Japanese Journal of Clinical Chemistry
Online ISSN : 2187-4077
Print ISSN : 0370-5633
ISSN-L : 0370-5633
Effect of Menopause on Bone Metabolism Indices and Bone Mineral Density
Study of the Usefulness of Bone Metabolism Indices
Tadayuki IidaFumiko IshizakiMasumi HayashiHiroaki IshikawaTadashi KoyamaSyozo SawadaNoriko Kishida
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2001 Volume 30 Issue 2 Pages 91-99

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Abstract
Change in bone metabolism is one of the factors related to bone volume decrease, with bone volume decrease becoming remarkable for a period of ten years after menopause. Using female subjects with known dates of menopause but without past histories affecting bone mineral density, the present study was conducted to examine the effect of menopause on bone metabolism indices and bone mineral density, and also to determine the usefulness of various bone metabolism indices such as urine pyridinoline, deoxypyridinoline, and N-telopeptides of type 1 collagen. The values of these bone metabolism indices following menopause were higher than those prior to menopause, and the values of Ntelopeptides of type 1 collagen showed the closest correlation to body mineral density of the lumbar vertebrae and the femur. This is because N-telopeptides of type 1 collagen have high bone specificity. It is therefore considered that N-telopeptides of type 1 collagen is the most useful as a bone metabolism index.
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