Comparison of vitamin D metabolism in early healthy and late osteoporotic postmenopausal women |
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Authors: | Dorthe Hartwell Bente Juel Riis Claus Christiansen |
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Institution: | (1) Department of Clinical Chemistry, Glostrup Hospital, University of Copenhagen, DK-2600 Glostrup, Denmark |
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Abstract: | Summary We studied 20 healthy premenopausal women aged 36.5±4.0 years (mean±1 SD), 123 healthy postmenopausal women aged 50.0±2.4
years, and 103 postmenopausal women aged 65.1±5.6 years with symptomatic osteoporosis (forearm and spinal fracture). Serum
levels of vitamin D metabolites 25(OH)D, 24,25(OH)2D3, and 1,25(OH)2D] were compared with (1) bone mass in the forearm (single photon absorptiometry) and in the spine (dual photon absorptiometry);
(2) biochemical indices of bone formation (serum alkaline phosphatase, plasma bone Gla protien), and bone resorption (fasting
urinary hydroxyproline); and (3) other biochemical estimates of calcium metabolism (serum calcium, serum phosphate, 24-hour
urinary calcium, intestinal absorption of calcium). The present study revealed no difference in any of the vitamin D metabolites
between the premenopausal women, the healthy postmenopausal women and the osteoporotic women as a group. The concentrations
of 1,25(OH)2D and 25(OH)D were significantly lower in patients with spinal fracture than in those with forearm fracture. In the early
postmenopausal women, serum 1,25(OH)2D was related to forearm bone mass (r=−0.20;P<0.05), intestinal calcium absorption (r=0.18;P<0.05), and 24-hour urinary calcium (r=0.21;P<0.05); serum 25(OH)D was related to spinal bone mass (r=0.23;P<0.01). In the osteoporotic women, serum vitamin D metabolites were not related to bone mass, but 1,25(OH)2D was related to bone Gla protein (r=0.33;P<0.001), serum phosphate (r=−0.27;P<0.01), and 24-hour urinary calcium (r=0.43;P<0.001). The present study demonstrates that in a population that is apparently not deficient in vitamin D, a disturbance
of the vitamin D metabolism is not likely to play a pathogenetic role in early postmenopausal bone loss. Patients with spinal
fractures have low levels of vitamin D metabolites, which may aggravate their osteoporosis. |
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Keywords: | Osteoporosis 1 25(OH)2D 25(OH)D Bone mineral content |
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