Vitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal women

Background/Aim. Despite vitamin D insufficiency being widely reported, in Serbia the epidemiological data lack information regarding vitamin D status in the sera of postmenopausal women. The aim of this study was to establish the prevalence of inadequate serum 25-hydroxyvitamin D [25(OH)D] conce...

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Main Authors: Vučeljić Marina, Ilić-Stojanović Olivera, Lazović Milica, Grajić Mirko
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2012-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501203243V.pdf
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author Vučeljić Marina
Ilić-Stojanović Olivera
Lazović Milica
Grajić Mirko
author_facet Vučeljić Marina
Ilić-Stojanović Olivera
Lazović Milica
Grajić Mirko
author_sort Vučeljić Marina
collection DOAJ
description Background/Aim. Despite vitamin D insufficiency being widely reported, in Serbia the epidemiological data lack information regarding vitamin D status in the sera of postmenopausal women. The aim of this study was to establish the prevalence of inadequate serum 25-hydroxyvitamin D [25(OH)D] concentrations in postmenopausal Serbian women with seasonal variations of 25(OH)D, in relation to parathyroid hormone (PTH) and bone mineral density (BMD). Methods. A total of 95 postmenopausal women, mean age 65.1 ± 9.08 years, were examined. Measurements of 25(OH)D and PTH were performed both in the winter and the summer period, using electrochemiluminiscence immunoassays. BMD (g/cm2) was measured by the dualenergy x-Ray absortimetry (DXA) method on the spine and hip areas. Results. A decreased value of vitamin D (< 75 nmol/L) in 88.4% of postmenopausal women and an elevated level of PTH (> 65 pg/mL) in 25.3% of the cases were found. Elevated PTH varied individually, but was mostly increased if 25(OH)D was equal or lower than 37.6 nmol/L. 25(OH)D insufficiency was found in winter in 94.5% and in summer in 80% of the cases (p < 0.01). The mean of the PTH was higher (p < 0.05) in winter than in summer. A significant negative correlation between 25(OH)D and PTH (p < 0.001) was proved. Correlation between 25(OH)D and PTH with BMD at lumbar spine was established in the whole group, but at the femoral neck in women aged over 65 years (p < 0.05). Conclusion. Our results showed a high prevalence of vitamin D insufficiency (88.4%) among postmenopausal women. The levels of 25(OH)D and PTH changed significantly according to the season.
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spelling doaj-art-203f2d5eecf947c5b6af874c4ae21f802025-08-20T03:54:52ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-0169324324810.2298/VSP1203243VVitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal womenVučeljić MarinaIlić-Stojanović OliveraLazović MilicaGrajić MirkoBackground/Aim. Despite vitamin D insufficiency being widely reported, in Serbia the epidemiological data lack information regarding vitamin D status in the sera of postmenopausal women. The aim of this study was to establish the prevalence of inadequate serum 25-hydroxyvitamin D [25(OH)D] concentrations in postmenopausal Serbian women with seasonal variations of 25(OH)D, in relation to parathyroid hormone (PTH) and bone mineral density (BMD). Methods. A total of 95 postmenopausal women, mean age 65.1 ± 9.08 years, were examined. Measurements of 25(OH)D and PTH were performed both in the winter and the summer period, using electrochemiluminiscence immunoassays. BMD (g/cm2) was measured by the dualenergy x-Ray absortimetry (DXA) method on the spine and hip areas. Results. A decreased value of vitamin D (< 75 nmol/L) in 88.4% of postmenopausal women and an elevated level of PTH (> 65 pg/mL) in 25.3% of the cases were found. Elevated PTH varied individually, but was mostly increased if 25(OH)D was equal or lower than 37.6 nmol/L. 25(OH)D insufficiency was found in winter in 94.5% and in summer in 80% of the cases (p < 0.01). The mean of the PTH was higher (p < 0.05) in winter than in summer. A significant negative correlation between 25(OH)D and PTH (p < 0.001) was proved. Correlation between 25(OH)D and PTH with BMD at lumbar spine was established in the whole group, but at the femoral neck in women aged over 65 years (p < 0.05). Conclusion. Our results showed a high prevalence of vitamin D insufficiency (88.4%) among postmenopausal women. The levels of 25(OH)D and PTH changed significantly according to the season.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501203243V.pdfvitamin Dparathyroid hormonebone densitypostmenopause
spellingShingle Vučeljić Marina
Ilić-Stojanović Olivera
Lazović Milica
Grajić Mirko
Vitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal women
Vojnosanitetski Pregled
vitamin D
parathyroid hormone
bone density
postmenopause
title Vitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal women
title_full Vitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal women
title_fullStr Vitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal women
title_full_unstemmed Vitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal women
title_short Vitamin D and parathyroid hormone in relation to bone mineral density in postmenopausal women
title_sort vitamin d and parathyroid hormone in relation to bone mineral density in postmenopausal women
topic vitamin D
parathyroid hormone
bone density
postmenopause
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501203243V.pdf
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