu E, Sund R, Swart KMA, Szulc P, Tamaki J, Torgerson DJ, van Schoor NM, van Staa TP, Vila J, Wareham NJ, Wright NC, Yoshimura N, Zillikens M, Zwart M, Harvey NC, Lorentzon M, Leslie WD, Kanis JA. Osteoporos Int. 2024;35(3):469-494.

Is work burden associated with postmenopausal breast cancer? A population-based 25-year follow-up. Kalliosaari M, Rikkonen T, Sund R, Tuppurainen M: Arch Gynecol Obstet. 2024 Dec 12.doi: 10.1007/s00404-024-07867-7. Online ahead of print.

Physical and mental health predicts better adherence to exercise intervention in older women: A post-hoc analysis. Laakso J, Kopra J, Koivumaa-Honkanen H, Sirola J, Honkanen R, Kröger H, Rikkonen T. Heliyon 2024 May 29;10(11):e32128. doi: 10.1016/j.heliyon. 2024.e32128. eCollection 2024 Jun 15.

Validation of a fall rate prediction model for community-dwelling older adults: a combined analysis of three cohorts with 1850 participants. Wapp C, Mittaz Hager AG, Rikkonen T, Hilfiker R, Biver E, Ferrari S, Kröger H, Zwahlen M, Zysset P. BMC Geriatr. 2024 Mar 27;24(1):287.

Body composition, balance, functional capacity and falls in older women. Nordling Y, Sund R, Sirola J, Kröger H, Isanejad M, Rikkonen T. Aging Clin Exp Res. 2024;36(1):76. Published online 2024 Mar 21. doi: 10.1007/240520-024-02719-5.

Previous fracture and subsequent fracture risk: a meta-analysis to update FRAX. Kanis JA, Johansson H, McCloskey EV, Liu E, Åkesson KE, Anderson FA, Azagra R, Bager CL, Beaudart C, Bischoff-Ferrari HA, Biver E, Bruyère O, Cauley JA, Center JR, Chapurlat R, Christiansen C, Cooper C, Crandall CJ, Cummings SR, da Silva JAP, Dawson-Hughes B, Diez-Perez A, Dufour AB, Eisman JA, Elders PJM, Ferrari S, Fujita Y, Fujiwara S, Glüer CC, Goldshtein I, Goltzman D, Gudnason V, Hall J, Hans D, Hoff M, Hollick RJ, Huisman M, Iki M, Ish-Shalom S, Jones G, Karlsson MK, Khosla S, Kiel DP, Koh WP, Koromani F, Kotowicz MA, Kröger H, Kwok T, Lamy O, Langhammer A, Larijani B, Lippuner K, Mellström D, Merlijn T, Nordström A, Nordström P, O’Neill TW, Obermayer-Pietsch B, Ohlsson C, Orwoll ES, Pasco JA, Rivadeneira F, Schott AM, Shiroma EJ, Siggeirsdottir K, Simonsick EM, Sornay-Rendu E, Sund R, Swart KMA, Szulc P, Tamaki J, Torgerson DJ, van Schoor NM, van Staa TP, Vila J, Wareham NJ, Wright NC, Yoshimura N, Zillikens MC, Zwart M, Vandenput L, Harvey NC, Lorentzon M, Leslie WD. Osteoporos Int. 2023;34 (12):2027-2045.

The diagnostic cut-off points for components of sarcopenia in Finnish Caucasian women: A retrospective cross-sectional study. Sjöblom S, Suuronen J, Rikkonen T, Honkanen R, Kröger H, Sirola J. Frailty Sarcopenia Falls. 2023 Dec 1;8(4):211-220. doi: 10.22540/JFSGF-08-211. eCollection 2023 Dec.

Long-term life satisfaction in ageing women with work disability due to mental and musculoskeletal disorders. Heikkinen J, Honkanen RJ, Quirk SE, Williams LJ, Koivumaa-Honkanen H. Maturitas 2023 Dec:178:1078:107849. doi: 10.1016/j.maturitas.2023.107849. Epub 2023 Sep 17.

Combining register and radiological visits data allows to reliably identify incident wrist fractures. Nissinen T, Sund R, Suoranta S, Kröger H, Väänänen SP. Clin Epidemiol 2023 Sep 20:15:1001-100´8. doi: 10.2147/CLEP.S421013.

Intra- and inter-observer agreement in distal radius fracture dislocation measurement of casting position. Paasikallio K, Sund R, Miettinen S, Kauranen S, Sorsa H, Kröger H, Sirola J. Acta Orthop. 2023 Jul 21;94:379-386. doi: 10.2340/17453674.2023.13707.

Predictive ability of a self-rated fall risk assessment tool in community-dwelling older women. Vilpunaho T, Karinkanta S, Sievänen H, Kopra J, Kröger H, Rikkonen T. Aging Clin Exp Res 2023 Jun;35(6):1205-1212. doi: 10.1007/s40520-023-02423-w. Epub 2023 May 5.

Effectiveness of exercise on fall prevention in community-dwelling older adults: a 2-year randomized controlled study of 914 women. Rikkonen T, Sund R, Koivumaa-Honkanen H, Sirola J, Honkanen R, Kröger H.  AgeAgeing. 2023 Apr 1;52(4):afad059. doi: 10.1093/ageing/ afad059. PMID: 37097767

Calcium Supplements and Risk of CVD: A Meta-Analysis of Randomized Trials. Huo X, Clarke R, Halsey J, Jackson R, Lehman A, Prince R, Lewis J, Baron JA, Kroger H, Sund R, Armitage J; Calcium Supplements Treatment Trialists’ Collaboration. Curr Dev Nutr. 2023 Feb 15;7(3):100046

Physical capability and patient-reported well-being after spinal surgery: a 20-year cohort from the Kuopio Osteoporosis Risk Factor and Prevention study combined with the Finnish Care Register for Health Care. Juopperi S, Sund R, Rikkonen T, Nyyssönen T, Kröger H, Turppo V, Sirola J. Acta Orthop. 2023 Jan 25;94:19-25. doi: 10.2340/ 17453674.2023.7129.

Välilevyrappeuman yhteys kliinisesti merkittävään lonkan ja polven nivelrikkoon. Salo S, Sund R, Rikkonen T, Huopio J, Hurri H, Kröger H, Sirola J. Suomen Ortopedia ja Traumatologia. 2023;46(2): 176-182.

Yleisimpien murtumien vaikutus liikuntakykyyn ja itseraportoituun terveydentilaan postmeno-pausaalisessa väestössä – kuvaileva väestöpohjainen tutkimus. Juopperi S, Sund R, Rikkonen T, Kröger H, Sirola J. Suomen Ortopedia ja Traumatologia. 2023;46(2): 182-187.

Comparing self-reports to national register data in the detection of disabling mental and musculoskeletal disorders among ageing women. Heikkinen J, Honkanen RJ, Williams LJ, Quirk S, Kröger H, Koivumaa-Honkanen H.  Maturitas. 2022 Jun 27;164:46-51. doi: 10.1016/j.maturitas.2022.06.007. Online ahead of print.

Dietary omega-3 polyunsaturated fatty acid and alpha-linolenic acid are associated with physical capacity measure but not muscle mass in older women 65-72 years. Isanejad M, Tajik B, McArdle A, Tuppurainen M, Sirola J, Kröger H, Rikkonen T, Erkkilä A. Eur J Nutr. 2022 Jun;61(4):1813-1821. doi: 10.1007/s00394-021-02773-z. Epub 2021 Dec 16.

Bipolar disorder and bone health: a case-control study. Williams L, Stuart A, Berk M, Brennan-Olsen S, Hodge J, Quirk S; Koivumaa-Honkanen H, Honkanen R, Heikkinen J, Chandrasekaran V, Cleminson, J, Pasco J.  J Affect Disord. 2022 Jul 1;308:39-43. doi: 10.1016/j.jad.2022.04.016. Epub 2022 Apr 6.

