Exploring the Relationship of Bone Turnover Markers and Bone Mineral Density in Community-Dwelling Postmenopausal Women
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Aims: To explore the relationships of procollagen type 1 N-terminal propeptide (P1NP) and cross-linked C-telopeptide of type 1 collagen (-CTX) with bone mineral density (BMD) in postmenopausal women.
Methods: All postmenopausal women were selected from a community-based case-control study. The anteroposterior L1-L4 and left proximal femur BMD were measured. P1NP and -CTX were also collected and tested. The main correlation analysis was applied to explore the relationships of BMD, P1NP, and -CTX.
Results: The total 1055 postmenopausal women were enrolled. The BMD at all sites kept a decrease continually with age ( < 0.01). In addition, the level of -CTX increased significantly from 45 to 50 years old and remained at a high level in the later stage, while the level of P1NP changed little or even decreased with age. Logistic regression model showed that -CTX has better ability to predict BMD than P1NP, as demonstrated by an area under the curve (AUC) of 0.63.
Conclusion: P1NP and -CTX are important markers to monitor bone metabolism. This trial is registered with ChiCTR-SOC-17013090. The date of registration is Oct. 23, 2017.
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Watanabe N, Miyatake K, Takada R, Ogawa T, Amano Y, Jinno T Bone Joint Res. 2022; 11(12):873-880.
PMID: 36464500 PMC: 9792872. DOI: 10.1302/2046-3758.1112.BJR-2022-0252.R1.
Jiang X, Yan N, Zheng Y, Yang J, Zhao Y BMC Musculoskelet Disord. 2022; 23(1):1041.
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Chen X, Zheng Z, Xiao L, Liu C, Shen Y, Ma N Front Neurol. 2022; 13:980150.
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