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Lower vitamin E serum levels are associated with osteoporosis in early postmenopausal women: a cross-sectional study

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Abstract

The aim of this study was to evaluate the relationship between vitamin E status and osteoporosis in early postmenopausal women. Anthropometric data, osteoporosis risk factors, vitamin E serum levels, bone mineral density (BMD) and other serum parameters which may influence bone mineral density in postmenopausal women were analyzed in a cross-sectional study. The association between osteoporosis and age, age of menopause, body mass index, osteocalcin, calcium, vitamin D, vitamin E (measured as 25 hydroxyvitamin D and as α-tocopherol:lipids ratio, respectively), bone alkaline phosphatase, smoking status, leisure physical activity and alcohol intake were modeled by a multivariate logistic regression and multi-linear regression analysis in 232 early postmenopausal women. A lower vitamin E:lipid ratio was associated with osteoporosis in multivariate logistic regression. In a multivariate linear model with BMD of the lumbar spine as a dependent variable, the vitamin E:lipid ratio was clearly related with BMD of the lumbar spine (F ratio = 6.30, p = 0.002). BMD of the lumbar spine was significantly higher in the highest tertile of the vitamin E:lipid ratio than in the lowest tertile. The mean vitamin E:lipid ratio was significantly lower in osteoporotic postmenopausal women (T score ≤−2.5) (3.0 ± 0.6 μmol/mmol) than normal (neither osteoporotic nor osteopenic) postmenopausal women (T score >−1) (3.5 ± 0.7 μmol/mmol) using multivariable-adjusted BMD. These findings highlight that vitamin E may increase BMD in healthy postmenopausal women.

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Acknowledgments

Authors are grateful to RETICEF and to the Spanish ‘Ministerio de Salud’ for financial support through project PI08/1692.

Conflict of interest

None.

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Authors and Affiliations

  1. Department of I+D+i, Sanyres Group, 14012, Córdoba, Spain

    José M. Mata-Granados & José M. Quesada Gómez

  2. Department of Analytical Chemistry, Annex C-3, Campus of Rabanales, University of Córdoba, 14071, Córdoba, Spain

    José M. Mata-Granados & María Dolores Luque de Castro

  3. Institute of Biomedical Research Maimónides (IMIBIC), Reina Sofía Hospital, University of Córdoba, 14071, Córdoba, Spain

    José M. Mata-Granados, Rafael Cuenca-Acebedo, María Dolores Luque de Castro & José M. Quesada Gómez

  4. Mineral Metabolism Unit, Hospital Reina Sofia of Córdoba, 14004, Córdoba, Spain

    Rafael Cuenca-Acebedo & José M. Quesada Gómez

Authors
  1. José M. Mata-Granados
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  2. Rafael Cuenca-Acebedo
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  3. María Dolores Luque de Castro
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  4. José M. Quesada Gómez
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Correspondence to José M. Quesada Gómez.

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Mata-Granados, J.M., Cuenca-Acebedo, R., Luque de Castro, M.D. et al. Lower vitamin E serum levels are associated with osteoporosis in early postmenopausal women: a cross-sectional study. J Bone Miner Metab 31, 455–460 (2013). https://doi.org/10.1007/s00774-013-0432-2

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  • DOI: https://doi.org/10.1007/s00774-013-0432-2

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