Characteristics of Long-Term Femoral Neck Bone Loss in Postmenopausal Women: A 25-Year Follow-Up. Moilanen A, Kopra J, Kröger H, Sund R, Rikkonen T, Sirola J. J Bone Miner Res. 2022 Feb;37(2):173-178. doi: 10.1002/jbmr.4444. Epub 2021 Oct 19

Association between severe lumbar disc szdegeneration and self-reported occupational physical loading. Salo S, Hurri H, Rikkonen T, Sund R, Kröger H, Sirola J. J Occup Health. 2022 Jan;64(1):e12316. doi: 10.1002/1348-9585.12316.

Comorbidity of mental and musculoskeletal disorders in ageing women: A data linkage study using national registries. Heikkinen J, Koivumaa-Honkanen H, Rauma P, Williams LJ, Quirk SE, Leung J, Honkanen RJ.  Maturitas. 2022 Jan;155:63-69. doi: 10.1016/j.maturitas. 2021.10.006. Epub 2021 Oct 21

Physical capacity, subjective health, and life satisfaction in older women: a 10-year follow-up study. Qazi SL, Koivumaa-Honkanen H, Rikkonen T, Sund R, Kröger H, Isanejad M, Sirola J.  BMC Geriatr. 2021 Nov 23;21(1):658. doi: 10.1186/s12877-021-02605-z.

Urban RCT participants were healthier than non-participants or rural women. Vilpunaho T, Sund R, Koivumaa-Honkanen H, Honkanen R, Kröger H, Rikkonen T. J Clin Epidemiol. 2021 Dec;140:44-55. doi: 10.1016/j.jclinepi.2021.08.032. Epub 2021 Sep 3 140:44-55. doi: 10.1016/j.jclinepi.2021.08.032.      

Physical capability after total joint arthroplasty: long-term population-based follow-up study of 6,462 women. Turppo V, Sund R, Huopio J, Kröger H, Sirola J. Acta Orthop. 2021 Oct;92(5):551-556. doi: 10.1080/17453674.2021.1922039. Online ahead of print. PMID: 33977808

Rannemurtuman virheasennon radiologisten mittausparametrien toistettavuus. Paasikallio K, Sund R, Miettinen S, Kauranen S, Sorsa H, Kröger H, Sirola. Suomen ortopedia ja traumatologia 2021;44(1): 49-53.

Kipulääkkeiden ostot ennen ja jälkeen lonkan ja polven tekonivelleikkauksen – 329720 tekonivel-leikkauksen rekisteritutkimus. Turppo V, Sund R, Huopio J, Kröger H, Sirola J. Suomen ortopedia ja traumatologia 2021;44(1): 142-5

Fyysisesti raskas työ voi altistaa lannerangan välilevyrappeumalle naisilla. Salo S, Hurri H, Rikkonen T, Sund R, Kröger H, Sirola J. Suomen ortopedia ja traumatologia 2021;44(1): 157-162

Liikuntakyky ja itsearvioitu hyvinvointi selkäleikkauksen jälkeen – 20 vuoden väestöpohjainen 7166 naisen tutkimus. Juopperi S, Sund R, Rikkonen T, Kröger H, Sirola J. Suomen ortopedia ja traumatologia 2021;44(1): 163-7

Exploring the comorbidity of musculoskeletal and personality disorders among adults: a scoping review protocol. Quirk SE, Koivumaa-Honkanen H, Honkanen R, Heikkinen J, Kavanagh BE, Willimas LJ. Syst Rev. 2021 Jun 21;10(1):182. doi: 10.1186/s13643-021-01721-6

Obesity is associated with early hip fracture risk in postmenopausal women: a 25-year follow-up. Rikkonen T, Sund R, Sirola J, Honkanen R, Poole K.E.S, Kröger H.  Osteoporos Int. 2021 Apr;32(4):769-777. doi: 10.1007/s00198-020-05665-w. Epub 2020 Oct 23

Detecting pathological features and predicting fracture risk from dual-energy X-ray absorptiometry images using deep learning. Nissinen T, Suoranta S, Saavalainen T, Sund R, Hurskainen O, Rikkonen T, Kröger H, Lähivaara T, Väänänen SP. Bone Rep 2021 Apr 24;14:101070. doi:10.1016/j.bonr.2021.101070. eCollection 2021 Jun.  

Association of Baltic Sea and Mediterranean diets with frailty phenotype in older women, Kuopio OSTPRE-FPS study. Alaghehband FR, Erkkilä AT, Rikkonen T, Sirola J, Kröger H, Isanejad M. Eur J Nutr. 2021 Mar;60(2):821-831. doi: 10.1007/s00394-020-02290-5. Epub 2020 May 27

Cardiovascular and musculoskeletal health disorders associate with greater decreases in physical capability in older women. Juopperi S, Sund R, Rikkonen T, Kröger H, Sirola J. BMC Musculoskelet Disord. 2021 Feb 16;22(1):192. doi: 10.1186/s12891-021-04056-4.

Metabolite Profiling of Osteoporosis and Atherosclerosis in Postmenopausal Women: A Cross-Sectional Study. Värri M, Niskanen L, Tuomainen TP, Honkanen R, Kröger H, Tuppurainen MT.  Vasc Health Risk Manag 2020 Dec 2;16:515-524. doi: 10.2147/VHRM.S279028. eCollection 2020.

Personality disorder and physical health comorbidities: a link with bone health? Williams LJ, Quirk SE, Koivumaa Honkanen H, Honkanen R, Pasco JA, Stuart AL, Kavanagh BE, Heikkinen J, Berk M.  Front. Psychiatry 2020 Dec 8;11:602342. doi: 10.3389/fpsyt.2020.602342.

Interaction of recommended levels of physical activity and protein intake is associated with greater physical function and lower fat mass in older women: Kuopio Osteoporosis Risk Factor- (OSTPRE) and Fracture-Prevention Study. Sjöblom S, Sirola J, Rikkonen T, Erkkilä AT, Kröger H, Qazi SL, Isanejad M. Br J Nutr. 2020 Apr 14;123(7):826-839. doi: 10.1017/S000711 4520000045.

Higher Protein Intake Is Associated With a Lower Likelihood of Frailty Among Older Women, Kuopio OSTPRE-Fracture Prevention Study. Isanejad M, Sirola J, Rikkonen T, Mursu J, Kröger H, Qazi SL, Tuppurainen M, Erkkilä AT. Eur J Nutr. 2020 Apr;59(3):1181.1189.

Depression, falls, and fractures. Afrin N, Honkanen R, Koivumaa-Honkanen H, Sund R, Rikkonen T, Williams L, Kröger H. Osteoporos Int. 2020 Jun;31(6):1173-1174. doi: 10.1007/s00198-020-05348-6.

A fall in the previous 12 months predicts fracture in the subsequent 5 years in postmenopausal women. Afrin N, Sund R, Honkanen R, Koivumaa-Honkanen H, Rikkonen T, Williams L, Kröger H. Osteoporos Int. 2020 May;31(5):839.847. doi: 10.1007/s00198-019-05255-5. Epub 2019 Dec 19.

Physical activity and Baltic Sea diet are interactively related to higher life satisfaction in community-living older Finnish women: OSTPRE-FPS study. Isanejad M, Koivumaa-Honkanen H, Ruiz de Santiago D, Honkanen R, Rikkonen T, Sirola J, Kröger H, Erkkilä AT. Br J Nutr. 2019 Dec 28;122(12):1417-1423. doi: 10.1017/ S000711451900240X.

Depressive disorders, anxiety disorders and subjective mental health in common musculoskeletal diseases: a review. Heikkinen J, Honkanen R, Williams L, Leung J, Rauma P, Quirk S, Koivumaa-Honkanen H. Maturitas 2019 Sep;127:18-25. doi: 10.1016/ j.maturitas.2019.05.011. Epub 2019 May 29.

Randomised controlled trial (RCT) study design for a large-scale municipal fall prevention exercise programme in community-living older women: study protocol for the Kuopio Fall Prevention Study (KFPS). Vilpunaho T, Kröger H, Honkanen R, Koivumaa-Honkanen H, Sirola J, Kuvaja-Köllner V, Sund R,Rikkonen T. BMJ Open. 2019 Jun 21;9(6):e028716. doi: 10.1136/bmjopen-2018-028716.

