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The levels of bone turnover markers in Chinese postmenopausal women: Peking Vertebral Fracture study.
Menopause. 2011 Nov; 18(11):1237-43.M

Abstract

OBJECTIVE

The aim of this study was to evaluate serum N-aminoterminal propeptide of type I collagen (P1NP), C-terminal telopeptide of type I collagen (β-CTX), and vitamin D status in healthy Chinese postmenopausal women. The study was also designed to investigate their possible relationships with osteoporosis phenotypes.

METHODS

A community-based population of 1,724 postmenopausal women in Beijing was randomly selected. Serum bone turnover markers and 25-hydroxyvitamin D [25(OH)D] were tested by an automated Roche electrochemiluminescence system. Dual-energy x-ray absorptiometry was used to measure bone mineral density (BMD).

RESULTS

The mean (SD) values of serum β-CTX and P1NP were 0.439 (0.210) and 56.7 (27.9) ng/mL, respectively. The 25(OH)D level of postmenopausal women in Beijing was remarkably low (13.2 ± 5.4 ng/mL). Serum β-CTX and P1NP levels were negatively correlated with BMDs of lumbar spine, femoral neck, and total hip (all P < 0.01). The cubic regression model better fitted the relationships of BMD and bone turnover markers. Serum β-CTX levels were significantly higher in women with sustained osteoporotic fracture or vertebral fracture (P = 0.006 and 0.012, respectively). No association between P1NP and fracture or vertebral fracture was detected. The same situation applied to 25(OH)D. 25(OH)D was negatively correlated with β-CTX and P1NP (r = -0.073 and -0.088, P = 0.002 and <0.001, respectively).

CONCLUSIONS

Serum β-CTX and P1NP levels were negatively correlated with BMD. β-CTX was significantly higher in postmenopausal women with sustained fracture or vertebral fracture. Vitamin D deficiency was highly prevalent in postmenopausal women in Beijing.

Authors+Show Affiliations

Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21747303

Citation

Zhao, Jing, et al. "The Levels of Bone Turnover Markers in Chinese Postmenopausal Women: Peking Vertebral Fracture Study." Menopause (New York, N.Y.), vol. 18, no. 11, 2011, pp. 1237-43.
Zhao J, Xia W, Nie M, et al. The levels of bone turnover markers in Chinese postmenopausal women: Peking Vertebral Fracture study. Menopause. 2011;18(11):1237-43.
Zhao, J., Xia, W., Nie, M., Zheng, X., Wang, Q., Wang, X., Wang, W., Ning, Z., Huang, W., Jiang, Y., Li, M., Wang, O., Xing, X., Sun, Y., Luo, L., He, S., Yu, W., Lin, Q., Pei, Y., ... Xu, L. (2011). The levels of bone turnover markers in Chinese postmenopausal women: Peking Vertebral Fracture study. Menopause (New York, N.Y.), 18(11), 1237-43. https://doi.org/10.1097/gme.0b013e31821d7ff7
Zhao J, et al. The Levels of Bone Turnover Markers in Chinese Postmenopausal Women: Peking Vertebral Fracture Study. Menopause. 2011;18(11):1237-43. PubMed PMID: 21747303.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The levels of bone turnover markers in Chinese postmenopausal women: Peking Vertebral Fracture study. AU - Zhao,Jing, AU - Xia,Weibo, AU - Nie,Min, AU - Zheng,Xin, AU - Wang,Qiuping, AU - Wang,Xiran, AU - Wang,Wenbo, AU - Ning,Zhiwei, AU - Huang,Wei, AU - Jiang,Yan, AU - Li,Mei, AU - Wang,Ou, AU - Xing,Xiaoping, AU - Sun,Yue, AU - Luo,Lianmei, AU - He,Shuli, AU - Yu,Wei, AU - Lin,Qiang, AU - Pei,Yu, AU - Zhang,Fan, AU - Han,Youxia, AU - Tong,Yanmin, AU - Che,Ying, AU - Shen,Ruixin, AU - Hu,Yingying, AU - Zhou,Xueying, AU - Xu,Ling, PY - 2011/7/13/entrez PY - 2011/7/13/pubmed PY - 2012/5/24/medline SP - 1237 EP - 43 JF - Menopause (New York, N.Y.) JO - Menopause VL - 18 IS - 11 N2 - OBJECTIVE: The aim of this study was to evaluate serum N-aminoterminal propeptide of type I collagen (P1NP), C-terminal telopeptide of type I collagen (β-CTX), and vitamin D status in healthy Chinese postmenopausal women. The study was also designed to investigate their possible relationships with osteoporosis phenotypes. METHODS: A community-based population of 1,724 postmenopausal women in Beijing was randomly selected. Serum bone turnover markers and 25-hydroxyvitamin D [25(OH)D] were tested by an automated Roche electrochemiluminescence system. Dual-energy x-ray absorptiometry was used to measure bone mineral density (BMD). RESULTS: The mean (SD) values of serum β-CTX and P1NP were 0.439 (0.210) and 56.7 (27.9) ng/mL, respectively. The 25(OH)D level of postmenopausal women in Beijing was remarkably low (13.2 ± 5.4 ng/mL). Serum β-CTX and P1NP levels were negatively correlated with BMDs of lumbar spine, femoral neck, and total hip (all P < 0.01). The cubic regression model better fitted the relationships of BMD and bone turnover markers. Serum β-CTX levels were significantly higher in women with sustained osteoporotic fracture or vertebral fracture (P = 0.006 and 0.012, respectively). No association between P1NP and fracture or vertebral fracture was detected. The same situation applied to 25(OH)D. 25(OH)D was negatively correlated with β-CTX and P1NP (r = -0.073 and -0.088, P = 0.002 and <0.001, respectively). CONCLUSIONS: Serum β-CTX and P1NP levels were negatively correlated with BMD. β-CTX was significantly higher in postmenopausal women with sustained fracture or vertebral fracture. Vitamin D deficiency was highly prevalent in postmenopausal women in Beijing. SN - 1530-0374 UR - https://www.unboundmedicine.com/medline/citation/21747303/The_levels_of_bone_turnover_markers_in_Chinese_postmenopausal_women:_Peking_Vertebral_Fracture_study_ L2 - http://dx.doi.org/10.1097/gme.0b013e31821d7ff7 DB - PRIME DP - Unbound Medicine ER -