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Published in: Archives of Gynecology and Obstetrics 4/2010

01-04-2010 | General Gynecology

Relationship between bone mineral density, bone turnover markers and homocysteine, folate and vitamin B12 levels in postmenopausal women

Authors: Berna Halıloglu, Fehime Benli Aksungar, Erdin Ilter, Hakan Peker, Figen Temelli Akın, Umit Ozekıcı

Published in: Archives of Gynecology and Obstetrics | Issue 4/2010

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Abstract

Purpose

We aimed to investigate whether levels of homocysteine (Hcy), folate, and vitamin B12 are related to bone turnover markers and bone mineral density (BMD) in postmenopausal women.

Methods

One hundred and twenty postmenopausal women were divided into three groups: osteoporotic, osteopenic and normal, according to the BMD measurements. The age, weight, body mass index (BMI), years since menopause (YSM), gravidity, parity, bone turnover markers [type I collagen C-telopeptides (CTx) and bone-specific alkaline phosphatase (BAP)], serum Hcy, parathyroid hormone (PTH), vitamin B12, folate, calcium and magnesium levels were compared with each other.

Results

Twenty-five women had osteoporotic, 42 women had osteopenic, and 53 had normal BMD values. After adjusting for confounding factors, serum Hcy levels were significantly higher in osteoporotic women [adj OR = 38.95 (1.474–1029.88) p = 0.02]. The age, YSM, PTH, CTx and BAP levels were related to serum Hcy in all women (β = 0.523, p = 0.0001; β = 0.446, p = 0.001; β = 0.295, p = 0.005; β = 0.239, p = 0.026; β = 0.451, p = 0.001, respectively).

Conclusions

Our data showed that vitamin B12, folate and Hcy levels were not related with BMD in postmenopausal women. We think that one of the underlying mechanisms of increased Hcy levels and osteoporosis may be a mechanistic link which cannot detected by BMD or biochemical markers.
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Metadata
Title
Relationship between bone mineral density, bone turnover markers and homocysteine, folate and vitamin B12 levels in postmenopausal women
Authors
Berna Halıloglu
Fehime Benli Aksungar
Erdin Ilter
Hakan Peker
Figen Temelli Akın
Umit Ozekıcı
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 4/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-009-1297-4

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