High Postural Sway Is an Independent Risk Factor for Osteoporotic Fractures but Not for Mortality in Elderly Women. Qazi SL, Sirola J, Kröger H,Honkanen R, Isanejad M, Airaksinen O, Rikkonen T.J Bone Miner Res. 2019 May;34(5):817-824. doi: 10.1002/jbmr.3664. Epub 2019 Feb 27. PMID: 30811685

Effects of ethinyl estradiol-containing oral contraception and other factors on body composition and muscle strength among young healthy females in Finland-A cross- sectional study. Suuronen J, Sjöblom S, Tuppurainen M,Honkanen R, Rikkonen T, Kröger H, Sirola J. Eur J Obstet Gynecol Reprod Biol 2019 Jan;232:75-91. doi: 10.1016/j.ejogrb.2018.11.015. Epub 2018 Nov 22.

Cross-Validation of Arthroplasty Records Between Arthroplasty and Hospital Discharge Registers, Self-Reports, and Medical Records Among a Cohort of 14,220 Women. Turppo V, Sund R, Sirola J, Kröger H, Huopio J.  J Arthroplasty. 2018 Dec;33(12):3649-3654. doi: 10.1016/j.arth.2018.08.010. Epub 2018 Aug 13

Role of musculoskeletal disorders in falls of postmenopausal women. Afrin N, Honkanen, R; Koivumaa-Honkanen, H; Sund, R; Rikkonen, T; Williams, L; Kröger, H.Osteoporosis International 2018 Nov;29(11):2419-2426 (First online 16 July 2018]

Pulse-echo ultrasound method for detection of postmenopausal women with osteoporotic BMD. Karjalainen JP, Riekkinen, O; Kröger, H. Osteoporosis International 2018 29 5:1193-1199

Long-term effects of functional impairment on fracture risk and mortality in postmenopausal women. Rikkonen T, Poole K, Sirola, J: Sund, R; Honkanen, R; Kröger, H. Osteoporosis International 2018 Sep;29(9):2111-2120. doi: 10.1007/s00198-018-4588-4. Epub 2018 Jun 2

Cost-effectiveness of pulse-echo ultrasonometry in osteoporosis management. Soini E, Riekkinen, O; Kröger, H; Mankinen, P; Hallinen, T; Karjalainen, JP.  Clinico Economics and Outcomes Research 2018 10:279-292

Association of the Baltic Sea and Mediterranean diets with indices of sarcopenia in elderly women, OSPTRE-FPS study. Isanejad M, Sirola J, Mursu J, Rikkonen T, Kröger H, Tuppurainen M, Erkkilä AT.  Eur J Nutr. 2018 Jun;57(4):1435-1448. Epub 2017 Mar 16. doi:10.1007/s00394-017-1422-2.

Dietary fatty acids were not independently associated with lipoprotein subclasses in elderly women. Alaghehband FR, Lankinen M, Värri M, Sirola J, Kröger H, Erkkilä AT. Nutr Res. 2017 Jul;43:60-68. doi: 10.1016/j.nutres.2017.05.014.Epub 2017 May 24. PubMed PMID: 28739055

Associations of Baltic Sea and Mediterranean dietary patterns with bone mineral density in elderly women. Erkkilä AT, Sadeghi H, Isanejad M, Mursu J, Tuppurainen m, Kröger H. Public Health Nutrition 2017 20;15:2735-43.

Postmenopausal hormone therapy and Alzheimer disease. A prospective cohort study.  Imtiaz B, Tuppurainen M, Rikkonen T, Kivipelto M, Soininen H, Kröger H, Tolppanen A-M. NEUROLOGY 2017 Mar14;(88)11:1062-1068.

Association of Protein Intake with Bone Mineral Density and Bone Mineral Content among Elderly Women: The OSTPRE Fracture Prevention Study. Isanejad M, Sirola J, Mursu J, Kröger H, Tuppurainen M, Erkkilä AT. J Nutr Health Aging.2017;21(6):622-630. doi: 10.1007/s12603-016-0800-4. PubMed PMID: 28537325

Relationship of body anthropometric measures with skeletal muscle mass and strength in a reference cohort of young Finnish women. Qazi SL, Rikkonen T, Kröger H, Honkanen R, Isanejad M, Airaksinen O, Sirola J. J Musculoskelet Neuronal Interact. 2017 Sep 1;17(3):192-196.

Personality disorder is an excess risk factor for physical multimorbidity among women with mental state disorders. Quirk SE, Stuart AL, Berk M, Pasco JA, Brennan Olsen SL, Koivumaa-Honkanen H, Honkanen R, Lukkala PS, Chanen AM, Kotowicz M, Williams LJ.Psychiatry Res 2017; 257:546-549. doi: 10.1016/ j.psychres.2017.08.010

The prevalence, age distribution and comorbidity of personality disorders in Australian women. Quirk SE, Berk M, Pasco JA, Brennan-Olsen1SL, Chanen AM, Koivumaa-Honkanen H, Burke L, Jackson HJ, Hulbert C, Olsson G, Moran P, StuartAL, Williams LJ. ANZJP 2017;51(2):141-150. doi: 10.1177/0004867416649032.

Kehon huojunnan yhteys pienienergiaisiin murtumiin ja mortaliteettiin postmenopausaalisilla naisilla. Qazi SL, Sirola J, Rikkonen T, Honkanen R, Isanejad M, Airaksinen O, Kröger H. Suomen Ortopedia ja Traumatologia 2017 40;3:152-154. In Finnish.

Inclusion of Regional Body Composition Parameters Improves Bone Mineral Density Cross-Calibration Between GE Lunar Prodigy and iDXA Densitometers. Saarelainen J, Hakulinen M, Rikkonen T, Kröger H, Koivumaa-Honkanen H, Honkanen R, Jurvelin JS. J Clin Densitom. 2017 Jan – Mar 20(1):97-105. doi 10.1016/j.jocd.2016.07.006. Epub 2016 Aug 18. PubMed PMID: 27546558.

Multimorbidity predicts falls differentially according to the type of fall in postmenopausal women. Afrin N, Honkanen R, Koivumaa-Honkanen H, Lukkala P, Rikkonen T, Sirola J, Williams LJ, Kröger H. Maturitas. 2016 Sep;91:19-24. doi: 10.1016/imaturitas. 2016.05.004. Epub 2016 May 26. PubMed PMID: 27451317.

Dietary protein intake is associated with better physical function and muscle strength among elderly women. Isanejad M, Mursu J, Sirola J, Kröger H, Rikkonen T, Tuppurainen M, Erkkilä AT. Br J Nutr. 2016 Apr 14;115(7):1281-91. doi: 10.1017/S000711451600012X. Epub 2016 Feb 9. PubMed PMID: 26857389.

New method for point-of-care osteoporosis screening and diagnostics. Karjalainen JP, Riekkinen O, Töyräs J, Jurvelin JS, Kröger H. Osteoporos Int. 2016 Mar;27(3):971-7. doi: 10.1007/s00198-015-3387-4. Epub 2015 Nov 10. PubMed PMID: 26556741.

Life Satisfaction and Morbidity among Postmenopausal Women. Lukkala PS, Honkanen RJ, Rauma PH, Williams LJ, Quirk SE, Kröger H, Koivumaa-Honkanen H. PLoS One. 2016 Jan 22;11(1):e0147521. doi: 10.1371/journal.pone.0147521. eCollection 2016. PubMed PMID: 26799838; PubMed Central PMCID: PMC4723073

Cross-Calibration of GE Healthcare Lunar Prodigy and iDXA Dual-Energy X-Ray Densitometers for Bone Mineral Measurements. Saarelainen J, Hakulinen M, Rikkonen T, Kröger H, Tuppurainen M, Koivumaa-Honkanen H, Honkanen R, Hujo M, Jurvelin JS. J Osteoporos. 2016;2016:1424582. doi: 10.1155/2016/ 1424582. Epub 2016 Apr 27. PubMed PMID: 27239366; PubMed Central PMCID: PMC4863119.

Association of adipokines and estradiol with bone and carotid calcifications in postmenopausal women. Värri M, Niskanen L, Tuomainen T, Honkanen R, Kröger H, Tuppurainen MT. Climacteric. 2016 Apr;19(2):204-11. doi: 10.3109/13697137.2016.1139563. Epub 2016 Feb 5. PubMed PMID: 26849745.

