Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older women

Abstract In this study we examined the effect of simultaneously elevated levels of parathyroid hormone (PTH) (≥ 65 ng/mL) and high levels of insulin-like growth factor-binding protein 1 (IGFBP-1) on the 10-year risk of all-cause mortality and hip fractures. Blood tests for levels of PTH and IGFBP-1...

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Main Authors: Elin Uzunel, Hans Ranch Lundin, Ann-Charlotte Grahn Kronhed, Per Wändell, Helena Salminen
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-80527-7
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author Elin Uzunel
Hans Ranch Lundin
Ann-Charlotte Grahn Kronhed
Per Wändell
Helena Salminen
author_facet Elin Uzunel
Hans Ranch Lundin
Ann-Charlotte Grahn Kronhed
Per Wändell
Helena Salminen
author_sort Elin Uzunel
collection DOAJ
description Abstract In this study we examined the effect of simultaneously elevated levels of parathyroid hormone (PTH) (≥ 65 ng/mL) and high levels of insulin-like growth factor-binding protein 1 (IGFBP-1) on the 10-year risk of all-cause mortality and hip fractures. Blood tests for levels of PTH and IGFBP-1 was collected at baseline in 338 community-dwelling women in Stockholm aged between 69 and 79 years. Data on hip fractures and all-cause mortality over the next 10 years were retrieved from healthcare registers. The participants were divided into four groups depending on their levels of PTH and IGFBP-1: (A) normal PTH and low IGFBP-1; (B) normal PTH and high IGFBP-1; (C) elevated PTH and low IGFBP-1; (D) elevated PTH and high IGFBP-1. Group D was used as reference. Cox proportional hazard regression (HR) model was used to compare age-adjusted association with hip fractures and all-cause mortality of the four groups. The group with elevated levels of PTH and high IGFBP-1 had a two to three times higher risk of all-cause mortality compared to the other groups but we found no association with hip fractures.
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spelling doaj-art-959c283af31c42058d7d26411e98e53c2024-12-01T12:18:55ZengNature PortfolioScientific Reports2045-23222024-11-011411810.1038/s41598-024-80527-7Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older womenElin Uzunel0Hans Ranch Lundin1Ann-Charlotte Grahn Kronhed2Per Wändell3Helena Salminen4Division of Family Medicine and Primary Care, Department of Neurobiology Care sciences and Society, Karolinska InstitutetDivision of Family Medicine and Primary Care, Department of Neurobiology Care sciences and Society, Karolinska InstitutetDivision of Prevention, Rehabilitation and Community Medicine, Department of Health, Medicine and Caring Sciences, Linköping UniversityDivision of Family Medicine and Primary Care, Department of Neurobiology Care sciences and Society, Karolinska InstitutetDivision of Family Medicine and Primary Care, Department of Neurobiology Care sciences and Society, Karolinska InstitutetAbstract In this study we examined the effect of simultaneously elevated levels of parathyroid hormone (PTH) (≥ 65 ng/mL) and high levels of insulin-like growth factor-binding protein 1 (IGFBP-1) on the 10-year risk of all-cause mortality and hip fractures. Blood tests for levels of PTH and IGFBP-1 was collected at baseline in 338 community-dwelling women in Stockholm aged between 69 and 79 years. Data on hip fractures and all-cause mortality over the next 10 years were retrieved from healthcare registers. The participants were divided into four groups depending on their levels of PTH and IGFBP-1: (A) normal PTH and low IGFBP-1; (B) normal PTH and high IGFBP-1; (C) elevated PTH and low IGFBP-1; (D) elevated PTH and high IGFBP-1. Group D was used as reference. Cox proportional hazard regression (HR) model was used to compare age-adjusted association with hip fractures and all-cause mortality of the four groups. The group with elevated levels of PTH and high IGFBP-1 had a two to three times higher risk of all-cause mortality compared to the other groups but we found no association with hip fractures.https://doi.org/10.1038/s41598-024-80527-7OsteoporosisHip fractureAll-cause mortalityParathyroid hormoneIGFBP-1
spellingShingle Elin Uzunel
Hans Ranch Lundin
Ann-Charlotte Grahn Kronhed
Per Wändell
Helena Salminen
Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older women
Scientific Reports
Osteoporosis
Hip fracture
All-cause mortality
Parathyroid hormone
IGFBP-1
title Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older women
title_full Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older women
title_fullStr Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older women
title_full_unstemmed Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older women
title_short Levels of parathyroid hormone and IGF binding protein 1 and associations with mortality and hip fractures in older women
title_sort levels of parathyroid hormone and igf binding protein 1 and associations with mortality and hip fractures in older women
topic Osteoporosis
Hip fracture
All-cause mortality
Parathyroid hormone
IGFBP-1
url https://doi.org/10.1038/s41598-024-80527-7
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