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绝经前后女性中chemerin与骨骼健康的横断面关联:欧洲癌症与营养前瞻性调查-波茨坦研究结果

The cross-sectional association between chemerin and bone health in peri/pre and postmenopausal women: results from the EPIC-Potsdam study.

作者信息

Menzel Juliane, Biemann Ronald, Aleksandrova Krasimira, Schulze Matthias B, Boeing Heiner, Isermann Berend, Weikert Cornelia

机构信息

Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.

German Federal Institute for Risk Assessment, Department of Food Safety, Berlin, Germany.

出版信息

Menopause. 2018 May;25(5):574-578. doi: 10.1097/GME.0000000000001041.

Abstract

OBJECTIVE

Recent in vitro data suggested that the novel adipokine chemerin may influence bone health. However, only limited evidence of the relationship between chemerin and bone health in humans is available. Therefore, this study aimed to investigate the association between chemerin and broadband ultrasound attenuation (BUA) in peri/premenopausal and postmenopausal women.

METHODS

Data from the German population-based European Prospective Investigation into Cancer and Nutrition-Potsdam cohort comprising 404 peri/premenopausal and 279 postmenopausal women were analyzed. Multivariable-adjusted analysis of covariance including age, body mass index, waist circumference, smoking status, education, physical activity, alcohol consumption, and hormone use was used to investigate potential relationships between the adipokine and BUA levels in peri/premenopausal and postmenopausal women, respectively.

RESULTS

The concentrations of chemerin were lower in peri/premenopausal women (median 118.0 ng/mL, interquartile range [IQR] 99.2-135.0), compared with postmenopausal women (median 140.0 ng/mL, IQR 121.0-167.0). In peri/premenopausal women chemerin was inversely associated with BUA levels; after multivariable adjustment, a 10% increase in the chemerin concentration was significantly associated with 0.83 dB/MHz lower BUA levels (P = 0.0006). In postmenopausal women chemerin was not related to BUA levels (P = 0.8).

CONCLUSION

The present study provides evidence for an inverse association between chemerin and BUA in peri/premenopausal women. Therefore, the study suggests that high chemerin concentrations may minimize peak bone mass and thereby may promote age-related bone loss. Further studies are needed to investigate the role of chemerin in bone homeostasis in peri/premenopausal and postmenopausal women.

摘要

目的

近期的体外数据表明,新型脂肪因子chemerin可能会影响骨骼健康。然而,关于chemerin与人类骨骼健康之间关系的证据有限。因此,本研究旨在调查围绝经期/绝经前期及绝经后女性中chemerin与宽带超声衰减(BUA)之间的关联。

方法

分析了来自德国基于人群的欧洲癌症与营养前瞻性调查-波茨坦队列的数据,该队列包括404名围绝经期/绝经前期女性和279名绝经后女性。采用多变量调整协方差分析,纳入年龄、体重指数、腰围、吸烟状况、教育程度、身体活动、饮酒量和激素使用情况,分别研究脂肪因子与围绝经期/绝经前期及绝经后女性BUA水平之间的潜在关系。

结果

与绝经后女性(中位数140.0 ng/mL,四分位数间距[IQR] 121.0 - 167.0)相比,围绝经期/绝经前期女性的chemerin浓度较低(中位数118.0 ng/mL,IQR 99.2 - 135.0)。在围绝经期/绝经前期女性中,chemerin与BUA水平呈负相关;多变量调整后,chemerin浓度增加10%与BUA水平显著降低0.83 dB/MHz相关(P = 0.0006)。在绝经后女性中,chemerin与BUA水平无关(P = 0.8)。

结论

本研究为围绝经期/绝经前期女性中chemerin与BUA之间的负相关提供了证据。因此,该研究表明高浓度的chemerin可能会使峰值骨量最小化,从而可能促进与年龄相关的骨质流失。需要进一步研究来调查chemerin在围绝经期/绝经前期及绝经后女性骨骼稳态中的作用。

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