Effects of antidepressants on postmenopausal bone loss – A 5-year longitudinal study from the OSTPRE cohort. Rauma PH, Honkanen RJ, Williams LJ, Tuppurainen MT, Kröger HP, Koivumaa-Honkanen H. Bone. 2016 Aug;89:25-31. doi: 10.1016/j.bone.2016.05.003. Epub 2016 May 11. PubMed PMID: 27179631.

The relationship of severe health disorders with bone loss, grip strength, and mobility in postmenopausal women – a 15-year follow-up study. Suuronen J, Sjöblom S, Honkanen R, Koivumaa-Honkanen H, Kröger H, Sirola J, Rikkonen T. Disabil Rehabil. 2016 Jul;38(14):1407-14. Published online 22 Dec 2015. DOI: 10.3109/09638288. 2015.1103789

Bone loss and wrist fractures after withdrawal of hormone therapy: The 15-year follow-up of the OSTPRE cohort. Saarelainen J, Hassi S, Honkanen R, Koivumaa-Honkanen H, Sirola J, Kröger H, Komulainen MH, Tuppurainen M. Maturitas. 2016 Mar;85:49-55. doi: 10.1016/ j.maturitas.2015.12.011. Epub 2015 Dec 28.

Physical health comorbidities in women with personality disorder: data from the Geelong Osteoporosis Study. Quirk SE, Stuart AL, Brennan-Olsen SL, Pasco JA, Berk M, Chanen AM, Koivumaa-Honkanen H, Kotowicz MA, Lukkala PS, Williams LJ. European Psychiatry 2016; 34: 29–35.. Eur Psychiatry 2016;34:29-35. doi: 10.1016/j.eurpsy.2015.12.007.

Population prevalence of personality disorder and associations with physical health comorbidities and health care service utilization: A review. Quirk SE, Berk M, Chanen AM, Koivumaa-Honkanen H, Brennan-Olsen SL, Pasco JA, Williams LJ. Personal Disord 2016;7(2):136-46. doi: 10.1037/per0000148. Epub 2015 Oct 12.PMID: 26461047

Psychiatric disorders, psychotropic medication use and falls among women: an observational study. Williams LJ, Pasco JA, Stuart AL, Jacka FN, Brennan SL, Dobbins AG, Honkanen RH, Koivumaa-Honkanen H, Rauma P, Berk M. BMC psychiatry 2015;15:75. doi: 10.1186/s12888-015-0439-4. PMID: 25884941

The association between major depressive disorder, use of antidepressants and bone mineral density (BMD) in men. Rauma PH, Pasco JA, Berk M, Stuart AL, Koivumaa-Honkanen H, Honkanen RJ, Hodge JM, Williams LJ.  J Musculoskelet Neuronal Interact. 2015 Jun;15(2):177-85

The association between use of antidepressants and bone quality using quantitative heel ultrasound. Rauma PH, Pasco JA, Berk M, Stuart AL, Koivumaa-Honkanen H, Honkanen RJ, Hodge JM, Williams LJ. Aust NZ J Psychiatry. 2015 May;49(5):437-43

Association of protein intake with the change of lean mass among elderly women: The Osteoporosis Risk Factor and Prevention – Fracture Prevention Study (OSTPRE-FPS). Isanejad M, Mursu J, Sirola J, Kröger H, Rikkonen T, Tuppurainen M, Erkkilä AT. J Nutr Sci. 2015 Dec 16;4:e41. doi: 10.1017/jns.2015.31. eCollection 2015 

Psychiatric disorders, Psychotropic medication use and falls among women: an observational study. Willams LJ, Pasco JA, Stuart AL, Jacka FN, Brennan SL, Dobbins AG, Honkanen R, Koivumaa-Honkanen H, Rauma PH, Berk M: BMC Psychiatry 2015;15:75. DOI 10.1186/s12888-015-0439-4

Life satisfaction and bone mineral density among postmenopausal women – Cross-sectional and longitudinal associations. Rauma P, Koivumaa-Honkanen H, Williams L, Tuppurainen M, Kröger H, Honkanen R: Psychosomatic Med 2014 Nov-Dec;76(9):709-15. doi: 10.1097/ PSY.0000000000000114.

Impact of Femoral Neck and Lumbar Spine BMD Discordances on FRAX Probabilities in Women: A Meta-analysis of International Cohorts. Johansson H, Kanis JA, Odén A, Leslie WD, Fujiwara S, Glüer CC, Kroger H, LaCroix AZ, Lau E, Melton LJ 3rd, Eisman JA, O’Neill TW, Goltzman D, Reid DM, McCloskey E. Calcif Tissue Int 2014 Nov;95(5):428-35. doi: 10.1007/s00223-014-9911-2. Epub 2014 Sep 4.

Association between bone mineral density and lumbar disc degeneration. Salo S, Leinonen V, Rikkonen T, Vainio P, Marttila J, Honkanen R, Tuppurainen M, Kröger H. Maturitas. 2014 Dec;79(4):449-55. Epub Maturitas 2014, Sep 22. pii: S0378-5122(14)00290-4. doi: 10.1016/j.maturitas.2014.09.003.

Carotid intima-media thickness and calcification in relation to bone mineral density in postmenopausal women – the OSTPRE-BBA study. Värri M, Tuomainen TP, Honkanen R, Rikkonen T, Niskanen L, Kröger H, Tuppurainen MT. Maturitas 2014 Aug;78(4):304-9. doi: 10.1016/j.maturitas.2014.05.017. Epub 2014 Jun 2.

Evaluation of the FRAX Model for Hip Fracture Predictions in the Population-based Kuopio Osteoporosis Risk Factor and Prevention Study (OSTPRE). Sund R, Honkanen R, Johansson H, Odén A, McCloskey E, Kanis J, Kröger H. Calcif Tissue Int.2014 Jul;95(1):39-45

A meta-analysis of the association of fracture risk and body mass index in women. Johansson H, Kanis JA, Odén A, McCloskey E, Chapurlat RD, Christiansen C, Cummings SR, Diez-Perez A, Eisman JA, Fujiwara S, Glüer CC, Goltzman D, Hans D, Khaw KT, Krieg MA, Kröger H, Lacroix AZ, Lau E, Leslie WD, Mellström D, Melton LJ 3rd, O’Neill TW, Pasco JA, Prior JC, Reid DM, Rivadeneira F, van Staa T, Yoshimura N, Zillikens MC. J Bone Miner Res. 2014 Jan;29(1):223-33. doi:10.1002/jbmr.2017

[FRAX fracture risk calculator in the diagnostics and treatment of osteoporosis]. Kröger H. Duodecim. 2013;129(11):1149-52. Review. Finnish

Osteoporosis in the European Union: a compendium of country-specific reports. Svedbom A, Hernlund E, Ivergård M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jönsson B, Kanis JA; EU Review Panel of IOF. Arch Osteoporos. 2013;8(1-2):137

The relationship between self-reported and registry-based data on use of psychoactive medications in postmenopausal women. Rauma PH, Koivumaa-Honkanen H, Kröger H, Tuppurainen MT, Kauhanen J, Honkanen RJ. BMC Psychiatry. 2013 Jul 2;13:180. doi: 10.1186/1471-244X-13-180

Relationship between postmenopausal osteoporosis and the components of clinical sarcopenia. Sjöblom S, Suuronen J, Rikkonen T, Honkanen R, Kröger H, Sirola J. Maturitas 2013 Jun;75(2):175-80. [doi: 10.1016/ j.maturitas.2013.03.016. Epub 2013 Apr 28]

Alcohol consumption and bone mineral density in elderly women. Sommer I, Erkkilä AT, Järvinen R, Mursu J, Sirola J, Jurvelin JS, Kröger H, Tuppurainen M. Public Health Nutrition 2013 Apr;16(4):704-12 [Epub 2012, Jul 17, CJO 2012 doi:10.1017/S136898001200331X]

Muscle Strength and Body Composition Are Clinical Indicators of Osteoporosis. Rikkonen T, Sirola J, Salovaara K, Tuppurainen M, Jurvelin JS, Honkanen R, Kröger H. Calcif Tissue Int 2012 Aug;91(2):131-8 [Epub 2012 June 26]

HT and SERMs in the long-term management of osteoporosis. Tuppurainen M. Minerva Gynecol 2012 Jun;64(3):195-205

Validation of a semi-quantitative FFQ using food records as a reference in older women in the Kuopio Fracture Prevention Study (OSTPRE-FPS). Erkkilä AT, Järvinen R, Karvonen H, Keronen L, Tuppurainen MT. Public Health Nutr. 2012 Apr;15(4):635-9. Epub 2011 Nov 29.

