ASSESSMENT OF BETA-CROSSLAPS LEVELS IN PATIENTS WITH BONE AND JOINT PAIN AT STO-PHUONG DONG HOSPITAL
Main Article Content
Abstract
Objective: Assessment of Beta-Crosslaps levels in patients with joint pain symptoms, their associations, and the role of Beta-Crosslaps in the diagnosis and management of bone and joint disorders. Study Subjects and Methods: The study included 1,290 individuals who visited STO Phuong Dong Hospital from February 15, 2022, to December 30, 2024. Participants were divided into two main groups:Control group: 609 healthy individuals without symptoms of bone or joint diseases, Disease group: 681 patients presenting with symptoms of bone and joint pain. Study design: A cross-sectional descriptive study. Data collection included age, gender, and bone and joint pain status. Beta-Crosslaps levels were quantified using the Cobas 411 automated immunoassay analyzer with reagents, calibrators, and controls from Roche Diagnostics. Statistical analysis was performed using STATA 14.0. Mean Beta-Crosslaps values between age groups and genders were compared using the t-test and one-way ANOVA for independent and normally distributed groups. Results: Beta-Crosslaps levels increased with age in both males and females across the control and disease groups. However, no statistically significant difference was observed between the age groups 50–70 and >70. In the control group, Beta-Crosslaps levels were higher in males than females across all age groups, except for the >70 age group, where the difference was not statistically significant.In the disease group, males had higher Beta-Crosslaps levels than females in the <50 age group, whereas females had higher levels than males in the 50–70 and >70 age groups. Within the same gender and age group, patients in the disease group had higher Beta-Crosslaps levels than those in the control group. Conclusion: A retrospective preliminary study on Beta-Crosslaps levels in patients with joint pain revealed that Beta-Crosslaps levels increase with age and are elevated in patients with joint pain. These patients exhibit an enhanced bone resorption process, which increases the risk of osteoporosis. Therefore, preventative treatment for osteoporosis should be considered for these individuals. Further research is needed to explore the variations in Beta-Crosslaps levels across different bone and joint diseases.
Article Details
References


2. Salve HR, Gupta V, Palanivel C, Yadav K, Singh B. Prevalence of Knee Osteoarthritis Amongst Perimenopausal Women in an Urban Resettlement Colony in South Delhi. Indian Journal of Public Health. 2010;54(3):155. doi:10.4103/0019-557x.75739


3. Musey PI, Linnstaedt SD, Platts‐Mills TF, et al. Gender Differences in Acute and Chronic Pain in the Emergency Department: Results of the 2014 Academic Emergency Medicine Consensus Conference Pain Section. Academic Emergency Medicine. 2014;21(12): 1421-1430. doi:10.1111/acem.12529


4. Vasikaran S, Cooper C, Eastell R, et al. International Osteoporosis Foundation and International Federation of Clinical Chemistry and Laboratory Medicine Position on Bone Marker Standards in Osteoporosis. Clinical Chemistry and Laboratory Medicine (Cclm). 2011;49(8):1271-1274. doi:10.1515/cclm.2011.602


5. Khosla S, Riggs BL, Atkinson EJ, et al. Effects of Sex and Age on Bone Microstructure at the Ultradistal Radius: A Population-Based Noninvasive in Vivo Assessment. Journal of Bone and Mineral Research. 2006;21(1):124-131. doi:10.1359/jbmr.050916


6. Vanderschueren D, Venken K, Ophoff J, Bouillon R, Boonen S. Sex Steroids and the Periosteum—Reconsidering the Roles of Androgens and Estrogens in Periosteal Expansion. The Journal of Clinical Endocrinology & Metabolism. 2006;91(2):378-382. doi:10.1210/jc.2005-1766


7. Fugaru O-F, Șerbănescu M-S, Stefan LI, Trăistaru MR. Beta-Crosslaps in Knee Osteoarthritis – Assessment and Rehabilitation. Balneo and PRM Research Journal. 2024;15 (Vol.15, no.1):673-673. doi: 10.12680/balneo. 2024.673


8. Montoya MJ, Giner M, Miranda C, et al. Microstructural Trabecular Bone From Patients With Osteoporotic Hip Fracture or Osteoarthritis: Its Relationship With Bone Mineral Density and Bone Remodelling Markers. Maturitas. 2014; 79(3): 299-305. doi:10.1016/j.maturitas.2014. 07.006

