Relationship between Vitamin D and Parathyroid Hormone levels along with Simvastatin effect on serum calcium levels in postmenopausal women with osteoarthritis

Vitamin D, Parathyroid Hormone, and Simvastatin in Postmenopausal Women with Osteoarthritis

Authors

  • Dr. Huma Fatima tu zara Khyber Medical College Peshawar Author
  • Dr. Majeed Ullah Resident Neurologist, Hayat abad Medical Complex Author
  • Dr. Aqsa Atta Human Nutrition and Dietetics, Nishtar Medical University Multan, Pakistan Author
  • Dr. Areeba Abdullah MBBS, Liaquat National Hospital and Medical Center, Jinnah Postgraduate Medical Center , Karachi Author

Keywords:

Osteoarthritis , Vitamin D, Postmenopausal women , Parathyroid hormone

Abstract

Background: Osteoarthritis (OA) is a prevalent musculoskeletal condition that often affects postmenopausal women. This study aimed to investigate the relationship between metabolic factors, including serum vitamin D, parathyroid hormone (PTH), and calcium levels, and the severity of OA in postmenopausal women. Additionally, the potential impact of simvastatin on serum calcium levels was explored.

Methods: A cross-sectional observational study was conducted among 150 postmenopausal women with clinically diagnosed OA. Demographic and clinical data were collected, and serum levels of vitamin D, PTH, and calcium were assessed. Correlation analyses were performed to explore the associations between these biomarkers and OA severity. Multiple linear regression analysis was employed to assess the effect of simvastatin on serum calcium levels while controlling for confounding factors.

Results: The study revealed a significant negative correlation between serum vitamin D levels and OA severity (r = -0.31, p < 0.001), suggesting that lower vitamin D levels were associated with more severe OA symptoms. Conversely, serum PTH levels showed a positive correlation with OA severity (r = 0.27, p = 0.002), indicating that higher PTH levels were associated with increased OA severity. Simvastatin use did not significantly impact serum calcium levels (β = -0.04, p = 0.732).

Conclusion: This study emphasizes the significance of vitamin D and PTH in OA progression among postmenopausal women and underscores the need for proactive management of vitamin D status. Additionally, calcium and PTH regulation may play a pivotal role in OA pathogenesis. While further research is required to validate these associations and explore targeted interventions, these findings advocate for a holistic approach that integrates metabolic factors with established OA treatments to enhance patient outcomes and quality of life.

Downloads

Download data is not yet available.

References

Jotanovic Z, Mihelic R, Gulan G, Sestan B, Dembic Z. Osteoarthritis of the hip: An overview. Periodicum biologorum. 2015 Mar 31;117(1):95-108. URL https://hrcak.srce.hr/file/205812

Yan H, Guo J, Zhou W, Dong C, Liu J. Health-related quality of life in osteoarthritis patients: a systematic review and meta-analysis. Psychology, Health & Medicine. 2022 Sep 14;27(8):1859-74.DOI: https://doi.org/10.1080/13548506.2021.1971725

Verstuyf A, Carmeliet G, Bouillon R, Mathieu C. Vitamin D: a pleiotropic hormone. Kidney international. 2010 Jul 2;78(2):140-5. DOI: https://doi.org/10.1038/ki.2010.17

Sasaki E, Chiba D, Ota S, Kimura Y, Sasaki S, Yamamoto Y, Oishi M, Iino K, Ando M, Tsuda E, Ishibashi Y. Reduced serum levels of anti-Mullerian hormone is a putative biomarker of early knee osteoarthritis in middle-aged females at menopausal transition. Scientific Reports. 2021 Mar 2;11(1):4931. DOI: https://doi.org/10.1038%2Fs41598-021-84584-0

Hosnijeh FS, Bierma-Zeinstra SM, Bay-Jensen AC. Osteoarthritis year in review 2018: biomarkers (biochemical markers). Osteoarthritis and cartilage. 2019 Mar 1;27(3):412-23.DOI: https://doi.org/10.1016/j.joca.2018.12.002

Hu N, Zhang J, Wang J, Wang P, Wang J, Qiang Y, Li Z, Wu T, Wang X, Wang Y, Li J. Biomarkers of joint metabolism and bone mineral density are associated with early knee osteoarthritis in premenopausal females. Clinical Rheumatology. 2022 Mar 1:1-1. DOI: https://doi.org/10.1007/s10067-021-05885-3

Sardar N, Tariq UB, Khan SA, Haris M, Rasheed A. Vitamin D Detection Using Electrochemical Biosensors: A Comprehensive Overview. DOI: https://doi.org/10.5772/intechopen.112212

Sardar N, Sarfraz MB, Rasheed S, Sardar AKMR, Zaman F, Rasheed A (2022). Electrochemistry of vitamin d and biosensors for its determination: a review. S. Asian J. Life Sci. 10(1): 1-6. DOI: http://dx.doi.org/10.17582/journal.sajls/2022/10.1.1.6

Landry CS, Ruppe MD, Grubbs EG. Vitamin D receptors and parathyroid glands. Endocrine Practice. 2011 Mar 1;17:63-8. DOI: https://doi.org/10.4158/ep10325.ra

Khan M, Jose A, Sharma S. Physiology, Parathyroid Hormone. StatPearls [Internet]. 2018.URL: https://www.ncbi.nlm.nih.gov/books/NBK499940/#_ncbi_dlg_citbx_NBK499940