Associations of dietary polyunsaturated fatty acids with bone mineral density in elderly women. Järvinen R, Tuppurainen M, Erkkilä AT, Penttinen P, Kärkkäinen M, Salovaara K, Jurvelin JS, Kröger H. Eur J Clin Nutr. 2012 Apr;66(4):496-503. Epub 2011 Nov 23. doi: 10.1038/ejcn.2011.188.

Multi-site bone ultrasound measurements in elderly women with and without previous hip fractures. Karjalainen JP, Riekkinen O, Töyräs J, Hakulinen M, Kröger H, Rikkonen T, Salovaara K, Jurvelin JS. Osteoporos Int. 2012 Apr;23(4):1287-95. Epub 2011 Jun 9.

Body mass index and bone loss among postmenopausal women: the 10-year follow-up of the OSTPRE cohort. Saarelainen J, Kiviniemi V, Kröger H, Tuppurainen M, Niskanen L, Jurvelin J, Honkanen R. J Bone Miner Metab. 2012 Mar;30(2):208-16. Epub 2011 Sep 22.

Should risk of bone fragility restrict weight control for other health reasons in postmenopausal women? – A ten-year prospective study. Sirola J, Rikkonen T, Tuppurainen M, Honkanen R, Kröger H. Maturitas. 2012 Feb;71(2):162-8. Epub 2011 Dec 16.

Official Positions for FRAX(®) Clinical Regarding International Differences From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX(®). Cauley JA, El-Hajj Fuleihan G, Arabi A, Fujiwara S, Ragi-Eis S, Calderon A, Chionh SB, Chen Z, Curtis JR, Danielson ME, Hanley DA, Kroger H, Kung AW, Lesnyak O, Nieves J, Pluskiewicz W, El Rassi R, Silverman S, Schott AM, Rizzoli R, Luckey M; FRAX(®) Position Conference Members. J Clin Densitom. 2011 Jul-Sep;14(3):240-62

Calcium and vitamin D in promotion of postmenopausal bone health. Honkanen R, Kärkkäinen M, Kröger H.  Womens Health (Lond Engl). 2010 Nov;6(6):773-6. Erratum in: Womens Health (Lond Engl). 2011 Mar;7(2):256

Body fat distribution is associated with lumbar spine bone density independently of body weight in postmenopausal women. Saarelainen J, Honkanen R, Kröger H, Tuppurainen M, Jurvelin JS, Niskanen L. Maturitas. 2011 May;69(1):86-90. Epub 2011 Mar 9

Similarities in acquired factors related to postmenopausal osteoporosis and sarcopenia. Sirola J, Kröger H. J Osteoporos. 2011;2011:536735. Epub 2011 Aug 28

Bone health-related factors and the use of bisphosphonates in community setting-15-year follow-up study. Sirola J, Salovaara K, Rikkonen T, Kärkkäinen M, Tuppurainen M, Jurvelin JS, Honkanen R, Kröger H. Osteoporos Int. 2011 Jan;22(1):255-64. Epub 2010 Apr 27

Calcium and vitamin D in promotion of postmenopausal bone health. Kröger H, Kärkkäinen M, Honkanen R. Womens Health (Lond Engl). 2010 Nov;6(6):773-6

Effects of continuous combined hormone replacement therapy and clodronate on bone mineral density in osteoporotic postmenopausal women: A 5-year follow-up. Tuppurainen M, Härmä K, Komulainen M, Kiviniemi V, Kröger H, Honkanen R, Alhava E, Jurvelin J, Saarikoski S. Maturitas. 2010 Aug;66(4):423-30. Epub 2010 May 23.

Physical activity slows femoral bone loss but promotes wrist fractures in postmenopausal women – a 15-year follow-up of OSTPRE-study. Rikkonen T, Salovaara K, Sirola J, Kärkkäinen M, Tuppurainen M, Jurvelin J, Honkanen R, Alhava E, Kröger H. J Bone Miner Res 2010 Nov;25(11):2332-40.

Effect of calcium and vitamin-D supplementation on bone mineral density in women aged 65-71 years – a 3-year randomized, population-based trial. Kärkkäinen M, Tuppurainen M, Salovaara K, Sandini L, Rikkonen T, Sirola J, Honkanen R, Jurvelin J, Alhava E, Kröger H. Osteoporos Int. 2010 Dec;21(12):2047-55. Epub 2010 Mar 4.

Effect of Vitamin-D3 and calcium on fracture risk in 65- to 71-year old women – a population-based 3-year randomized controlled clinical trial. Salovaara KTJ, Tuppurainen M, Kärkkäinen M, Rikkonen T, Sandini L, Sirola J, Honkanen R, Alhava E, Kröger HP. J Bone Miner Res 2010 Jan 29;25(7):1487-1495

Bone Loss Rate May Interact With Other Risk Factors for Fractures Among Elderly women – A 15-year Population-Based Study. Sirola J, Koistinen A-K, Salovaara K, Rikkonen T, Tuppurainen M, Jurvelin JS, Honkanen RJ, Alhava E, Kröger H.  J Osteoporos. 2010 Feb 22;2010:736391 [Epub ahead of print]

Does the Daily Vitamin-D 800 IU and Calcium 1000 mg Supplementation Decrease the Risk of Falling in Ambulatory Women Aged 65 to 71 Years? A Three Year Randomized, Population-Based Trial (OSTPRE-FPS). Kärkkäinen M, Tuppurainen M, Salovaara K, Sandini L, Rikkonen T, Sirola J, Honkanen R, Arokoski J, Alhava E, Kröger H. Maturitas 2010 Apr;65(4):359-65. Epub 2010 Jan 8.

Correlates and predictors of self-rated health and ambulatory status among elderly women – Cross-sectional and 10 years population-based cohort study. Sirola J, Tuppurainen M, Rikkonen T, Honkanen R, Koivumaa-Honkanen H, Kroger H. Maturitas 2010 Mar;65(3):244-52. Epub 2009 Dec 16.

Physical tests for patient selection for bone mineral density measurements in postmenopausal women. Kärkkäinen M, Rikkonen T, Kröger H, Sirola J, Tuppurainen M, Salovaara K, Arokoski J, Jurvelin J, Honkanen R, Alhava E. Bone 2009 Apr;44(4):660-5. Epub 2008 Dec 24.

Hormone therapy protects from diabetes: the Kuopio Osteoporosis Risk Factor and Prevention Study. Pentti K, Tuppurainen M, Honkanen R, Sandini L, Kroger H, Alhava E, Saarikoski S. Eur J Endocrinol. 2009 Jun;160(6):979-83 Epub 2009 Mar 25.

Use of calcium supplements and the risk of coronary heart disease in 52-62-year-old women: The Kuopio Osteoporosis Risk Factor and Prevention Study. Pentti K, Tuppurainen MT, Honkanen R, Sandini L, Kröger H, Alhava E, Saarikoski S.  Maturitas. 2009 May 20;63(1):73-8. Epub 2009 Apr 24.

Nilkkamurtumien vaaratekijät – OSTPRE-murtumakohortin väestöpohjainen riskitekijäanalyysi 13,9 vuoden seurannassa. Salovaara K, Hietala J, Sirola J, Rikkonen T, Tuppurainen M, Kröger H. Suomen Ortopedia ja Traumatologia 2009;32(3):310-313. [in Finnish].

Sister’s fracture history may be associated with perimenopausal bone fragility and modifies the predictability of fracture risk. Sirola J, Salovaara K, Tuppurainen M, Jurvelin J.S, Alhava E, Kroger H. Osteoporos Int. 2009 Apr;20(4):557-65. Epub 2008 Jul 26.

