Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical Study

Objective: In this study, we investigated the relationships between 10 year fracture risk calculated with FRAX assessment tool and bone turnover markers (BTM) in women with diagnosed as postmenopausal osteoporosis for the first time. Materials and Methods: After exclusion of the causes of secondar...

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Main Authors: Şeniz Akçay Yalbuzdağ, Banu Sarıfakıoğlu, İlker Şengül, Nuri Çetin
Format: Article
Language:English
Published: Galenos Yayinevi 2015-08-01
Series:Türk Osteoporoz Dergisi
Subjects:
Online Access:http://www.turkosteoporozdergisi.org/article_8980/Are-Bone-Turnover-Markers-Related-With-Fracture-Risk-In-Initial-Diagnose-Postmenopausal-Osteoporosis-A-Cross-sectional-Clinical-Study
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author Şeniz Akçay Yalbuzdağ
Banu Sarıfakıoğlu
İlker Şengül
Nuri Çetin
author_facet Şeniz Akçay Yalbuzdağ
Banu Sarıfakıoğlu
İlker Şengül
Nuri Çetin
author_sort Şeniz Akçay Yalbuzdağ
collection DOAJ
description Objective: In this study, we investigated the relationships between 10 year fracture risk calculated with FRAX assessment tool and bone turnover markers (BTM) in women with diagnosed as postmenopausal osteoporosis for the first time. Materials and Methods: After exclusion of the causes of secondary osteoporosis 61 postmenopausal women diagnosed with osteoporosis for the first time were enrolled. Height and weight measurements, comorbid diseases, menopause age, and laboratory investigations were recorded. Lumbar and femur neck and femur total T scores were measured by dual-energy x-ray absorptiometry (DXA). As BTM, serum osteocalcin (OC) and urine deoxypridinoline levels were measured. 10-year fracture risk of hip and major osteoporotic fracture was calculated with FRAX assessment tool. Results: The mean age of patients was 61±39 years. Median value of menopause year was 15.13 years (min: 2, max: 40). The median 10-year hip fracture and major osteoporotic fracture risks were calculated as 1.10% (min: 0, max: 23), 6.9% (min: 3, max: 34) respectively. There was no significant relationship between BTM and fracture risk. Positive significant correlation was found between menopause year and hip fracture risk, and between menopause year and major osteoporotic fracture risks (p=0.031, 0.276; p=0.025, r=0.287). Negative significant correlation was detected between body mass index and hip fracture risk (p=0.002, r=-0.392). Conclusion: In our study, we couldn’t find relationship between BTM and fracture risks assessed by using FRAX tool in patients with initially diagnosed of postmenopausal osteoporosis. Further studies are needed to investigate the relationship between BTM and fracture risk in different patient groups. (Turkish Journal of Osteoporosis 2015;21: 58-62)
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spelling doaj.art-e96beb35c013422cb09dff7c5eeba51c2023-02-15T16:11:38ZengGalenos YayineviTürk Osteoporoz Dergisi2147-26532015-08-01212586210.4274/tod.19483Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical StudyŞeniz Akçay Yalbuzdağ0Banu Sarıfakıoğlu1İlker Şengül2Nuri Çetin3İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, İzmir, TürkiyeNamık Kemal Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Tekirdağ, Türkiyeİzmir Bozyaka Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, İzmir, TürkiyeBaşkent Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, TürkiyeObjective: In this study, we investigated the relationships between 10 year fracture risk calculated with FRAX assessment tool and bone turnover markers (BTM) in women with diagnosed as postmenopausal osteoporosis for the first time. Materials and Methods: After exclusion of the causes of secondary osteoporosis 61 postmenopausal women diagnosed with osteoporosis for the first time were enrolled. Height and weight measurements, comorbid diseases, menopause age, and laboratory investigations were recorded. Lumbar and femur neck and femur total T scores were measured by dual-energy x-ray absorptiometry (DXA). As BTM, serum osteocalcin (OC) and urine deoxypridinoline levels were measured. 10-year fracture risk of hip and major osteoporotic fracture was calculated with FRAX assessment tool. Results: The mean age of patients was 61±39 years. Median value of menopause year was 15.13 years (min: 2, max: 40). The median 10-year hip fracture and major osteoporotic fracture risks were calculated as 1.10% (min: 0, max: 23), 6.9% (min: 3, max: 34) respectively. There was no significant relationship between BTM and fracture risk. Positive significant correlation was found between menopause year and hip fracture risk, and between menopause year and major osteoporotic fracture risks (p=0.031, 0.276; p=0.025, r=0.287). Negative significant correlation was detected between body mass index and hip fracture risk (p=0.002, r=-0.392). Conclusion: In our study, we couldn’t find relationship between BTM and fracture risks assessed by using FRAX tool in patients with initially diagnosed of postmenopausal osteoporosis. Further studies are needed to investigate the relationship between BTM and fracture risk in different patient groups. (Turkish Journal of Osteoporosis 2015;21: 58-62)http://www.turkosteoporozdergisi.org/article_8980/Are-Bone-Turnover-Markers-Related-With-Fracture-Risk-In-Initial-Diagnose-Postmenopausal-Osteoporosis-A-Cross-sectional-Clinical-StudyOsteoporosisFRAXbone turnover markers
spellingShingle Şeniz Akçay Yalbuzdağ
Banu Sarıfakıoğlu
İlker Şengül
Nuri Çetin
Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical Study
Türk Osteoporoz Dergisi
Osteoporosis
FRAX
bone turnover markers
title Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical Study
title_full Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical Study
title_fullStr Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical Study
title_full_unstemmed Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical Study
title_short Are Bone Turnover Markers Related with Fracture Risk in Initial Diagnose Postmenopausal Osteoporosis? A Cross-Sectional Clinical Study
title_sort are bone turnover markers related with fracture risk in initial diagnose postmenopausal osteoporosis a cross sectional clinical study
topic Osteoporosis
FRAX
bone turnover markers
url http://www.turkosteoporozdergisi.org/article_8980/Are-Bone-Turnover-Markers-Related-With-Fracture-Risk-In-Initial-Diagnose-Postmenopausal-Osteoporosis-A-Cross-sectional-Clinical-Study
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AT banusarıfakıoglu areboneturnovermarkersrelatedwithfractureriskininitialdiagnosepostmenopausalosteoporosisacrosssectionalclinicalstudy
AT ilkersengul areboneturnovermarkersrelatedwithfractureriskininitialdiagnosepostmenopausalosteoporosisacrosssectionalclinicalstudy
AT nuricetin areboneturnovermarkersrelatedwithfractureriskininitialdiagnosepostmenopausalosteoporosisacrosssectionalclinicalstudy