“…Also, it is now known that diabetes mellitus can induce osteoarthritis and bone fragility due to such factors as low bone turnover, accumulation of advanced glycation endproducts, oxidative stress, inflammation, and adipokine alterations, among others (Courties & Sellam, ; Napoli et al, ). Furthermore, other diseases, behaviors and factors, such as alcoholism (González‐Reimers et al, ), HIV (Finnerty, Walker‐Bone, & Tariq, ), low physical activity (Brennan et al, ), sun exposure deprivation (Gamache & Burge, ; Mosti et al, ), and sleep quality (Sasaki et al, ), among others, compromise bone metabolism which can result in accelerated bone loss. Therefore, the aspect of any osseous biomarker to reflect the biological state of an individual's age might also be reflecting the influence of many different factors, either external or internal, that could be mirroring an aspect of the aging process, which is its rate of change.…”