Ross AC, Taylor CL, Yaktine AL, et al., editors. Dietary Reference Intakes for Calcium and Vitamin D. Washington (DC): National Academies Press (US); 2011. 2, Overview of Calcium. Available from URL: https://www.ncbi.nlm.nih.gov/books/NBK56060/

Regulation of Body Processes - Hormonal Control of Blood Calcium Levels.URL: https://tinyurl.com/4a56h5rp

Horecka A, Hordyjewska A, Blicharski T, Kocot J, Żelazowska R, Lewandowska A, Kurzepa J. Simvastatin Effect on Calcium and Silicon Plasma Levels in Postmenopausal Women with Osteoarthritis. Biol Trace Elem Res. 2016 May;171(1):1-5. doi: 10.1007/s12011-016-0635-1. Epub 2016 Feb 9.DOI: https://doi.org/10.1007%2Fs12011-016-0635-1

Soh JF, Bodenstein K, Yu OHY, Linnaranta O, Renaud S, Mahdanian A, Su CL, Mucsi I, Mulsant B, Herrmann N, Rajji T, Beaulieu S, Sekhon H, Rej S. Atorvastatin lowers serum calcium levels in lithium-users: results from a randomized controlled trial. BMC Endocr Disord. 2022 Sep 24;22(1):238.DOI: https://doi.org/10.1186/s12902-022-01145-w. PMID: 36153583; PMCID: PMC9508741.

Gröber U, Kisters K. Influence of drugs on vitamin D and calcium metabolism. Dermatoendocrinol. 2012 Apr 1;4(2):158-66. DOI: https://doi.org/10.4161/derm.20731. PMID: 22928072; PMCID: PMC3427195.

Martins JS, Palhares MO, Teixeira OC, Gontijo Ramos M. Vitamin D Status and Its Association with Parathyroid Hormone Concentration in Brazilians. J Nutr Metab. 2017;2017:9056470. DOI: https://doi.org/10.1155/2017/9056470. Epub 2017 Feb 7. PMID: 28265467; PMCID: PMC5318626.

Bruyère O, Cavalier E, Buckinx F, Reginster JY. Relevance of vitamin D in the pathogenesis and therapy of frailty. Current opinion in clinical nutrition and metabolic care. 2017 Jan 1;20(1):26-9. DOI: https://doi.org/10.1097/mco.0000000000000334

Bergink AP, Uitterlinden AG, Van Leeuwen JP, Buurman CJ, Hofman A, Verhaar JA, Pols HA. Vitamin D status, bone mineral density, and the development of radiographic osteoarthritis of the knee: The Rotterdam Study. JCR: Journal of Clinical Rheumatology. 2009 Aug 1;15(5):230-7. DOI: https://doi.org/10.1097/rhu.0b013e3181b08f20

Zhang FF, Driban JB, Lo GH, Price LL, Booth S, Eaton CB, Lu B, Nevitt M, Jackson B, Garganta C, Hochberg MC. Vitamin D deficiency is associated with progression of knee osteoarthritis. The Journal of nutrition. 2014 Dec1;144(12):2002-8. URL https://academic.oup.com/jn/article/144/12/2002/4615955

McAlindon T, LaValley M, Schneider E, Nuite M, Lee JY, Price LL, Lo G, Dawson-Hughes B. Effect of vitamin D supplementation on progression of knee pain and cartilage volume loss in patients with symptomatic osteoarthritis: a randomized controlled trial. Jama. 2013 Jan 9;309(2):155-62. URL: https://jamanetwork.com/journals/jama/fullarticle/1556148

Amini Kadijani A, Bagherifard A, Mohammadi F, Akbari A, Zandrahimi F, Mirzaei A. Association of serum vitamin D with serum cytokine profile in patients with knee osteoarthritis. Cartilage. 2021 Dec;13(1_suppl):1610S-8S.URL: https://journals.sagepub.com/doi/full/10.1177/19476035211010309

Zafeiris EP, Babis GC, Zafeiris CP, Chronopoulos E. Association of vitamin D, BMD and knee osteoarthritis in postmenopausal women. Journal of Musculoskeletal & Neuronal Interactions. 2021;21(4):509.URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672405/

Li H, Zeng C, Wei J, Yang T, Gao SG, Li YS, Luo W, Xiao WF, Xiong YL, Lei GH. Serum calcium concentration is inversely associated with radiographic knee osteoarthritis: a cross-sectional study. Medicine. 2016 Feb;95(6).DOI: https://doi.org/10.1097/md.0000000000002838

Song L. Calcium and bone metabolism indices. Advances in clinical chemistry. 2017 Jan 1;82:1-46. URL: https://www.sciencedirect.com/science/article/pii/S0065242317300471

Additional Files

Published

12/31/2023

Issue

Section

Research Articles

Categories

How to Cite

1.
Fatima tu zara H, Majeed Ullah, Atta A, Abdullah A. Relationship between Vitamin D and Parathyroid Hormone levels along with Simvastatin effect on serum calcium levels in postmenopausal women with osteoarthritis: Vitamin D, Parathyroid Hormone, and Simvastatin in Postmenopausal Women with Osteoarthritis. IRABCS [Internet]. 2023 Dec. 31 [cited 2024 Dec. 22];1(2):81-5. Available from: https://irabcs.com/ojs/article/view/19

Similar Articles

1-10 of 12

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

<< < 1 2 3 4 5 > >>