Relationship between Serum Ferritin Levels and Biochemical Markers of Bone Turnover in Postmenopausal Women

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Somnimit Luengratsameerung


Objective: To study the relationship between serum ferritin levels and biochemical markers of bone turnover in postmenopausal women.

Methods: This cross-sectional study was conducted at the Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Bangkok, Thailand. One hundred and twenty four postmenopausal Thai women were recruited from menopause clinic between December 2015 and March 2016. The inclusion criteria were age 40 years or more, body mass index (BMI) of 19-30 kg/m2, not use menopausal hormone therapy (MHT) within the last 3 months, adequate cessation period of any bone antiresorptive agent, no underlying disease which possibly associated with chronic anemia, and no history of steroid hormone, anabolic agent, or anticoagulant use. The subjects were excluded if their blood specimens were unsuccessfully collected or incompletely analyzed. Two kinds of biochemical markers of bone turnover were selected to study. The first one was a bone-formation marker, called procollagen type I N- terminal propeptide (P1NP) and the second was a bone-resorption marker, namely C-terminal cross-linked telopeptide of type I collagen (CTx). Each marker was evaluated its relationship to serum ferritin.

Results: After recruitment, one subject was excluded because her blood specimen was loss during transfer, therefore 123 cases were left for analysis. Mean (SD) age, BMI, duration of menopause, and number of parity of the overall subjects were 56.8 (4.2) years, 24.3 (3.1) kg/m2, 7.1 (5.3) years, and 1.3 (1.1), respectively. Mean (SD) serum ferritin, P1NP, and CTx levels were 147.75 (95.11), 63.90 (16.70), and 0.463 (0.154) ng/ml, respectively. Serum ferritin levels were negatively correlated with P1NP and with CTx levels (r = -0.149, p = 0.099 and r = -0.038, p = 0.677, respectively).

Conclusion: Serum ferritin levels had non-significant inverse relationship with P1NP and CTx levels in postmenopausal women. The long-term effects of low iron storage on biochemical markers of bone turnover are needed to be further evaluated.


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Luengratsameerung, S. (2020). Relationship between Serum Ferritin Levels and Biochemical Markers of Bone Turnover in Postmenopausal Women. Vajira Medical Journal : Journal of Urban Medicine, 64(4), 287–296.
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