Abstract
Summary
This study investigated association between lipids and homocysteine (Hcy) with bone mineral density (BMD) in young women as opposed to previous studies on elderly women. HDL, triglyceride, and Hcy are significantly associated with BMD in young women and tobacco and alcohol consumption have no effect on this association.
Purpose
The present study investigates whether the association of serum lipids and homocysteine (Hcy) with bone mineral density (BMD) reported mostly in elderly population can be generalized to young or premenopausal women, consequently suggesting screening of young women with low BMD for dyslipidemia or any cardiovascular events and vice versa.
Methods
Women (n = 293, aged 20–47 years) from Northeast India belonging to Tibeto-Burman origin were enrolled. Information about their physical and clinical attributes were collected by a structured questionnaire. Their BMDs at lumbar spine and femur were measured by dual-energy X-ray absorptiometry (DXA) and sera were profiled for lipid parameters and Hcy by auto-analyzer and ELISA, respectively. Women consuming tobacco and/or alcohol were grouped as consumers and others as non-consumers for the analysis.
Results
Positive correlation of BMD with HDL (spine and femur r = 0.38, p < 0.0001) and triglyceride (spine r = 0.534, p < 0.0001; femur r = 0.423, p < 0.0001) was observed, whereas Hcy correlated negatively with BMD (spine r = − 0.189, p = 0.0026; femur r = − 0.273, p < 0.0001). LDL showed a weak negative correlation with BMD (spine r = − 0.128, p = 0.0283; femur r = − 0.199, p = 0.0006). However, after adjusting for age, BMI, and consumption, HDL, triglyceride, and Hcy continued to show significant correlation with BMD at both the sites. Logistic regression analyses indicated that HDL, triglyceride, and Hcy were significant predictors of osteopenia and osteoporosis in our study cohort; however, consumption did not contribute to its prediction.
Conclusion
Low levels of HDL and triglyceride and high levels of Hcy are significantly associated with osteopenia and osteoporosis in young Northeast Indian women.
Similar content being viewed by others
References
Parthasarathy S, Steinberg D, Witztum J (1992) The role of oxidized low density lipoproteins in the pathogenesis of atherosclerosis. Annu Rev Med 43:219–225
Wen D, Androjna C, Vasanji A, Belovich J, Midura R (2010) Lipids and collagen matrix restrict the hydraulic permeability within the porous compartment of adult cortical bone. Ann Biomed Eng 38(3):558–569
Rajendran KG, Chen SY, Sood A, Spielvogel BF, Hall IH (1995) The antiosteoporotic activity of amine-carboxyboranes in rodents. Biomed Pharmacother 49:131–140
Farhat G, Cauley J (2008) The link between osteoporosis and cardiovascular disease. Clin Cases Miner Bone Metab 5(1):19–34
von der Recke P, Hansen MA, Hassager C (1999) The association between low bone mass at the menopause and cardiovascular mortality. Am J Med 106:273–278
McFarlane SI, Muniyappa R, Shin JJ, Bahtiyar G, Sowers JR (2004) Osteoporosis and cardiovascular disease: brittle bones and boned arteries, is there a link? Endocrine 23:1–10
Chen SJ, Lin CS, Lin CL, Kao CH (2015) Osteoporosis is associated with high risk for coronary heart disease: a population-based cohort study. Medicine (Baltimore) 94(27):e1146
Yamaguchi T, Sugimoto T, Yano S et al (2002) Plasma lipids and osteoporosis in postmenopausal women. Endocr J 49:211–217
Cui LH, Shin MH, Chung EK, Lee YH, Kweon SS, Park KS, Choi JS (2005) Association between bone mineral densities and serum lipid profiles of pre-and post-menopausal rural women in South Korea. Osteoporos Int 16:1975–1981
Makovey J, Chen JS, Hayward C, Williams FM, Sambrook PN (2009) Association between serum cholesterol and bone mineral density. Bone 44:208–213
Jeong IK, Cho SW, Kim SW, Choi HJ, Park KS, Kim SY, Lee HK, Cho SH, Oh BH, Shin CS (2010) Lipid profiles and bone mineral density in pre- and postmenopausal women in Korea. Calcif Tissue Int 87:507–512
