J Bone Metab.  2016 Feb;23(1):27-33. 10.11005/jbm.2016.23.1.27.

Relationship between Serum Inflammatory Marker and Bone Mineral Density in Healthy Adults

Affiliations
  • 1Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
  • 2Department of Clinical Nutrition, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
  • 3Department of Food Sciences & Nutrition, Soonchunhyang University, Asan, Korea. soon56@sch.ac.kr

Abstract

BACKGROUND
Inflammatory markers have been shown to play an important role in bone remodeling. The purpose of this study was to investigate the relationship among serum C-reactive protein (CRP), adiponectin, tumor necrosis factor-alpha (TNF-alpha) and bone health in healthy adults.
METHODS
We measured serum levels of CRP, adiponectin, TNF-alpha as well as lumbar spine and femoral neck bone mineral density (BMD) in 76 adults. Anthropometric measurements and nutrient intake survey of participants were carried out. The participants were divided into two groups (normal BMD group=40; 52.6%, decreased BMD group=36; 47.4%).
RESULTS
The CRP concentration was significantly higher in the decreased BMD group. The adiponectin concentration was lower in the decreased BMD group but the difference was not significant. The TNF-alpha concentration was higher in the decreased BMD group, the difference was not significant. The participants in the decreased BMD group were found to have lower calcium intakes. The sodium intake of the decreased BMD group was significantly higher. The BMD in the decreased BMD group showed inverse correlations with CRP and dietary sodium intake.
CONCLUSIONS
Serum CRP and dietary sodium intake is associated with BMD. Further research is needed to confirm the potential role of inflammatory marker to modulate the effects on bone.

Keyword

Adiponectin; Bone Density; C-reactive protein; Nutritional status

MeSH Terms

Adiponectin
Adult*
Bone Density*
Bone Remodeling
C-Reactive Protein
Calcium
Femur Neck
Humans
Nutritional Status
Sodium
Sodium, Dietary
Spine
Tumor Necrosis Factor-alpha
Adiponectin
C-Reactive Protein
Calcium
Sodium
Sodium, Dietary
Tumor Necrosis Factor-alpha

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Reference

1. Korean Society for Bone and Mineral Research. Physician's guide for diagnosis & treatment of osteoporosis. 2015. cited by 2016 Feb 1. Available from: http://www.ksbmr.org/image/journal/골다공증%20지침서2015_final_1002.pdf.
2. Firooznia H, Golimbu C, Rafii M, et al. Quantitative computed tomography assessment of spinal trabecular bone. I. Age-related regression in normal men and women. J Comput Tomogr. 1984; 8:91–97.
Article
3. Matkovic V. Calcium intake and peak bone mass. N Engl J Med. 1992; 327:119–120.
Article
4. Labouesse MA, Gertz ER, Piccolo BD, et al. Associations among endocrine, inflammatory, and bone markers, body composition and weight loss induced bone loss. Bone. 2014; 64:138–146.
Article
5. Koroglu BK, Kiris F, Ersoy IH, et al. Relation of leptin, adiponectin and insulin resistance to bone mineral density in type 2 diabetic postmenopausal women. Endokrynol Pol. 2011; 62:429–435.
6. Ornstrup MJ, Kjær TN, Harsløf T, et al. Adipose tissue, estradiol levels, and bone health in obese men with metabolic syndrome. Eur J Endocrinol. 2015; 172:205–216.
Article
7. Marhoffer W, Stracke H, Masoud I, et al. Evidence of impaired cartilage/bone turnover in patients with active ankylosing spondylitis. Ann Rheum Dis. 1995; 54:556–559.
Article
8. Koh JM, Khang YH, Jung CH, et al. Higher circulating hsCRP levels are associated with lower bone mineral density in healthy pre- and postmenopausal women: evidence for a link between systemic inflammation and osteoporosis. Osteoporos Int. 2005; 16:1263–1271.
Article
9. Arita Y, Kihara S, Ouchi N, et al. Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity. Biochem Biophys Res Commun. 1999; 257:79–83.
Article
10. Lim H, Kim HJ, Hong SJ, et al. Nutrient intake and bone mineral density by nutritional status in patients with inflammatory bowel disease. J Bone Metab. 2014; 21:195–203.
Article
11. Lorenzo J. Interactions between immune and bone cells: new insights with many remaining questions. J Clin Invest. 2000; 106:749–752.
Article
12. Weinhold B, Rüther U. Interleukin-6-dependent and -independent regulation of the human C-reactive protein gene. Biochem J. 1997; 327 pt 2:425–429.
Article
13. Salamone LM, Whiteside T, Friberg D, et al. Cytokine production and bone mineral density at the lumbar spine and femoral neck in premenopausal women. Calcif Tissue Int. 1998; 63:466–470.
Article
14. Cohen-Solal ME, Graulet AM, Denne MA, et al. Peripheral monocyte culture supernatants of menopausal women can induce bone resorption: involvement of cytokines. J Clin Endocrinol Metab. 1993; 77:1648–1653.
Article
15. Scheidt-Nave C, Bismar H, Leidig-Bruckner G, et al. Serum interleukin 6 is a major predictor of bone loss in women specific to the first decade past menopause. J Clin Endocrinol Metab. 2001; 86:2032–2042.
Article
16. Lenchik L, Register TC, Hsu FC, et al. Adiponectin as a novel determinant of bone mineral density and visceral fat. Bone. 2003; 33:646–651.
Article
17. Scherer PE, Williams S, Fogliano M, et al. A novel serum protein similar to C1q, produced exclusively in adipocytes. J Biol Chem. 1995; 270:26746–26749.
Article
18. Napoli N, Pedone C, Pozzilli P, et al. Adiponectin and bone mass density: the InCHIANTI study. Bone. 2010; 47:1001–1005.
Article
19. Yoon HG, Bok GH, Lee KW, et al. Relationships of serum leptin and adiponectin concentrations with bone mineral density in Korean postmenopausal women. J Bone Metab. 2006; 13:33–39.
20. Sponholtz TR, Zhang X, Fontes JD, et al. Association between inflammatory biomarkers and bone mineral density in a community-based cohort of men and women. Arthritis Care Res (Hoboken). 2014; 66:1233–1240.
Article
21. The Korean Nutrition Society. Dietary reference intakes for Koreans. Sejong: Ministry of Health and Welfare;2015.
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