Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid Function

Osteoprotegerin (OPG) and osteocalcin (OC) are essential bone proteins. Recent studies have demonstrated that they are not secreted solely by bone cells; they play roles in the vascular function and energy metabolism, and they are influenced by multiple factors. The aim of the current study was to i...

Full description

Bibliographic Details
Main Authors: Alexander D. Shinkov, Anna-Maria I. Borissova, Roussanka D. Kovatcheva, lliana B. Atanassova, Jordan D. Vlahov, Lilia N. Dakovska
Format: Article
Language:English
Published: SAGE Publishing 2014-01-01
Series:Clinical Medicine Insights: Endocrinology and Diabetes
Online Access:https://doi.org/10.4137/CMED.S15466
_version_ 1819108329770713088
author Alexander D. Shinkov
Anna-Maria I. Borissova
Roussanka D. Kovatcheva
lliana B. Atanassova
Jordan D. Vlahov
Lilia N. Dakovska
author_facet Alexander D. Shinkov
Anna-Maria I. Borissova
Roussanka D. Kovatcheva
lliana B. Atanassova
Jordan D. Vlahov
Lilia N. Dakovska
author_sort Alexander D. Shinkov
collection DOAJ
description Osteoprotegerin (OPG) and osteocalcin (OC) are essential bone proteins. Recent studies have demonstrated that they are not secreted solely by bone cells; they play roles in the vascular function and energy metabolism, and they are influenced by multiple factors. The aim of the current study was to investigate the influence of menopause and age on OPG and OC in women with different thyroid-stimulating hormone (TSH) levels. Material and Methods We studied 49 women with elevated TSH, 26 with suppressed TSH, and 67 age-matched euthyroid controls. Of them 64 were menstruating and 78 postmenopausal. Body weight, height, waist circumference (WC), body mass index (BMI), serum TSH, free thyroxin (FT4), OPG, and OC were measured. Results Generally, both OPG and OC were higher in the postmenopausal women than in the menstruating subjects (OPG 3.85 ± 1.49 pmol/L vs. 5.84 ± 2.42 pmol/L, P < 0.001; OC 8.84 ± 3.70 ng/dL vs. 12.87 ± 6.45 ng/dL, P < 0.001), and within the two thyroid dysfunction subgroups and the controls (all P < 0.05). OPG correlated with age (postmenopausal rho = 0.57, P < 0.001; premenopausal rho = 0.31, P = 0.015). Among the premenopausal subjects, OPG was higher in those with low TSH than in the controls ( P = 0.048). OC correlated negatively with BMI and WC in the postmenopausal group (Spearman rho = –-0.25, P = 0.03 and rho = –-0.42, P < 0.001 respectively). OC was higher in the postmenopausal subjects with low TSH than in those with elevated TSH ( P = 0.024), and correlated positively with FT4 (rho = 0.40, P = 0.002) and negatively with TSH (rho = -0.29, P = 0.013). CONCLUSIONS In women, OPG and OC depended differently on age and menopause and, to a lesser extent, on the thyroid function and body composition.
first_indexed 2024-12-22T03:08:12Z
format Article
id doaj.art-046438b3a45a43bdaf1e94e97e52a294
institution Directory Open Access Journal
issn 1179-5514
language English
last_indexed 2024-12-22T03:08:12Z
publishDate 2014-01-01
publisher SAGE Publishing
record_format Article
series Clinical Medicine Insights: Endocrinology and Diabetes
spelling doaj.art-046438b3a45a43bdaf1e94e97e52a2942022-12-21T18:41:00ZengSAGE PublishingClinical Medicine Insights: Endocrinology and Diabetes1179-55142014-01-01710.4137/CMED.S15466Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid FunctionAlexander D. Shinkov0Anna-Maria I. Borissova1Roussanka D. Kovatcheva2lliana B. Atanassova3Jordan D. Vlahov4Lilia N. Dakovska5Medical University of Sofia, University Hospital of Endocrinology, Clinic of Thyroid and Metabolic Bone Disorders, Sofia, Bulgaria.Medical University of Sofia, University Hospital of Endocrinology, Clinic of Thyroid and Metabolic Bone Disorders, Sofia, Bulgaria.Medical University of Sofia, University Hospital of Endocrinology, Clinic of Thyroid and