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老年骨质疏松男性血清网膜素-1水平与骨密度的关系

Relationships between serum Omentin-1 levels and bone mineral density in older men with osteoporosis.

作者信息

Yang Li, Zhao Xin-Lan, Liao Bin, Qin Ai-Ping

机构信息

Department of Endocrinology, Hunan Province Geriatric Hospital, Changsha, Hunan 410001, China.

出版信息

Chronic Dis Transl Med. 2016 Apr 6;2(1):48-54. doi: 10.1016/j.cdtm.2016.02.003. eCollection 2016 Mar.

Abstract

OBJECTIVE

To investigate the correlation between serum Omentin-1 levels and the presence of osteoporosis in older men.

METHODS

Serum Omentin-1, bone turnover biochemical markers, and bone mineral density (BMD) were determined in 45 older men with osteoporosis or 45 older men without osteoporosis (65-70 years old).

RESULTS

Omentin-1 levels were increased in older men with osteoporosis, and the differences remained significant after controlling for fat mass. Omentin-1 was negatively correlated with BMD. In a multiple linear stepwise regression analysis, Omentin-1, lean mass, but not fat mass, were independent predictors of BMD for the combined group. Significant negative correlations between Omentin-1 and bone-specific alkaline phosphatase (BAP) and bone cross-linked N-telopeptides of type Ⅰ collagen (NTX) were found. Omentin-1 was also independently associated with BMD and bone turnover markers in older men with osteoporosis and control groups that were considered separately.

CONCLUSIONS

Omentin-1 is an independent predictor of BMD in older men with osteoporosis, and it is negatively correlated with bone turnover biochemical markers. It is suggested that Omentin-1 may exert a negative effect on bone mass through the regulation of the osteoblast differentiation in the older men with osteoporosis.

摘要

目的

探讨老年男性血清网膜素-1水平与骨质疏松症之间的相关性。

方法

对45例患有骨质疏松症的老年男性和45例未患骨质疏松症的老年男性(65 - 70岁)测定血清网膜素-1、骨转换生化标志物及骨密度(BMD)。

结果

患有骨质疏松症的老年男性网膜素-1水平升高,在控制脂肪量后差异仍显著。网膜素-1与骨密度呈负相关。在多元线性逐步回归分析中,网膜素-1、去脂体重而非脂肪量是联合组骨密度的独立预测因子。发现网膜素-1与骨特异性碱性磷酸酶(BAP)和Ⅰ型胶原骨交联N-端肽(NTX)之间存在显著负相关。分别考虑时,网膜素-1在患有骨质疏松症的老年男性和对照组中也与骨密度和骨转换标志物独立相关。

结论

网膜素-1是患有骨质疏松症的老年男性骨密度的独立预测因子,且与骨转换生化标志物呈负相关。提示网膜素-1可能通过调节患有骨质疏松症的老年男性成骨细胞分化对骨量产生负面影响。

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