Poiana C, Radoi V, Carsote M, Bilezikian JP (2013) New clues that may link osteoporosis to the circulating lipid profile. Bone Research 1(3):260–266
Bagger YZ, Rasmussen HB, Alexandersen P, Werge T, Christiansen C, Tankó LB, PERF study group (2007) Links between cardiovascular disease and osteoporosis in postmenopausal women: serum lipids or atherosclerosis per se? Osteoporos Int 18(4):505–512
Dimic A, Popovic MR, Tasic I et al (2012) Relation between bone density and certain parameters of lipid status in postmenopausal women. Cent Eur J Med 7:642
Garg M, Marwaha R, Tandon N, Bhadra K, Mahalle N (2014) Relationship of lipid parameters with bone mineral density in Indian population. Indian J Endocrinol Metab 18(3):325–332
Li S, Guo H, Liu Y, Wu F, Zhang H, Zhang Z, Xie Z, Sheng Z, Liao E (2015) Relationships of serum lipid profiles and bone mineral density in postmenopausal Chinese women. Clin Endocrinol 82:53–58
D’Amelio P, Di BS, Tamone C et al (2008) HDL cholesterol and bone mineral density in normal-weight postmenopausal women: is there any possible association? Panminerva Med 50:89–96
Brownbill RA, Ilich JZ (2006) Lipid profile and bone paradox: higher serum lipids are associated with higher bone mineral density in postmenopausal women. J Women's Health (Larchmt) 15(3):261–270
Ghadiri-Anari A, Mortezaii-Shoroki Z, Modarresi M, Dehghan A (2016) Association of lipid profile with bone mineral density in postmenopausal women in Yazd province. Int J Reprod BioMed 14(9):597–602
Dennison E, Syddall H, Sayer A, Martin H, Cooper C (2007) Lipid profile, obesity and bone mineral density: the Hertfordshire cohort study. QJM 100(5):297–303
Solomon DH, Avorn J, Canning CF, Wang PS (2005) Lipid levels and bone mineral density. Am J Med 118(12):1414
Samelson EJ, Cupples LA, Hannan MT, Wilson PWF, Williams SA, Vaccarino V, Zhang Y, Kiel DP (2004) Long-term effects of serum cholesterol on bone mineral density in women and men: the Framingham osteoporosis study. Bone 34(3):557–561
Karthikeyan G, Teo KK, Islam S, McQueen MJ, Pais P, Wang X, Sato H, Lang CC, Sitthi-Amorn C, Pandey MR, Kazmi K, Sanderson JE, Yusuf S (2009) Lipid profile, plasma apolipoproteins, and risk of a first myocardial infarction among Asians: an analysis from the INTERHEART study. J Am Coll Cardiol 53(3):244–253
Ralston S (2002) Genetic control of susceptibility to osteoporosis. J Clin Endocrinol Metab 87:2460–2466
Jouanny P, Jeandel C, Pourel J, Guillemin F, Kuntz C (1995) Environmental and genetic factors affecting bone mass similarity of bone density among members of healthy families. Arthritis Rheum 38:61–67
Ganguly P, Alam S (2015) Role of Hcy in the development of cardiovascular disease. Nutr J 14:6
Zhang S, Yong-Yi B, Luo LM, Xiao WK, Wu HM, Ye P (2014) Association between serum Hcy and arterial stiffness in elderly: a community-based study. J Geriatr Cardiol 11:32–38
Herrmann M, Widmann T, Herrmann W (2005) Hcy—a newly recognised risk factor for osteoporosis. Clin Chem Lab Med 43:1111–1117
Kim BJ, Koh JM, Ahn SH, Lee SH, Kim EH, Bae SJ, Kim HK, Choe JW, Lim KH, Pyun KH, Kim TH, Kim SY, Kim GS (2013) High serum total Hcy levels accelerate hip bone loss in healthy premenopausal women and men. Bone 52(1):56–62
Bozkurt N, Erdem M, Yilmaz E et al (2009) The relationship of Hcy, B12 and folic acid with the bone mineral density of the femur and lumbar spine in Turkish postmenopausal women. Arch Gynecol Obstet 280(3):381–387
van Meurs JB, Dhonukshe-Rutten RA, Pluijm SM et al (2004) Hcy levels and the risk of osteoporotic fracture. N Engl J Med 350(20):2033–2041
Warburton D, Nicol CW, Gatto SN, Bredin S (2007) Cardiovascular disease and osteoporosis: balancing risk management. Vasc Health Risk Manag 3(5):673–689
Martín-González C, González-Reimers E, Quintero-Platt G, Cabrera-García P, Romero-Acevedo L, Gómez-Rodríguez MÁ, Rodríguez Gaspar M, Martínez-Martínez D, Santolaria-Fernández F (2017) Lipid profile and bone mineral density in heavy alcoholics. Clin Nutr.