HRT and Vit D in prevention of vertebral fractures in postmenopausal women; a 5-year randomized trial. Komulainen MH, Kröger H, Tuppurainen MT, Heikkinen AM, Alhava E, Honkanen R, Saarikoski S. Maturitas 2008 Sep-Oct;61(1-2):85-94

Association between functional capacity tests and fractures – An eight-year prospective population-based cohort study. Kärkkäinen M, Rikkonen T, Kröger H, Sirola J, Tuppurainen MT, Salovaara K, Arokoski J, Jurvelin J, Honkanen R, Alhava E. Osteoporos Int. 2008 Aug;19(8):1203-10. Epub 2008 Jan 31.

Agreement of self-reported estrogen use with prescription data. An analysis of women from the Kuopio Osteoporosis Risk Factor and Prevention Study (OSTPRE). Sandini L, Pentti K, Tuppurainen M, Kröger H, Honkanen R. Menopause 2008 March/April;15(2):282-289. Epub 2007, Nov 7.

Grip Strength May Facilitate Fracture Prediction in Perimenopausal Women with Normal BMD: A 15-Year Population-Based Study. Sirola J, Rikkonen T, Tuppurainen M, Jurvelin JS, Alhava E, Kröger H. Calcif Tissue Int. 2008 Aug;83(2):93-100. Epub 2008 Jul 19.

Is discordance in bone measurements affected by body composition or anthropometry? A comparative study between peripheral and central devices. Saarelainen J, Rikkonen T, Honkanen R, Kröger H, Tuppurainen M, Niskanen L, Jurvelin JS. J Clin Densitom. 2007 Jul-Sep;10(3):312-8. Epub J Clin Densitom  2007 Apr 23.

The use of multiple sites for the diagnosis of osteoporosis. Kanis JA, Johnell O, Oden A, Johansson H, Eisman JA, Fujiwara S, Kroger H, Honkanen R, Melton LJ 3rd, O’Neill T, Reeve J, Silman A, Tenenhouse A. Osteoporos. Int. 2006; 17(4):527-534.

Hormone replacement therapy and mortality in 52- to 70-year-old women: The Kuopio osteoporosis risk factor and prevention study. Pentti K, Honkanen R, Tuppurainen MT, Sandini L, Kroger H, Saarikoski S.  Eur J Endocrinol. 2006; 154(1):101-107.

Fracture risk and bone density of peri- and early postmenopausal women with uterine leiomyomas. Randell KM, Honkanen RJ, Tuppurainen MT, Kroger H, Jurvelin JS, Saarikoski S. Maturitas. 2006; 53(3):333-342. Epub 2005 Jul 12.

Distance of walking in childhood and femoral bone density in perimenopausal women. Rikkonen T, Tuppurainen M, Kröger H, Jurvelin J, Honkanen R. Eur J Appl Physiol. 2006 Jul;97(5):509-15. Epub 2006 May 23.

Kustannustehokkuutta osteoporoosin diagnostiikkaan. Mikkelin osteoporoosi-indeksi MOI. Sirola J, Kiviniemi V, Tuppurainen M, Waris V, Waris P.  Erikoislääkäri 2006;16(3):101-4. [in Finnish].

Maintenance of muscle strength may counteract weight-loss-related postmenopausal bone loss – a population-based approach. Sirola J, Rikkonen T, Tuppurainen M, Honkanen R, Jurvelin JS, Kroger H. Osteoporos Int. 2006;17:775-782. Epub 2006 Feb 21.

Association of grip strength change with menopausal bone loss and related fractures: A population-based follow-up study. Sirola J, Rikkonen T, Tuppurainen M, Jurvelin JS, Kroger H. Calcif Tissue Int. 2006; 78(4):218-226.

Mikkelin Osteoporoosi-indeksi (MOI) ennustaa osteoporoottisia murtumia. Sirola J, Waris V, Tuppurainen M, Kiviniemi V, Waris P.Suomen Ortopedia ja Traumatologia 2006;29(3):310 312. [in Finnish].

Periytyvätkö osteoporoosi ja luunmurtumat? Tuppurainen M, Kröger H, Mahonen A. Duodecim  2006;122 (2):133-4 [in Finnish]

Role of chronic health disorders in perimenopausal fractures. Huopio J, Honkanen R, Jurvelin J, Saarikoski S, Alhava E, Kroger H. Osteoporos Int. 2005 Nov;16(11):1404-11.  Epub 2005 Mar 1:DOI:10:1007/s00198-005-1851-2.

Predictive value of BMD for hip and other fractures. Johnell O, Kanis JA, Oden A, Johansson H, De Laet C, Delmas P, Eisman JA, Fujiwara S, Kroger H, Mellstrom D, Meunier PJ, Melton LJ 3rd, O’Neill T, Pols H, Reeve J, Silman A, Tenenhouse A. J Bone Miner Res. 2005; 20(7):1185-1194.

Smoking and fracture risk: A meta-analysis. Kanis JA, Johnell O, Oden A, Johansson H, De Laet C, Eisman JA, Fujiwara S, Kroger H, McCloskey EV, Mellstrom D, Melton LJ, Pols H, Reeve J, Silman A, Tenenhouse A. Osteoporos Int. 2005; 16(2):155-162.

High bone mineral density among perimenopausal women. Pesonen J, Sirola J, Tuppurainen M, Jurvelin J, Alhava E, Honkanen R, Kröger H. Osteoporos Int. 2005 Dec;16(12):1899-906. Epub 2005 Jun 16 5:DOI:10: 1007/s00198-005-1958-5.

Cross-calibration of lunar DPX-IQ and DPX dual-energy X-ray densitometers for bone mineral measurements in women: Effect of body anthropometry. Saarelainen J,  Honkanen R,  Vanninen E, Kröger H, Tuppurainen M, Niskanen L,  Jurvelin JS. J Clin Densitom. 2005; 8(3):320-329.

Increased bone mineral content but not bone mineral density in the hip in surgically treated knee and hip osteoarthritis. Sandini L, Arokoski JPA, Jurvelin JS, Kröger H. J Rheumatol 2005; 32(10):1951-1957.

Muscle performance after the menopause. Review. Sirola J, Rikkonen T. The Journal of the British Menopause Society. 2005; 11(2):45-50.

Associations between grip strength change and axial postmenopausal bone loss-a 10 – year population-based follow-up study. Sirola J, Tuppurainen M, Honkanen R, Jurvelin JS, Kroger H. Osteoporos Int. 2005 Dec;16(12):1841-8. Epub Osteoporos Int. 2005;3:DOI:10: 1007/s00198-005-1944-].

Leucine 7 to praline 7 polymorphism in prepro-NPY gene and femoral neck bone mineral density in postmenopausal women. Heikkinen A-M 1 , Niskanen LK, Salmi JA, Koulu M, Pesonen U, Uusitupa MJI, Komulainen MH, Tuppurainen MT, Kröger J, Jurvelin J, Saarikoski S. Bone 2004;35(3):589-594.

Calcaneal ultrasound predicts early postmenopausal fractures as well as axial BMD. A prospective study of 422 women. Huopio J, Kroger H, Honkanen R, Jurvelin J, Saarikoski S, Alhava E. Osteoporos Int. 2004; 15(3):190-195.

A meta-analysis of previous fracture and subsequent fracture risk. Kanis JA 1 , Johnell O, De Laet C, Johansson H, Oden A, Delmas P, Eisman J, Fujiwara S, Garnero P, Kroger H, McCloskey EV, Mellstrom D, Melton LJ, Pols H, Reeve J, Silman A, Tenenhouse A.  Bone 2004; 35:375-82.

Factors related to postmenopausal muscle performance: A cross-sectional population-based study. Sirola J, Rikkonen T, Kroger H, Honkanen R, Tuppurainen M, Airaksinen O, Saarikoski S. Eur J Appl Physiol. 2004;93(1-2):102-107.

Changes in body weight and onset of hypertension in perimenopausal women. Juntunen M, Niskanen L, Saarelainen J, Tuppurainen M, Saarikoski S, Honkanen R. J Hum Hypertens. 2003; 17(11):775-779.

