PMID- 15570414 OWN - NLM STAT- MEDLINE DCOM- 20050509 LR - 20181113 IS - 0937-941X (Print) IS - 0937-941X (Linking) VI - 15 IP - 12 DP - 2004 Dec TI - Reference database of biochemical markers of bone turnover for the Japanese female population. Japanese Population-based Osteoporosis (JPOS) Study. PG - 981-91 AB - The present study was conducted as a part of the Japanese Population-based Osteoporosis (JPOS) Study to establish reference values on the biochemical markers of bone turnover in the general Japanese female population over an applicable age range. The study recruited 3250 women aged 15-79 years, randomly selected from five municipalities throughout Japan, and obtained measurements of serum osteocalcin (OC) and bone-specific alkaline phosphatase (BAP); free and total forms of immunoreactive deoxypyridinoline, free pyridinolines and type I collagen cross-linked C-terminal telopeptide (CTx) in urine; serum intact parathyroid hormone (PTH) and 1,25 dihydroxy vitamin D (1,25 (OH)2D); and bone density at the spine, hip and distal forearm. After excluding subjects with apparent or suggested abnormalities affecting bone mass, 2535 (78%) subjects were further analyzed. The authors presented 5-year age-specific mean values of the markers and mean marker levels derived from women aged 30-44 years with normal bone density as a healthy young adult reference. Values of the markers decreased with increasing age before the age of 40, increased steeply among subjects in their 50s, and remained elevated in the elderly. Serum calcium, phosphorus, PTH and 1,25 (OH)2D levels were higher in postmenopausal women than in premenopausal women. However, 1,25 (OH)2D was lower among early postmenopausal subjects. The levels of OC, BAP, CTx, PTH and 1,25(OH)2D were significantly greater for women with osteoporosis than for those without. The diagnostic value of the markers was limited as the sensitivity and specificity ranged from 55% to 60%. These findings will aid health professionals in the correct assessment of bone turnover status in Japanese women over a wide range of age. FAU - Iki, Masayuki AU - Iki M AD - Department of Public Health, Kinki University School of Medicine , 377-2 Oono-Higashi, Osaka-Sayama, 589-8511 Osaka, Japan. masa@med.kindai.ac.jp FAU - Akiba, Takashi AU - Akiba T FAU - Matsumoto, Toshio AU - Matsumoto T FAU - Nishino, Harumi AU - Nishino H FAU - Kagamimori, Sadanobu AU - Kagamimori S FAU - Kagawa, Yoshiko AU - Kagawa Y FAU - Yoneshima, Hideo AU - Yoneshima H CN - JPOS Study Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20040731 PL - England TA - Osteoporos Int JT - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA JID - 9100105 RN - 0 (Amino Acids) RN - 0 (Biomarkers) RN - 0 (Collagen Type I) RN - 0 (Parathyroid Hormone) RN - 0 (Peptides) RN - 0 (collagen type I trimeric cross-linked peptide) RN - 104982-03-8 (Osteocalcin) RN - 63800-01-1 (pyridinoline) RN - 90032-33-0 (deoxypyridinoline) RN - 9007-34-5 (Collagen) RN - EC 3.1.3.1 (Alkaline Phosphatase) RN - FXC9231JVH (Calcitriol) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Alkaline Phosphatase/blood MH - Amino Acids/urine MH - Biomarkers/blood/urine MH - Bone Density MH - *Bone Remodeling MH - Calcitriol/blood MH - Collagen/urine MH - Collagen Type I MH - *Databases, Factual MH - Female MH - Humans MH - Japan MH - Middle Aged MH - Osteocalcin/blood MH - Osteoporosis/blood/urine MH - Parathyroid Hormone/blood MH - Peptides/urine MH - Reference Values EDAT- 2004/12/01 09:00 MHDA- 2005/05/10 09:00 CRDT- 2004/12/01 09:00 PHST- 2003/10/10 00:00 [received] PHST- 2004/03/11 00:00 [accepted] PHST- 2004/12/01 09:00 [pubmed] PHST- 2005/05/10 09:00 [medline] PHST- 2004/12/01 09:00 [entrez] AID - 10.1007/s00198-004-1634-1 [doi] PST - ppublish SO - Osteoporos Int. 2004 Dec;15(12):981-91. doi: 10.1007/s00198-004-1634-1. Epub 2004 Jul 31.