Correlation between bone turnover and metabolic markers with age and gender: a cross-sectional study of hospital informa
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RESEARCH ARTICLE
Open Access
Correlation between bone turnover and metabolic markers with age and gender: a cross-sectional study of hospital information system data Ju Shao1†, Shao-Song Zhou2†, Yuan Qu1, Bi-Bo Liang1, Qing-Hong Yu1† and Jing Wu1*†
Abstract Background: Bone turnover and metabolic indicators are related to age and gender. Age and gender should be matched in subjects in disease control research of bone turnover and metabolism, but strict matching of gender and age increases the difficulty and cost of the research. Therefore, the aim of this study was to solve it is necessary to strictly match age and gender in clinical research in bone metabolism. Methods: A cross-sectional study was conducted from the data were extracted from the HIS of ZhuJiang Hospital. Data relating to seven bone turnover and metabolic indicators from 1036 patients between January 2018 and October 2019 were analyzed. Results: P1NP, β-CTx and 25(OH)D were significant different in individuals younger than 20 years of age. ALP was significantly higher in those under 20 years of age and lower at age 20–39 compared with other age groups. The concentrations of Ca and P were different among the groups aged 0–19, 20–39, and 40–59 years of age groups but exhibited no difference above 60 years of age. PTH expression was not dependent on age. P1NP, β-CTx and PTH concentrations were not significantly different between the genders within the same age group. ALP was significantly different between genders within the age range 20–59 years. Ca and 25(OH)D were significantly different between the genders for those older than 60. Serum P was significantly different in the two genders for those aged 40–79. Patients received both alfacalcidol and calcium treatment differently from the others in P1NP, βCTx, Serum Ca, P and ALP. Conclusion: P1NP and β-CTx were highly correlated with age. If these two indictors require analysis in a case control study, the patients and controls should be strictly matched by age under 20 years. The demarcation point for ALP was 40 years of age. Ca and P were strongly recommended strict matching according to age in disease research. The difference in P1NP, β-CTx, 25(OH)D and ALP between genders depends on age differences. Medication history should be considered in bone turnover and metabolic clinical research. Keywords: Bone turnover, Bone metabolic, Gender, Age, Children
* Correspondence: [email protected] † Ju Shao, Shao-Song Zhou, Qing-Hong Yu and Jing Wu contributed equally to this work. 1 Department of Rheumatology and Clinical Immunology, ZhuJiang Hospital, Southern Medical University, 253 Gongye Ave, Guangzhou 510282, Guangdong, China Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a li
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