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Correlation of oxidative stress-related biomarkers with postmenopausal osteoporosis: a systematic review and meta-analysis

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ARCHIVES OF OSTEOPOROSIS
卷 16, 期 1, 页码 -

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SPRINGER LONDON LTD
DOI: 10.1007/s11657-020-00854-w

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Postmenopausal osteoporosis; Oxidative stress; Antioxidant; Bone mineral density

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This study aimed to quantitatively and comprehensively assess the roles of OS-related biomarkers in postmenopausal osteoporosis. A total of 36 studies involving 16 OS-related biomarkers were investigated, showing significant differences in certain markers in patients with postmenopausal osteoporosis.
Oxidative stress (OS) is implicated in postmenopausal osteoporosis (PO). Results show an imbalance between antioxidative and oxidative markers in PO. Thus, monitoring of OS-related biomarkers and keeping balance between reactive oxygen species and antioxidant system are beneficial to the diagnosis and prognosis of PO.PurposeOxidative stress (OS) has been implicated in postmenopausal osteoporosis (PO). However, the relations between OS-related markers and PO are controversial. This study aimed to quantitatively and comprehensively assess the roles of OS-related biomarkers in PO.MethodsRelevant articles were retrieved from electronic databases. All OS-associated biomarkers with at least 2 independent study outcomes were meta-analyzed. The pooled standardized mean differences (SMD) with its 95% confidence intervals (CI) were presented.ResultsA total of 36 studies involving 16 OS-related biomarkers were investigated. The overall results showed that total oxidant status (TOS), superoxide dismutase (SOD), hydroperoxides (HY), paraoxonase (PON1), nitric oxide (NO), and homocysteine (Hcy) were not statistically different between the PO and control groups, whereas significantly increased levels of oxidative stress index (OSI), malondialdehyde (MDA), advanced oxidation protein products (AOPP), and vitamin B12, along with decreased total antioxidant status (TAS), total antioxidant power (TAP), catalase (CAT), glutathione peroxidase (GPx), uric acid (UA), and folate, were detected in the PO group. Subgroup analysis based on biological samples displayed significantly elevated NO in erythrocyte and Hcy in serum, along with decreased SOD in serum.ConclusionMonitoring of certain OS-related biomarkers might be beneficial to the diagnosis and prognosis of PO.

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