Metabolic Bone Disorders, Sofia, Bulgaria.Medical University of Sofia, University Hospital of Endocrinology, Clinic of Thyroid and Metabolic Bone Disorders, Sofia, Bulgaria.Medical University of Sofia, University Hospital of Endocrinology, Clinic of Thyroid and Metabolic Bone Disorders, Sofia, Bulgaria.Medical University of Sofia, University Hospital of Endocrinology, Clinic of Thyroid and Metabolic Bone Disorders, Sofia, Bulgaria.Osteoprotegerin (OPG) and osteocalcin (OC) are essential bone proteins. Recent studies have demonstrated that they are not secreted solely by bone cells; they play roles in the vascular function and energy metabolism, and they are influenced by multiple factors. The aim of the current study was to investigate the influence of menopause and age on OPG and OC in women with different thyroid-stimulating hormone (TSH) levels. Material and Methods We studied 49 women with elevated TSH, 26 with suppressed TSH, and 67 age-matched euthyroid controls. Of them 64 were menstruating and 78 postmenopausal. Body weight, height, waist circumference (WC), body mass index (BMI), serum TSH, free thyroxin (FT4), OPG, and OC were measured. Results Generally, both OPG and OC were higher in the postmenopausal women than in the menstruating subjects (OPG 3.85 ± 1.49 pmol/L vs. 5.84 ± 2.42 pmol/L, P < 0.001; OC 8.84 ± 3.70 ng/dL vs. 12.87 ± 6.45 ng/dL, P < 0.001), and within the two thyroid dysfunction subgroups and the controls (all P < 0.05). OPG correlated with age (postmenopausal rho = 0.57, P < 0.001; premenopausal rho = 0.31, P = 0.015). Among the premenopausal subjects, OPG was higher in those with low TSH than in the controls ( P = 0.048). OC correlated negatively with BMI and WC in the postmenopausal group (Spearman rho = –-0.25, P = 0.03 and rho = –-0.42, P < 0.001 respectively). OC was higher in the postmenopausal subjects with low TSH than in those with elevated TSH ( P = 0.024), and correlated positively with FT4 (rho = 0.40, P = 0.002) and negatively with TSH (rho = -0.29, P = 0.013). CONCLUSIONS In women, OPG and OC depended differently on age and menopause and, to a lesser extent, on the thyroid function and body composition.https://doi.org/10.4137/CMED.S15466
spellingShingle Alexander D. Shinkov
Anna-Maria I. Borissova
Roussanka D. Kovatcheva
lliana B. Atanassova
Jordan D. Vlahov
Lilia N. Dakovska
Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid Function
Clinical Medicine Insights: Endocrinology and Diabetes
title Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid Function
title_full Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid Function
title_fullStr Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid Function
title_full_unstemmed Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid Function
title_short Age and Menopausal Status Affect Osteoprotegerin and Osteocalcin Levels in Women Differently, Irrespective of Thyroid Function
title_sort age and menopausal status affect osteoprotegerin and osteocalcin levels in women differently irrespective of thyroid function
url https://doi.org/10.4137/CMED.S15466
work_keys_str_mv AT alexanderdshinkov ageandmenopausalstatusaffectosteoprotegerinandosteocalcinlevelsinwomendifferentlyirrespectiveofthyroidfunction
AT annamariaiborissova ageandmenopausalstatusaffectosteoprotegerinandosteocalcinlevelsinwomendifferentlyirrespectiveofthyroidfunction
AT roussankadkovatcheva ageandmenopausalstatusaffectosteoprotegerinandosteocalcinlevelsinwomendifferentlyirrespectiveofthyroidfunction
AT llianabatanassova ageandmenopausalstatusaffectosteoprotegerinandosteocalcinlevelsinwomendifferentlyirrespectiveofthyroidfunction
AT jordandvlahov ageandmenopausalstatusaffectosteoprotegerinandosteocalcinlevelsinwomendifferentlyirrespectiveofthyroidfunction
AT liliandakovska ageandmenopausalstatusaffectosteoprotegerinandosteocalcinlevelsinwomendifferentlyirrespectiveofthyroidfunction