Background Oxidative stress plays an essential role in bone health among postmenopausal women. This study aimed to compare the oxidative stress biomarkers among postmenopausal women aged 50–65 years with normal bone mineral density, osteopenia, and osteoporosis.
Methods In this observational study, 120 women with normal bone mineral density, 82 with osteopenia, and 86 with osteoporosis were selected based on the densitometry data obtained from the dual-energy X-ray absorptiometry method. The serum total antioxidant capacity (TAC), superoxide dismutase (SOD) activity, and malondialdehyde (MDA) levels were measured using biochemical methods. A binary logistic regression model adjusted for confounders was used to estimate the risk of osteopenia and osteoporosis. The P-value of <0.05 was considered statistically significant.
Results There were significant differences between the three groups in age, menopausal age, body mass index, and education (P<0.05). According to the binary logistic regression model, higher SOD activity and serum TAC levels were associated with a lower risk of osteoporosis (adjusted odds ratio [aOR], 0.991; 95% confidence intervals [CI], 0.986 to 0.996; and aOR, 0.373; 95% CI, 0.141 to 0.986, respectively). MDA was a significant risk factor for osteopenia in postmenopausal women (aOR, 1.702; 95% CI, 1.125 to 2.576).
Conclusion Higher SOD activity and serum TAC levels in the studied postmenopausal women were associated with a significantly lower risk of osteoporosis. Moreover, the risk of osteopenia increased significantly with higher serum MDA levels.
Citations
Citations to this article as recorded by
Exploring the application of dietary antioxidant index for disease risk assessment: a comprehensive review Hossein Pourmontaseri, Sina Bazmi, Matin Sepehrinia, Ayda Mostafavi, Reza Arefnezhad, Reza Homayounfar, Farhad Vahid Frontiers in Nutrition.2025;[Epub] CrossRef
Women’s Health and Primary Care Seung-Won Oh Korean Journal of Family Medicine.2024; 45(1): 1. CrossRef
Effects of cosmos caudatus (Kenikir) antioxidant properties on bone metabolism marker in rat Gadis Meinar Sari, Idha Kusumawati, Yoga Akbar Arifandi, Julian Benedict Swannjo Current Research in Physiology.2024; 7: 100128. CrossRef
Exogenous and endogenous antioxidants in osteoporosis risk: causal associations unveiled by Mendelian Randomization analysis Yuancheng Li, Huaqian Qi, Xin Huang, Gang Lu, Huashan Pan Frontiers in Physiology.2024;[Epub] CrossRef
Proteomic Biomarkers Associated with Low Bone Mineral Density: A Systematic Review Adriana Becerra-Cervera, Anna D. Argoty-Pantoja, Diana I. Aparicio-Bautista, Priscilla López-Montoya, Berenice Rivera-Paredez, Alberto Hidalgo-Bravo, Rafael Velázquez-Cruz International Journal of Molecular Sciences.2024; 25(14): 7526. CrossRef