Journal of Bone and Mineral Metabolism

, Volume 33, Issue 6, pp 701–707 | Cite as

Higher plasma platelet-activating factor levels are associated with increased risk of vertebral fracture and lower bone mineral density in postmenopausal women

  • Hyeonmok Kim
  • Beom-Jun KimEmail author
  • Seong Hee Ahn
  • Seung Hun Lee
  • Jung-Min Koh
Original Article


Despite experimental and animal evidence showing the detrimental effects of platelet-activating factor (PAF) on bone metabolism, there are no clinical studies relating PAF to osteoporosis-related phenotypes. This case–control study investigates the association between plasma PAF, osteoporotic vertebral fracture (VF), and bone mineral density (BMD) in postmenopausal Korean women. Among 474 eligible women not taking any drug or having any disease that could affect bone metabolism, we identified 73 cases defined as subjects with radiological VF. The controls were randomly selected from the remaining 401 subjects and matched 1:1 to cases in terms of both age and body mass index (BMI). Lateral thoracolumbar radiographs, BMD, and plasma PAF levels were determined for all subjects. Postmenopausal women with VF demonstrated 34.6 % higher plasma PAF levels than subjects without VF after adjusting for age, BMI, smoking habits, alcohol intake, regular exercise, and parental history of osteoporotic fractures (P = 0.021). Multiple logistic regression analyses revealed that the odds ratio for VF linearly increased across increasing PAF quartiles (P for trend = 0.040) and the odds for VF were 2.88-fold higher in subjects in the highest quartile in comparison with those in the lowest quartile (95 % CI 1.04–8.01). Plasma PAF levels were inversely correlated with BMD at various sites (γ = −0.253 to −0.176, P = 0.003–0.041). These findings suggest that plasma PAF may be a potential biomarker for predicting poor bone health in postmenopausal women.


Platelet-activating factor Vertebral fracture Bone mineral density Osteoporosis Postmenopause 



This study was supported by grants from the Korea Health Technology R&D Project, Ministry of Health and Welfare, Republic of Korea (project no. HI13C1634 and HI13C1432)

Conflict of interest

All authors have no conflicts of interest.


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Copyright information

© The Japanese Society for Bone and Mineral Research and Springer Japan 2014

Authors and Affiliations

  • Hyeonmok Kim
    • 1
  • Beom-Jun Kim
    • 1
    Email author
  • Seong Hee Ahn
    • 1
  • Seung Hun Lee
    • 1
  • Jung-Min Koh
    • 1
  1. 1.Division of Endocrinology and Metabolism, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulKorea

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