Bones are breaking without estrogen [review in finnish]. Komulainen M, Tuppurainen M, Kroger H. Duodecim 2003; 119(22):2183-9.

Relation of androgen receptor gene polymorphism to bone mineral density and fracture risk in early postmenopausal women during a 5-year randomized hormone replacement therapy trial. Salmen T, Heikkinen AM, Mahonen A, Kröger H, Komulainen M, Pallonen H, Saarikoski S, Honkanen R, Mäenpää PH. J Bone Miner Res. 2003; 18:319-324.

Relation of aromatase gene polymorphism and hormone replacement therapy to serum estradiol levels, bone mineral density, and fracture risk in early postmenopausal women. Salmen T, Heikkinen AM, Mahonen A, Kröger H, Komulainen M, Pallonen H, Saarikoski S, Honkanen R, Mäenpää PH. Ann Med. 2003; 35(4):282-288.

Factors affecting bone loss around menopause in women without HRT: A prospective study. Sirola J, Kroger H, Honkanen R, Jurvelin JS, Sandini L, Tuppurainen MT, Saarikoski S, OSTPRE Study Group. Maturitas 2003; 45(3):159-167.

Smoking may impair the bone protective effects of nutritional calcium: A population-based approach. Sirola J, Kroger H, Honkanen R, Sandini L, Tuppurainen M, Jurvelin JS, Saarikoski S. J Bone Miner Res. 2003; 18(6):1036-1042.

Risk factors associated with peri- and postmenopausal bone loss: Does HRT prevent weight loss-related bone loss? Sirola J, Kroger H, Honkanen R, Sandini L, Tuppurainen M, Jurvelin JS, Saarikoski S. Osteoporos Int. 2003; 14(1):27-33.

Interaction of nutritional calcium and HRT in prevention of postmenopausal bone loss: A prospective study. Sirola J, Kroger H, Sandini L, Tuppurainen M, Jurvelin JS, Saarikoski S, Honkanen R. Interaction Calcif Tissue Int. 2003; 72(6):659-665.

When and how should bone mineral density be measured? Tuppurainen M. Acta Obstet Gyn Scand. 2003; 82(5):395-397.

Estrogens and aging. Tuppurainen M, Saarikoski S. Adv Neurol. 2003; 91:101-106.

Does postmenopausal hormone replacement therapy affect cardiac autonomic regulation in osteoporotic women? Niskanen L, Laitinen T, Tuppurainen M, Saarikoski S, Kröger H, Alhava E, Hartikainen J. Menopause 2002; 9(1):52-57.

Does hormone-replacement therapy prevent fractures in early postmenopausal women? Randell KM, Honkanen RJ, Kroger H, Saarikoski S. J Bone Miner Res. 2002; 17(3):528-533.

Relation of estrogen receptor-alpha gene polymorphism and hormone replacement therapy to fall risk and muscle strength in early postmenopausal women. Salmen T, Heikkinen AM, Mahonen A, Kröger H, Komulainen M, Saarikoski S, Honkanen R, Partanen J, Mäenpää PH. Ann Med. 2002; 34(1):64-72.

Relation of statin use and bone loss: A prospective population-based cohort study in early postmenopausal women. Sirola J, Honkanen R, Kröger H, Jurvelin JS, Mäenpää P, Saarikoski S. Osteoporos Int. 2002; 13(7):537-541.

Lifestyle and other factors predict ankle fractures in perimenopausal women: A population-based prospective cohort study. Valtola A, Honkanen R, Kroger H, Tuppurainen M, Saarikoski S, Alhava E. Bone 2002; 30(1):238-242.

Effect of calcium on bone loss and fractures according to estrogen repletion status. Honkanen R, Komulainen M, Kröger H, Tuppurainen M, Alhava E, Saarikoski S. In: Burckhardt P, Dawson-Hughes B, Heaney RP, eds. Nutritional aspects of osteoporosis. 2001:54-64.

Leisure-time physical activity and rate of bone loss among peri- and postmenopausal women: A longitudinal study. Puntila E, Kroger H, Lakka T, Tuppurainen M, Jurvelin J, Honkanen R. Bone 2001; 29(5):442-446.

Hormone replacement therapy and risk of falling in early postmenopausal women – a population-based study. Randell KM, Honkanen RJ, Komulainen MH, Tuppurainen MT, Kroger H, Saarikoski S. Clin Endocrinol (Oxf). 2001; 54(6):769-774.

Estrogeenireseptori alfa-geenin polymorfia vaikuttaa hormonikorvaushoidon luustolle antamaan suojaan. Salmén T, Heikkinen A-M, Mahonen A, Kröger H, Komulainen M, Saarikoski S, Honkanen R, Mäenpää P. Duodecim 2001; 117:738-9. [in Finnish].

Does apolipoprotein E genotype relate to BMD and bone markers in postmenopausal women? Heikkinen AM, Kroger H, Niskanen L, Komulainen MH, Ryynänen M, Parviainen MT, Tuppurainen MT, Honkanen R, Saarikoski S. Maturitas 2000; 34(1):33-41.

Risk factors for perimenopausal distal forearm fracture. Honkanen RJ, Honkanen K, Kroger H, Alhava E, Tuppurainen M, Saarikoski S. Osteoporos Int. 2000; 11(3):265-270.

Risk factors for perimenopausal fractures: A prospective study. Huopio J, Kroger H, Honkanen R, Saarikoski S, Alhava E. Osteoporos Int. 2000; 11(3):219-227.

Identification of early postmenopausal women with no bone response to HRT: Results of a five-year clinical trial. Komulainen M, Kroger H, Tuppurainen MT, Heikkinen AM, Honkanen R, Saarikoski S. Osteoporos Int. 2000; 11(3):211-218.

Identifying the patient at risk of osteoporotic fracture. Kröger H, Honkanen R. In: Obrant K (ed.) Management of fracture in severely osteoporotic bone: orthopedic and pharmacological strategies 2000:85-98. London, UK: Springer-Verlag London Ltd 2000

Estrogeenireseptorigeenin polymorfia vaikuttaa luun menetyksen nopeuteen ja hormonikorvaushoidon tehoon menopaussin jälkeen. Salmén T, Heikkinen A-M, Mahonen A, Kröger H, Komulainen M, saarikoski S, Honkanen R, Mäenpää P.  Duodecim 2000; 116:844. [in finnish]

The protective effect of hormone-replacement therapy on fracture risk is modulated by estrogen receptor alpha genotype in early postmenopausal women. Salmen T, Heikkinen AM, Mahonen A, Kröger H, Komulainen M, Saarikoski S, Honkanen R, Mäenpää PH. J Bone Miner Res. 2000; 15(12):2479-2486.

Early postmenopausal bone loss is associated with PvuII estrogen receptor gene polymorphism in finnish women: Effect of hormone replacement therapy. Salmen T, Heikkinen AM, Mahonen A, Kröger H, Komulainen M, Saarikoski S, Honkanen R, Mäenpää PH. J Bone Miner Res. 2000; 15(2):315-321.

Is the response of serum lipids and lipoproteins to postmenopausal hormone replacement therapy modified by ApoE genotype? Heikkinen AM, Niskanen L, Ryynanen M, Komulainen MH, Tuppurainen MT, Parviainen M, Saarikoski S. Arterioscler Thromb Vasc Biol. 1999; 19(2):402-407.

The role of calcium and vitamin D in osteoporosis [in finnish]. Honkanen R, Lamberg-Allardt C. Sosiaalilääketieteellinen Aikakauslehti 1999 :43-49.

Validity of self-reports of fractures in perimenopausal women. Honkanen K, Honkanen R, Heikkinen L, Kroger H, Saarikoski S. Am J Epidemiol. 1999; 150(5):511-516.

Prevention of femoral and lumbar bone loss with hormone replacement therapy and vitamin D3 in early postmenopausal women: A population-based 5-year randomized trial. Komulainen M, Kroger H, Tuppurainen MT, Heikkinen AM, Alhava E, Honkanen R, Jurvelin J, Saarikoski S. J Clin Endocrinol Metab. 1999; 84(2):546-552.

