Shieh, A. orcid.org/0000-0002-0695-7976, Karlamangla, A.S., Gossiel, F. orcid.org/0000-0002-1433-2001 et al. (3 more authors) (2024) Estimating net bone formation relative to resorption using reference bone turnover markers. The Journal of Clinical Endocrinology & Metabolism. ISSN 0021-972X
Abstract
Context
Individually, bone resorption or formation markers do not reflect bone balance.
Objective
(1) Combine reference bone resorption [collagen type I C-telopeptide (CTX)] and formation [procollagen type I propeptide (PINP)] markers to estimate balance by creating a bone balance index (BBI); (2) examine associations of BBI, CTX, or PINP with bone mineral density (BMD) change.
Design
Mixed effects linear regression quantified associations of BBI, CTX, or PINP with BMD change rate.
Setting
Community-based cohort (Study of Women's Health Across the Nation).
Participants
535 women transitioning through menopause.
Main Outcome Measures
Annualized percent change in lumbar spine (LS) and femoral neck (FN) BMD.
Results
In mixed effects linear regression, adjusted for age, body mass index, race/ethnicity, menopause transition stage, and study site, more negative BBI (less favorable balance) related to more BMD loss. Each SD decrement in BBI was associated with a 0.26% greater decline in LS BMD annually and 0.42% greater decline in FN BMD annually (each P < .0001). In separate models, accounting for the previous covariates, greater CTX or PINP predicted more bone loss. Per SD increment in log2CTX, annual BMD decline was 0.37% greater (P < .0001) and 0.47% greater (P < .0001) at the LS and FN, respectively. Per SD increment in log2PINP, annual BMD loss was 0.22% (P < .0001, LS) and 0.19% (P = .01, FN) greater.
Conclusion
When combined as a BBI, CTX and PINP estimate bone balance; more negative BBI predicts faster BMD loss. Separately, CTX or PINP reflect overall amount of bone turnover; greater CTX or PINP are related to more bone loss.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2024 The Authors. Except as otherwise noted, this author-accepted version of a journal article published in The Journal of Clinical Endocrinology & Metabolism (JCEM) is made available via the University of Sheffield Research Publications and Copyright Policy under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ |
Keywords: | Bone turnover; bone turnover markers; cohort; epidemiology; longitudinal; menopause |
Dates: |
|
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Medicine and Population Health |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 10 Feb 2025 09:25 |
Last Modified: | 10 Feb 2025 09:25 |
Status: | Published online |
Publisher: | The Endocrine Society |
Refereed: | Yes |
Identification Number: | 10.1210/clinem/dgae842 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:223091 |
Download
Filename: bbi_creation_ms___tables_-_mixed_effects_-_r1_unmarked.pdf
Licence: CC-BY 4.0