Khadilkar AV, Mandlik RM (2015) Epidemiology and treatment of osteoporosis in women: an Indian perspective. Int J Women’s Health 7:841–850
Ghosh S, Rahaman L, Kaipeng DL, Deb D, Nath N, Tribedi P, Sharma BK (2016) Community-wise evaluation of rice beer prepared by some ethnic tribes of Tripura. J Ethn Foods 3:251–256
Singh A, Ladusingh L (2014) Prevalence and determinants of tobacco use in India: evidence from recent Global Adult Tobacco Survey data. PLoS One 9(12):e114073
Cullen P (2000) Evidence that triglycerides are an independent coronary heart disease risk factor. Am J Cardiol 86:943–949
Sommer I, Erkkilä AT, Järvinen R, Mursu J, Sirola J, Jurvelin JS, Kröger H, Tuppurainen M (2013) Alcohol consumption and bone mineral density in elderly women. Public Health Nutr 16(4):704–712
McLernon DJ, Powell JJ, Jugdaohsingh R, Macdonald HM (2012) Do lifestyle choices explain the effect of alcohol on bone mineral density in women around menopause? Am J Clin Nutr 95(5):1261–1269
Brien SE, Ronksley PE, Turner BJ, Mukamal KJ, Ghali WA (2011) Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies. BMJ 342:d636
Krenz M, Korthuis RJ (2012) Moderate ethanol ingestion and cardiovascular protection: from epidemiologic associations to cellular mechanisms. J Mol Cell Cardiol 52:93–104
Quandt SA, Spangler JG, Case LD, Bell RA, Belflower AE (2005) Smokeless tobacco use accelerates age-related loss of bone mineral density among older women in a multi-ethnic rural community. J Cross Cult Gerontol 20(2):109–125
Tanaka H, Tanabe N, Suzuki N, Shoji M, Torigoe H, Sugaya A, Motohashi M, Maeno M (2005) Nicotine affects mineralized nodule formation by the human osteosarcoma cell line Saos-2. Life Sci 77:2273–2284
Acknowledgements
The authors acknowledge Dr. S. D. Mahale, Director, and Dr. S. D. Kholkute, Ex-Director ICMR-NIRRH, Mumbai, for their constant support throughout the study. The authors are also thankful to Ms. Liza Debbarma, Ms. Monika Das, and Ms. Manisha Roy for their help in recruitment of participants and measurement of biochemical parameters.
Funding
The authors thank the Department of Biotechnology-Northeast (DBT-NE) Twinning Program for funding the study and for the research fellowship awarded to Ms. Rucha Saoji.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
The study protocol was approved by the Clinical Ethics Committee of Agartala Government Medical College (AGMC), Agartala, and ICMR-National Institute for Research in Reproductive Health Ethics Committee for Clinical Studies, Mumbai (252/2014). Informed consent was obtained from all participants included in the study before their enrolment.
Grant supporters
Department of Biotechnology, Government of India
Conflicts of interest
None.
Rights and permissions
About this article
Cite this article
Saoji, R., Das, R.S., Desai, M. et al. Association of high-density lipoprotein, triglycerides, and homocysteine with bone mineral density in young Indian tribal women. Arch Osteoporos 13, 108 (2018). https://doi.org/10.1007/s11657-018-0525-6
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s11657-018-0525-6