Research Article

Exploring the Relationship of Bone Turnover Markers and Bone Mineral Density in Community-Dwelling Postmenopausal Women

Table 1

Characteristics of subjects in the study.

VariablesAll participants ()Confirmed OP ()Osteopenia ()Normal () value for difference
UnadjustedaAdjustedb

Age (years)63.14 (6.72)65.06 (6.62)62.33 (6.41)60.06 (6.35)<0.001
BMI (kg/m2)25.32 (3.35)24.41 (3.30)25.65 (3.20)26.97 (3.13)<0.001
Time since menopause13.36 (7.71)15.76 (7.70)12.51 (7.24)9.69 (6.73)<0.001
Lumbar spine BMD (g/cm2)0.84 (0.14)0.73 (0.09)0.88 (0.08)1.05 (0.09)<0.001<0.001
Femoral neck BMD (g/cm2)0.69 (0.12)0.61 (0.09)0.71 (0.08)0.85 (0.08)<0.001<0.001
Total hip BMD (g/cm2)0.79 (0.13)0.70 (0.10)0.82 (0.08)0.96 (0.08)<0.001<0.001
P1NP (ng/mL)52.73 (41.02, 68.95)56.98 (45.41, 74.72)50.75 (39.70, 66.28)45.20 (34.64, 55.15)<0.001<0.001
β-CTX (ng/mL)0.27 (0.20, 0.35)0.29 (0.23, 0.39)0.25 (0.20, 0.33)0.22 (0.18, 0.30)<0.001<0.001
History or comorbidity (%)
 Cerebral infarction81 (7.68%)45 (10.42%)32 (6.70%)4 (2.80%)0.01
 Coronary heart disease126 (11.94%)57 (13.19%)56 (11.70%)13 (9.20%)0.42
 Dyslipidemia267 (25.31%)110 (25.46%)119 (24.90%)38 (26.80%)0.90
 Hypertension450 (42.65%)178 (41.20%)213 (44.60%)59 (41.5%)0.58
 Diabetes (type I)3 (0.30%)3 (0.70%)0 (0.00%)0 (0.00%)0.12
 Diabetes (type II)193 (18.40%)77 (17.90%)86 (18.00%)30 (21.10%)0.66
Lifestyle factors (%)
 Current smoking50 (4.74%)20 (4.63%)27 (5.60%)3 (2.10%)0.45
 Habitual drinking (≥once/week)55 (5.21%)18 (4.17%)29 (6.00%)8 (5.60%)0.31
 Regular exercise (≥3 times/week)40 (3.79%)17 (3.94%)17 (3.70%)6 (4.60%)0.62
 Milk intake (≥3 times/week)731 (69.29%)285 (65.97%)350 (72.80%)96 (67.60%)0.07
 Coffee intake (≥3 times/week)33 (3.13%)7 (1.62%)20 (4.20%)6 (4.20%)0.25

: number of subjects; OP: osteoporosis; BMI: body mass index; BMD: bone mineral density; P1NP: procollagen type 1 N-terminal propeptide; β-CTX: β cross-linked C-telopeptide of type 1 collagen. Values are presented as the mean (standard deviation) or prevalence (%). a values were obtained by Student’s -test, Kruskal-Wallis test, or chi-square test. b values were obtained by analysis of covariance.