Bone mineral density in perimenopausal women with asthma: A population-based cross-sectional study. Laatikainen AK, Kroger HP, Tukiainen HO, Honkanen RJ, Saarikoski SV. Am J Respir Crit Care Med. 1999; 159(4 Pt 1):1179-1185.

Effects of postmenopausal hormone replacement therapy with and without vitamin D3 on circulating levels of 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D. Heikkinen A, Parviainen MT, Tuppurainen MT, Niskanen L, Komulainen MH, Saarikoski S. Calcif Tissue Int. 1998; 62(1):26-30.

Postmenopausal hormone replacement therapy and autoantibodies against oxidized LDL. Heikkinen AM, Niskanen L, Yla-Herttuala S, Luoma J, Tuppurainen MT, Komulainen M, Saarikoski S. Maturitas 1998;29(2):155-161.

Relationships between risk factors and fractures differ by type of fracture: A population-based study of 12,192 perimenopausal women. Honkanen R, Tuppurainen M, Kroger H, Alhava E, Saarikoski S. Osteoporos Int. 1998; 8(1):25-31.

HRT and vit D in prevention of non-vertebral fractures in postmenopausal women; a 5-year randomized trial. Komulainen MH, Kroger H, Tuppurainen MT, Heikkinen AM, Alhava E, Honkanen R, Saarikoski S. Maturitas 1998; 31(1):45-54.

Does vitamin D strengthen the increase in femoral neck BMD in osteoporotic women treated with estrogen? Tuppurainen MT, Komulainen M, Kroger H, Honkanen R, Jurvelin J, Puntila E, Heikkinen AM, Alhava E, Saarikoski S.  Osteoporos Int. 1998; 8(1):32-38.

Biochemical bone markers and bone mineral density during postmenopausal hormone replacement therapy with and without vitamin D3: A prospective, controlled, randomized study. Heikkinen AM, Parviainen M, Niskanen L, Komulainen M, Tuppurainen MT, Kröger H, Saarikoski S. J Clin Endocrinol Metab. 1997; 82(8):2476-2482.

Long-term vitamin D3 supplementation may have adverse effects on serum lipids during postmenopausal hormone replacement therapy. Heikkinen AM, Tuppurainen MT, Niskanen L, Komulainen M, Penttila I, Saarikoski S. Eur J Endocrinol. 1997; 137(5):495-502.

Lactose intolerance associated with fractures of weight-bearing bones in Finnish women aged 38-57 years. Honkanen R, Kroger H, Alhava E, Turpeinen P, Tuppurainen M, Saarikoski S. Bone 1997; 21(6):473-477.

Associations of early premenopausal fractures with subsequent fractures vary by sites and mechanisms of fractures. Honkanen R, Tuppurainen M, Kroger H, Alhava E, Puntila E. Calcif Tissue Int. 1997; 60(4):327-331.

Vitamin D and HRT: No benefit additional to that of HRT alone in prevention of bone loss in early postmenopausal women. A 2.5-year randomized placebo-controlled study. Komulainen M, Tuppurainen MT, Kroger H, Heikkinen AM, Puntila E, Alhava E, Honkanen R, Saarikoski S. Osteoporos Int. 1997; 7(2):126-132.

Physical activity in adolescence and bone density in peri- and postmenopausal women: A population-based study. Puntila E, Kroger H, Lakka T, Honkanen R, Tuppurainen M. Bone 1997; 21(4):363-367.

Does lactose intolerance predispose to low bone density? A population-based study of perimenopausal Finnish women. Honkanen R, Pulkkinen P, Jarvinen R, Kroger H, Lindstedt K, Tuppurainen M, Uusitupa M. Bone 1996; 19(1):23-28.

Fractures and low axial bone density in perimenopausal women. Honkanen R, Kroger H, Tuppurainen M, Alhava E, Saarikoski S. J Clin Epidemiol. 1995; 48(7):881-888.

Prediction of fracture risk using axial bone mineral density in a perimenopausal population: A prospective study. Kroger H, Huopio J, Honkanen R, Tuppurainen M, Puntila E, Alhava E, Saarikoski S. J Bone Miner Res. 1995; 10(2):302-306.

Vitamin D receptor genotypes and bone mineral density. Kroger H, Mahonen A, Ryhanen S, Turunen AM, Alhava E, Maenpaa P. Lancet 1995; 345(8959):1238; author reply 1239.

Osteoporoosin hoito [in finnish]. Saarikoski S. Käytännön Lääkäri. 1995; 1:9-13.

Does vitamin D3 have negative effects on serum levels of lipids? A follow-up study with a sequential combination of estradiol valerate and cyproterone acetate and/or vitamin D3. Tuppurainen M, Heikkinen AM, Penttila I, Saarikoski S. Maturitas 1995; 22(1):55-61.

Risks of perimenopausal fractures–a prospective population-based study. Tuppurainen M, Kroger H, Honkanen R, Puntila E, Huopio J, Saarikoski S, Alhava E. Acta Obstet Gyn Scand. 1995; 74(8):624-628.

The effect of gynecological risk factors on lumbar and femoral bone mineral density in peri- and postmenopausal women. Tuppurainen M, Kroger H, Saarikoski S, Honkanen R, Alhava E. Maturitas 1995; 21(2):137-145.

Lannerangan ja reisiluun kaulan luun tiheysmittauksen merkitys murtumariskin arvioimisessa. Kröger H, Huopio J, Honkanen R, et al. [In Finnish] Suomen ortopedia ja traumatologia 1994; 17:358-360.

The effect of fluoridated drinking water on axial bone mineral density–a population-based study. Kroger H, Alhava E, Honkanen R, Tuppurainen M, Saarikoski S. Bone Miner. 1994; 27(1):33-41.

Decreased axial bone mineral density in perimenopausal women with rheumatoid arthritis–a population based study. Kroger H, Honkanen R, Saarikoski S, Alhava E. Ann Rheum Dis. 1994; 53(1):18-23.

Bone mineral density and risk factors for osteoporosis–a population-based study of 1600 perimenopausal women. Kroger H, Tuppurainen M, Honkanen R, Alhava E, Saarikoski S. Calcif Tissue Int. 1994; 55(1):1-7.

The effect of previous oral contraceptive use on bone mineral density in perimenopausal women. Tuppurainen M, Kroger H, Saarikoski S, Honkanen R, Alhava E. Osteoporos Int. 1994; 4(2):93-98.

Osteoporosis risk factors, gynaecological history and fractures in perimenopausal women–the results of the baseline postal enquiry of the Kuopio osteoporosis risk factor and prevention study. Tuppurainen M, Honkanen R, Kroger H, Saarikoski S, Alhava E. Maturitas. 1993; 17(2):89-100.

Osteoporoosin komplikaatioihin liittyvät terveydelliset ja terveydenhuollolliset seuraamukset. Honkanen R. in: Osteoporoosin ehkäisy ja hoito [Finnish]. Konsensuskokous 30.3.-1.4.1992 Hanasaaressa. Suomen Akatemia, Suomalainen Lääkäriseura Duodecim ja Sosiaali- ja terveysministeriö. Helsinki, Finland: 1992.

Osteoporoosin riskitekijät. Saarikoski S. in: Osteoporoosin Ehkäisy Ja Hoito [Finnish]. Konsensuskokous 30.3.-1.4.1992 Hanasaaressa. Suomen Akatemia, Suomalainen Lääkäriseura Duodecim ja Sosiaali- ja terveysministeriö. Helsinki, Finland 1992.

Osteoporosis risk factors in perimenopausal women. Honkanen R, Alhava EM, Saarikoski S, Tuppurainen M. Calcif Tissue Int. 1991; 49 (Suppl.):S74-S75.

Kuopio Osteoporosis Risk Factor and Prevention Study. Baseline Postal Enquiry in 1989. Honkanen R, Tuppurainen M, Alhava E, Saarikoski S. Publications of the University of Kuopio. Community Health, Statistics and Reviews 3/1991. Kuopio University Printing office, Kuopio 1991.

Kuopio Osteoporosis Study. Baseline postal enquiry. Honkanen R, Alhava E, Saarikoski S, Tuppurainen M. VII Medical Symposium of the Yrjö Jahnsson Foundation, Porvoo, Finland. 1990