Negative correlation of high-density lipoprotein-cholesterol and bone mineral density in postmenopausal Iranian women with vitamin D deficiency.
Menopause
; 25(4): 458-464, 2018 04.
Article
en En
| MEDLINE
| ID: mdl-29557847
OBJECTIVE: The aim of the study was to investigate the association between high-density lipoprotein (HDL) and bone status taking into account serum vitamin D levels in postmenopausal Iranian women. METHODS: During January 2015 and February 2016, a total of 488 postmenopausal Iranian women participated in this cross-sectional study, all of whom were not taking osteoporosis medication and were not suffering from any chronic disorder. Dual X-ray absorptiometry was used to assess bone mineral density (BMD) of the total hip, femoral neck, and lumbar vertebrae (L2-L4). Each person was categorized based on the World Health Organization osteoporosis criteria in at least one skeletal region. At the end of the data collection, lipid profiles and vitamin D levels were measured for all participants. Vitamin D serum levels less than 30 ng/mL were defined as vitamin D deficiency or insufficiency. RESULTS: 27.9% of all participants displayed osteoporosis. Osteoporotic participants tended to be older with higher HDL serum levels (Pâ<â0.001). No significant difference was seen in low-density of lipoprotein, total triglyceride, and total cholesterol levels among participants (Pâ>â0.05). In a univariate model, after adjusting for age, menopausal age, obesity, physical activity, and use of antihyperlipidemic drugs (statins), there were significant negative associations among HDL levels and BMD values and T-score in the three regions (Pâ<â0.004). Interestingly, after classification of participants based on vitamin D levels and adjustment for confounding factors, these significant negative associations between HDL levels and BMD values as well as T-score were observed only in participants with vitamin D deficiency or insufficiency, in the three regions (Pâ<â0.008). CONCLUSIONS: Our data show that in postmenopausal women with vitamin D deficiency, serum levels of HDL have negative correlation with bone status.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Vitamina D
/
Deficiencia de Vitamina D
/
Densidad Ósea
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Osteoporosis Posmenopáusica
/
Posmenopausia
/
HDL-Colesterol
Tipo de estudio:
Observational_studies
/
Prevalence_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Menopause
Asunto de la revista:
GINECOLOGIA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Irán
Pais de publicación:
Estados Unidos