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Uric acid and bone mineral density in postmenopausal osteoporotic women: the link lies within the fat

Overview of attention for article published in Osteoporosis International, October 2016
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Title
Uric acid and bone mineral density in postmenopausal osteoporotic women: the link lies within the fat
Published in
Osteoporosis International, October 2016
DOI 10.1007/s00198-016-3792-3
Pubmed ID
Authors

M. Pirro, M. R. Mannarino, V. Bianconi, S. De Vuono, A. Sahebkar, F. Bagaglia, L. Franceschini, A. M. Scarponi, E. Mannarino, T. Merriman

Abstract

The association between serum uric acid (SUA) levels and bone mineral density (BMD) is controversial. Fat accumulation is linked to SUA and BMD, thus possibly explaining the mixed results. We found that adiposity drives part of the association between SUA and BMD in women with postmenopausal osteoporosis. Both positive and negative associations between SUA and BMD have been reported. SUA levels and BMD increase with higher body weight and other indices of adiposity; hence, the association between SUA and BMD might be a consequence of the confounding effect of adiposity. We investigated in this cross-sectional study whether the association between SUA and BMD is independent of measures of fat accumulation and other potential confounders. SUA levels, femur BMD, markers of bone metabolism, body mass index (BMI), fat mass (FM), waist circumference (WC), and abdominal visceral fat area were measured in 180 treatment-naive postmenopausal osteoporotic women (mean age 66.3 ± 8.5 years, age range 48-81 years). Women with higher SUA levels (third tertile) had significantly higher femur BMD and lower cross-linked C-terminal telopeptide of type I collagen (CTX) and bone alkaline phosphatase (bALP) levels. SUA levels were positively associated with all indices of adiposity. In multivariable analysis with femur BMD as dependent variable, the association between logarithmic (LG)-transformed SUA levels and BMD (beta = 0.42, p < 0.001) was lessened progressively by the different indices of adiposity, like LG-BMI (beta = 0.22, p = 0.007), LG-WC (beta = 0.21, p = 0.01), LG-FM (beta = 0.18, p = 0.01), and LG-abdominal visceral fat area (beta = 0.12, p = 0.05). The association between SUA levels and markers of bone metabolism was dependent on the effect of confounders. In postmenopausal osteoporotic women, the strong univariable association between SUA levels and femur BMD is partly explained by the confounding effect of indices of adiposity.

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Geographical breakdown

Country Count As %
Unknown 27 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 26%
Student > Doctoral Student 3 11%
Student > Ph. D. Student 3 11%
Student > Master 3 11%
Professor 1 4%
Other 3 11%
Unknown 7 26%
Readers by discipline Count As %
Medicine and Dentistry 5 19%
Biochemistry, Genetics and Molecular Biology 2 7%
Nursing and Health Professions 2 7%
Immunology and Microbiology 2 7%
Agricultural and Biological Sciences 1 4%
Other 3 11%
Unknown 12 44%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 October 2016.
All research outputs
#20,941,392
of 23,577,654 outputs
Outputs from Osteoporosis International
#3,061
of 3,710 outputs
Outputs of similar age
#279,233
of 321,934 outputs
Outputs of similar age from Osteoporosis International
#50
of 60 outputs
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